STANDARD COMPETENCIES:

 

 I.      Memorize and recite what CPT-4 coding stands for. (I)

 II.     Apply CPT-4 codes related to reimbursement and documentation.((VIII)

 III.    Identify the difference between each section in the CPT-4 manual. (III)

 IV.     Use E & M codes from the CPT-4 code book. (III, VIII)

 V.      Use the two levels of National Coding. (V, VIII)

 VI.     Apply the guideline sections of the CPT-4 code book. (II, IV)

 VII.    Fill out a 1500 HCFA form. (II, III, IV, VI, VIII)

 VIII.   Interpret a super bill. (VII)

 IX.     Abstract procedures from medical reports converting to CPT-4 codes.

 TOPICAL OUTLINE:

 

 I.      What CPT 4  Coding Is Used For

 II.     Basic Reimbursement and Documentation Guidelines

 III.    Six Sections of CPT-4

 IV.     Guidelines

 V.      National Coding System

 VI.     The HCFA Form

 VII.    Superbill and Insurance Terminology

 VIII.   Case Problems