Official CPC Certification Study Guide

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9781285451312: Official CPC Certification Study Guide

Packed with test-taking tips and techniques, the 2014 CPC CERTIFICATION STUDY GUIDE delivers a current and comprehensive review that is the ideal prep for the AAPC CPC Certification Exam. The guide begins with a complete summary of the business of medicine, ensuring a solid understanding of the medical office and the role of the coder. It covers ICD-9-CM guidelines using real-life examples. Each body system is reviewed, including coverage of the anatomy, related diagnosis coding, CPT coding, HCPCS Level II coding, and modifiers. End-of-chapter questions are modeled after those on the actual certification exam, and operative notes give readers further hands-on experience coding what they have learned. An end-of-guide practice exam gives readers additional practice putting their skills to the test.

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The American Academy of Professional Coders was founded in 1988 to provide education and professional certification to physician-based medical coders, as well as to elevate the standards of medical coding by providing student training, certification and ongoing education, networking and job opportunities. AAPC has a worldwide membership base topping 110,000-more than 78,000 of whom are certified. The quality of AAPC certifications coupled with the strength in its membership numbers offers certified AAPC members credibility in the workforce-as well as higher wages.

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Preface. Introduction. 1. THE BUSINESS OF MEDICINE. Coding as a Profession. The Hierarchy of Providers. The Different Types of Payers. Understanding RBRVS. Medical Necessity. The Need for Privacy and Security. Fraud and Abuse. The Need for Compliance. Rules and Audits. The OIG Work Plan. What the AAPC will do for you. Chapter Review Questions. 2. TERMINOLOGY AND ANATOMY REVIEW. Medical Terminology. Integumentary System. Musculoskeletal System. Cardiovascular System. Lymphatic System. Respiratory System. Digestive System. Urinary System. Reproductive Systems. Nervous System. Endocrine System. Hematologic (Hemic) System. Immune System. Chapter Review Questions. 3. INTRODUCTION TO ICD-9-CM CODING. Introduction. Overview of ICD-9-CM layout. Steps to Look Up a Diagnosis Code. ICD-9-CM Official Guidelines for Coding and Reporting. Glossary. 4. INTRODUCTION TO CPT(R), SURGERY GUIDELINES, HCPCS LEVEL II, and MODIFIERS. Introduction to CPT(R). National Correct Coding Initiative (NCCI). Resource-Based Relative Value Scale (RBRVS). Sequencing CPT(R) Codes. CPT(R) Assistant. CPT(R) Category II Codes and a Brief Overview of The Physician Quality Reporting Initiative. CPT(R) Category III Codes. CPT (R) Appendices. Surgery Guidelines. HCPCS Level II. Modifiers. Glossary. Chapter Review Questions. 5. INTEGUMENTARY SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Coding. Modifiers. Glossary. Chapter Review Questions. 6. MUSCOLOSKELETAL SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Coding. Modifiers. Glossary. Chapter Review Questions. 7. RESPIRATORY, HEMIC, LYMPHATIC, MEDIASTINUM, DIAPHRAGM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 8. CARDIOVASCULAR SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 9. DIGESTIVE SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 10. URINARY SYSTEM AND MALE GENITAL SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 11. REPRODUCTIVE SYSTEMS, FEMALE GENITAL SYSTEM, and MATERNITY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 12. ENOCRINE SYSTEM AND NERVOUS SYSTEM. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 13. EYE AND OCULAR ADNEXA, AUDITORY SYSTEMS. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 14. ANESTHESIA. Introduction. Types of Anesthesia. Anesthesia Providers. Anesthesia Coding Terminology. Postoperative Pain Management. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Modifiers. Anesthesia-Related Teaching Rules. Glossary. Chapter Review Questions. 15. RADIOLOGY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 16. PATHOLOGY/LABORATORY. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 17. EVALUATION AND MANAGEMENT. Introduction. Anatomy and Medical Terminology. ICD-9-CM Coding. CPT(R) Coding. HCPCS Level II Coding. Modifiers. Glossary. Chapter Review Questions. 18. MEDICINIE. Introduction. Anti-Infective Immunizations. Vaccines and Toxoids. Psychiatry. Biofeedback. Dialysis and End Stage Renal Disease Services. Noninvasive Vascular Diagnostic Studies. Allergy and Immunology. Medical Genetics and Genetic Counseling Services. Central Nervous System Assessments/Tests. Hydration, Therapeutic, Prophylactic, Diagnostic Injections/Infusions and Chemotherapy, Highly Complex Drugs or Highly Complex Biologic Agent Administration. Physical Medicine and Rehabilitation. Education and Training for Patient Self-Management. Non-Face-to-Face Nonphysician Services. Special Services, Procedures, and Reports. Other Services and Procedures. Home Health Procedures and Services. Home Infusion Procedures. Medication Therapy Services. Glossary. Chapter Review Questions. 19. TIPS FOR TAKING AN AAPC CERTIFICATION EXAM. CPC Exam. Preparing for Your Exam. Exam Registration. Day of the Exam. During the Test. Exam Completion. 20. TEST YOUR KNOWLEDGE (35 Questions).

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