• Training completely focused on CCA, CCS-P (AHIMA certified) and CPC, CPC – A (AAPC) certified • Comprehensive Training focused on Job Training and Placement.
• Comprehensive Training focused on Job Training and Placement.
• Complete ICD-10 CM, CPT-4 and HCPCS training.
• RCM training with HIPAA compliance.
• Multi Speciality Coding Training in Evaluation and Management (E & M, ER) Anesthesia, Surgery, Radiology, Pathology and Medicine Coding.
• Anatomy and Physiology training through plenty of videos.
• Training methodologies and Placement process is in par with standards.
• Certification provided after successful completion of training
• Interview Training.
• Placement assurance after certification.
• ACMC is suitable for people planning to work in UAE, Australia, Canada.
• ACMC is preferred for those planning to take CPC, CCS-P and CCA Certification
• ACMC is preferred for those choosing Medical Coding Industry as a Long Term Career.

Salient Features of CPC/ Training

• Training completely focused on CCA, (AHIMA certified) and CPC (AAPC) certified
• Comprehensive Training focused on Job Training and Placement.
• Complete ICD-10 CM, CPT-4 and HCPCS training.
• RCM training with HIPAA compliance.
• Anatomy and Physiology training through plenty of videos.
• Certification provided after successful completion of training
• Training methodologies and Placement process is in par with certification standards.
• Interview Training.
• Placement assurance after certification.
• CPC Exam Training is suitable for people planning to work in UAE, Australia, Canada.
• CPC Exam Training is preferred for those planning to take CPC, and CCA Certification
• CPC Exam Training is preferred for those choosing Medical Coding Industry as a Long Term Career.

Salient Features of CPC/ Training

• Medical Terminology - 10 questions - Medical terminology for all systems in the human body.
• Anatomy - 10 questions - Anatomy for all systems in the human body
• Coding Guidelines - 5 questions ,ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, Modifier use.
• Payment Methodologies 20 questions
1. Services covered by Medicare Parts A, B, C, and D
2. Medicare as a secondary payer
3. Requirements for completion of UB04 claim form
4. Requirements for completion of CMS 1500 claim form
5. OPPS Payment Methodology
• APCs
• Revenue codes
• Status Indicators
• Payment Indicators
• Condition codes
• Calculation of proper payments (excerpts from Addendum B and Addendum AA are provided on the exam)
• IPPS Payment Methodology
• Elements needed to determine MS-DRGs
• Code sets required for inpatient claims
• Reimbursement for teaching hospital setting
• Change masters
• Compliance - 5 questions, NCDs/LCDs, HIPAA, ABNs
• ICD 10 CM - 30 questions
• ICD-10-CM Official Guidelines for Coding and Reporting
• Diagnoses for all the chapters included in ICD-10-CM
• Diagnosis questions will also appear in other sections of the exam from the CPT® categories
• CPT Coding - 20 questions
• Evaluation and Management - Emergency Department, Outpatient Clinics, Observation, Critical Care
• Surgery -10000 series to 60000 series with Procedures approved for outpatient hospital facilities, Procedures approved for ASC facilities
• Radiology - Diagnostic Radiology, Diagnostic Ultrasound, Radiologic Guidance, Mammography,Bone and Joint Studies, Radiation Oncology, Nuclear Medicine
• Laboratory/Pathology - Organ and Disease Panels, Drug Testing, Therapeutic Drug Assays, Evocation/Supression Testing, Consultations, Urinalysis, Molecular Pathology, MAAA, Chemistry, Hematology and Coagulation, Immunology, Transfusions, Microbiology, Anatomic Pathology, Cytopathology, Cytogenetic Studies, Surgical Pathology, In vivo and Reproductive,
• Medicine – Immunizations, Psychiatry, Dialysis, Gastroenterology, Ophthalmology, Otorhinolaryngology, Cardiovascular, Noninvasive Vascular Studies, Pulmonary, Neurology, Central Nervous System Assessments, Hydration, Therapeutic and Diagnostic Administration, Chemotherapy Administration, Physical Medicine and Rehabilitation, Patient Education and Training , Non-Face-to-Face Nonphysician Services, Moderate Sedation

Syllabus

Medical Record and Healthcare Documentation Guidelines

• 10 multiple choice questions
• Recognize the limitations of EHR and how downtime is handled, Identify documentation deficiencies caused by copy/paste and use of templates, Understand HIPAA security and privacyUnderstand the reporting requirements under MDS, Demonstrate proper procedure for addendums and alterations to the medial record, Identify components of the medical record, Identify the length of time the provider has to document services, Understand the requirement for timely documentationRecognize and properly code for procedures performed at the bedside, Understand the reporting requirements under UHDDS, Understand Joint Commission (JC) requirements for documentation,

Medical Terminology, Anatomy and Pathophysiology

• 5 multiple choice questions
• Understand medical terminology and anatomy, Understand pathophysiology to capture correct codes and identify documentation deficiencies,Recognize medications and conditions/diagnoses they are used to treat

Inpatient Coding

• 10 multiple choice questions
• Identify benefits of Computer Assisted Coding (CAC), Explain what natural language processing is and which departments in the hospital use it, Apply Coding Clinic guidance to inpatient coding, Identify correct ICD-10-CM and ICD-10-PCS codes for cases done, Identify proper procedure to look up DRG (eg, book, grouper), Understand emerging roles for inpatient coders (DRG validator, auditor), Identify conditions POA and use of indicators,

Inpatient Payment Methodologies

• 13 multiple choice questions
• Recognize proper procedure for compliance with the 2 Midnight Rule and certification requirements, Understand different bill types, Identify information found in a charge master, List examples of auto population of services using a charge master, Explain requirements to maintain and monitor the chargemaster, Understand the role each department plays in chargemaster maintenance, Understand the 72 hour rule (24 hour for other types of inpatient services) and how services occurring prior to admit are reported, Identify different types of disposition and the impact on coding, Calculate base payments for DRGs, Identify elements needed to determine DRG assignment, Understand what is supported in the DRG (eg, services performed at another facility), Understand different types of DRGs (eg, APR-DRG), Understand Medicare Code Edits, Understand different inpatient types, Understand guidelines for selecting the principle diagnosis for different inpatient facilities, Explain impact of readmissions in a 30 day period, Explain when to rebill inpatient claim as an outpatient claim, Identify data submitted on a UB-04

Outpatient Payment Methodology

• 5 multiple choice questions
• Identify differences between outpatient and inpatient payment methodologies, Explain coding requirements under OPPS: Pass through payments, Explain coding requirements under OPPS: APCs and Status Indicators

Regulatory and Payer Requirements

• 9 multiple choice questions
• Review LCD/NCD and apply the policy to inpatient coding, Identify services covered by Medicare Parts A, B, C, D, Explain proper execution of the ABN and HINN, Review private payer policy and apply to inpatient payment, Identify precertification requirements

Compliance

• 8 multiple choice questions
• Explain external payer audits process and responsibilities of hospital staff, Explain internal audits and how they relate to compliance plans, Know how to interact with auditors during an onsite audit, Identify audit targets on the OIG work plan, Explain the CERT audit process and requirements for response to a request for records, Understand the PEPPER report and how it is utilized., Identify examples of fraud and abuse, Explain the MAC audit process, Identify services approved for audit by the RAC auditors, Explain the Medicare appeal process and discuss requirements at each level, Explain the RAC audit process and requirements for response to a request for records.

Coding Cases

• 10 inpatient cases fill in the blank
• Code the ICD-10-CM and ICD-10-PCS codes for 10 inpatient cases.