Feb 12, 2025  
2024-2025 College Catalog 
    
2024-2025 College Catalog

HIM 1254C  - CPT-4 Intermediate Coding

Credit Hours: 3.0
Prerequisite(s): BSC2084 with C and HIM1253C with C and HSC2531 with C
Corequisite(s): None
This course the advanced course of outpatient procedure coding that uses CPT4 and HCPCS coding manual. This course continues with the principles, characteristics, and conventions of OUTPATIENT coding with the current procedural terminology, (CPT) nomenclature and HCPCS. The course will consist of lecture and practical application of CPT/HCPCS coding as well as case studies. Students will apply coding skills using an encoder and grouper. Outpatient and physician reimbursement methodologies (ex. MACRA, APC’s, ASC) will be reviewed. In addition, the concepts of compliance programs, coding ethics, auditing, monitoring and compliance considerations unique to certain healthcare settings, CMS initiatives to reduce Medicare payment errors and high-risk areas for fraud/abuse enforcement will be reviewed. Emphasis is on coding practice. This course must be passed with a grade of C or better. Note: Projects within the course may require use of Word, Excel, PowerPoint, Access, and the Internet.
Occupational (A.S. and A.A.S.)