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Part 1.

Describe the three code categories in the Current Procedural Terminology (CPT) manual.
Explain the importance of modifiers in assigning CPT codes.
Discuss how to use the alphabetic index and the tabular list.
Discuss coding factors for the integumentary system and muscular system, and for maternity care and delivery.
Summarize common HCPCS coding guidelines.

 

Part 2.

Describe the medical billing process and list the types of information contained in the patient’s billing record.
List the steps for filing a third-party claim.
Explain how to submit health insurance claims, including electronic claims, to various third-party payers.
Discuss methods of preventing the rejection of claims.
Discuss reasons for denied claims.

 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 119

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