AAPC's Professional Medical Coding Curriculum (PMCC)

     Classes on three levels:

• Clinical Coder (LPNs, RNs, PAs, MDs) for licensed healthcare professionals.
• Beginning non-clinical coder for the person looking for a career change.
• Advanced non-clinical coder for the experienced coder wanting to prepare for the CPC exam.

Coder CEUs and Training

• Customize a CEU approved program tailored for your staff, taught in your office
• Complete coding/auditing training according to 1995/1997 E/M Guidelines, updates in CPT, ICD-9, HCPCS and Correct Coding Initiative
• Coding policies including: Unbundling, Diagnosis Linkage, Medical Necessity, Modifiers and Incident-To
• Training in use of Medical Audit Tool for E/M audits

Provider Support

• OIG Workplan review as it applies to your practice with updates on CMS red-flag issues
• Compatibility of ICD and CPT code integration, and maximized use of modifiers
• 1995 /1997 E/M Guidelines review
• Application of CMS documentation rules for inpatient/outpatient visits, physician office and the appropriate use of physician extenders and incident-to rules
• Common pitfalls for diagnostic wording including use of "with", "secondary to" and "related to" and how these can directly effect reimbursement
• Unbundling and Modifier updates
• Level of Service E/M code benchmarking by specialty

Medical Records Coding and Auditing

• Review of documentation, substantiation of medical necessity and what is needed to achieve compliance
• Validation of ICD-9-CM and CPT code integration, modifiers and accuracy of bills submitted
• Auditing of medical records from the encounter form to the EOB to determine where your charge capture is detoured
• Comparison of encounter forms with medical records to verify the presence of encounter data for all documented services. Review of encounter data for all documented diagnostic information
• Comprehensive audit tools including: Medical Audit Tool Form 1995/1997 E/M Services, Provider Scorecard (weighted evaluation), E/M Utilization Analysis, and Internal Audit Program (data collection forms)
• Practical feedback of coding practices with steps to implement recommended improvements in medical record documentation and code selection
• Comprehensive feedback focusing on audit results and areas of concern

PatientCare Enhancement

• Care Measures Service empowers the physicians and staff with an evidence-based system to measure patient outcomes
• Care Notifications Service provides physicians and staff with notice of needed follow-up action, such as visits, lab tests, medication changes, etc based on the patient's individual profile