Medical Coding

Medical coding ranks third on the U.S. News and World Report’s list of Best Jobs Without A College Degree (In the US) and in India with any Bachelor's Degree. Besides a competitive salary that towers over the investment to become a coding specialist, the profession ranks high for employment and career advancement opportunities, as well as work-life balance and the potential to work from home.

  1. Complete knowledge of the ICD (International Classification of Disease).
  2. Complete knowledge of the CPT (Current Procedural Terminology).
  3. Complete knowledge of the HCPCS (Healthcare Common Procedure Coding System ).
  4. Complete Knowledge of the ICD -10 Chapter specific guidelines with the examples and scenarios.
  5. Guidance on how to use the ICD-10, CPT, and HCPCS books.
  6. Practical Scenario with the Live charts.
  7. Knowledge of Medical Terminology.
  8. Knowledge of the Prefix and Suffix.
  9. General Introduction of the various Medical Coding Specialties.
  10. Various Exam based MCQ’s.

Certified Professional Coder- CPC®

Element HealthSuite exclusively provides training for the CPC® (Certified Professional Coder) examination. The CPC is known as the Gold Certificate in Medical Coding. In Element HealthSuite we are providing complete training for every chapter of the CPT book as well as we cover all the sections of the CPC examination.

Here are the details of the CPC® (Certified Professional Coder).

The CPC Exam Breakdown

Passing the CPC exam requires you to correctly answer a minimum of 105 questions from the series below. The exam questions, however, will not be identified or sorted by the series to which they pertain. The CPC test will rely on a level of understanding that enables you to identify the series.

10,000 Series CPT®

The 10,000 Series CPT® part of the exam will consist of ten questions related to surgical procedures performed on the integumentary system, which includes skin, subcutaneous, and accessory structures, as well as nails, pilonidal cysts, repairs, destruction, and breast.

20,000 Series CPT®

The ten questions in the 20,000 Series CPT® will home in on surgical procedures performed on the musculoskeletal system from head to toe. Specifically, these areas include the head, neck, back and flank, spine, abdomen, shoulder, arm, hand and fingers, pelvis and hip, leg, foot, and toes.

30,000 Series CPT®

Ten questions covering the 30,000 Series CPT® focus on surgical procedures performed on the respiratory system, surgical procedures performed on the cardiovascular system, surgical procedures performed on the hemic and lymphatic systems, and surgical procedures performed on the mediastinum and diaphragm.

40,000 Series CPT®

Your knowledge of the 40,000 Series CPT® will be tested with ten questions targeting surgical procedures performed on the digestive system, which will focus on these areas: lips, mouth, palate and uvula, salivary gland and ducts, pharynx, adenoids, and tonsils, esophagus, stomach, intestines, appendix, rectum, anus, liver, biliary tract, pancreas, abdomen, peritoneum, and omentum.

50,000 Series CPT®

The CPC exam will assess your knowledge of the 50,000 Series CPT® with ten questions pertaining to surgical procedures performed on the urinary system, surgical procedures performed on the male reproductive system, surgical procedures performed on the female reproductive system, including maternity and delivery, and surgical procedures performed on the endocrine system.

60,000 Series CPT®

Ten questions directed at the 60,000 Series CPT® involve surgical procedures performed on the nervous system and will include codes pertaining to the skull, meninges, brain, spine, spinal cord, extracranial nerves, peripheral nerves, autonomic nervous system.

Evaluation and Management

Ten E/M questions will assess your coding proficiency related to the place of services, such as office/other outpatients, hospital observation, hospital inpatient, consultations, emergency department, critical care, nursing facility, domiciliary, and rest homes, and home services. It will also include questions directed at preventive medicine, non-face-to-face services, neonatal and pediatric critical care, intensive care, prolonged services, chronic care, transitional care, case management, and care plan oversight.

Anesthesia

Eight questions related to anesthesia will pertain to time reporting, qualifying circumstances, physical status modifiers, anesthesia for surgical, diagnostic, and obstetric services.

Radiology

The ten questions in this section of the CPC test will focus on both diagnostic and interventional radiology, including diagnostic ultrasound, radiologic guidance, mammography, bone, and joint studies, radiation oncology, and nuclear medicine.

Laboratory / Pathology

Ten paths/lab questions will determine your knowledge of organ and disease panels, drug testing, therapeutic drug assays, evocation/suppression 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

Ten questions will cover numerous specialty-specific coding scenarios, as well as immunizations, biofeedback, dialysis, central nervous system assessments, health and behavior assessments, hydration, medical nutrition, therapeutic and diagnostic administration, chemotherapy administration, photodynamic therapy, osteopathic manipulative treatment, patient education and training, non-face-to-face nonphysician services, and moderate sedation.

Medical Terminology

Medical terminology for all systems in the human body will be assessed in eight questions.

Anatomy

Anatomy for all systems in the human body will be assessed in eight questions.

ICD-10-CM/Diagnosis

Ten questions will require proficiency in diagnosis for all the chapters included in ICD-10-CM, as well as thorough knowledge of the ICD-10-CM Official Guidelines for Coding and Reporting. Additionally, diagnosis questions will appear in other sections of the exam from the CPT® categories.

HCPCS Level II

Five questions on the CPC exam will pertain to HCPCS Level II coding and include questions focusing on modifiers, supplies, medications, and professional services for Medicare patients.

Coding Guidelines

This section of the CPC test will involve six questions addressing the ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, and modifier use.

Compliance and Regulatory

Five questions testing your knowledge of compliance and regulations will pertain to services covered under Medicare Parts A, B, C, and D; applying coding to payment policy, place of service reporting, fraud and abuse, NCCI edits, NCD/LCD, HIPAA, ABNs, and RVUs.

Total- 150 Questions Time- 5:30 Hrs

Revenue Cycle Management

Element HealthSuite provides sound knowledge for Revenue Cycle Management. We do not only provide the Medical Coding and CPC exam training but also give the knowledge for Revenue Cycle Management.

The Revenue Cycle Management is covered the below Steps:

  • Step 1: RCM Software or Outsourcing Processing.
  • Step 2: Patient Pre-Authorization.
  • Step 3: Eligibility & Benefits Verification.
  • Step 4: Claims Submission.
  • Step 5: Payment Posting.
  • Step 6: Denial Management.
  • Step 7: Reporting.

Element HealthSuite Helps to understand our aspirants the complete reimbursement process of the US Healthcare so they are performing effectively not only in the Medical Coding but also they will choose their career in the different segments of the US Healthcare Services.