Medical Coding, Billing & Auditing Training
Trainings are Available:
• Online • Virtual via GoTo Meeting • At your location • At our Phoenix, AZ Training Facility
WE CAN PROVIDE 2 TO 3 DAY WORKSHOPS AND BOOTCAMPS AND/OR PROVIDE EVENING COURSES/CLASSES FROM 5:30PM TO 9:30PM
CALL US FOR DETAILS: (602) 469-1193
| TRAINING | Online Self-Paced | Virtual (Video/Webinars) | In Person at Phoenix, AZ training facility | At Your Office | Office Hours Available |
| Certified Professional Coder (CPC®) | √ | √ | √ | √ | |
| Certified Professional Biller (CPB®) | √ | √ | √ | √ | √ |
| Certified Risk Adjustment Coder (CRC®) | √ | √ | |||
| Certified Professional Medical Auditor (CPMA®) | √ | √ | √ | ||
| Certified Professional Compliance Officer (CPCO®) | √ | √ | √ |
Certified Professional Coder (CPC®)
Professional Medical Coding Curriculum (PMCC) is specifically designed to help prepare our students for a rewarding career as a certified professional Coder, with a Medical Coding Certification.
Included in the curriculum are lectures, exercises, end of chapter reviews, and final exam.
Students are instructed in medical coding information such as comprehensive and accurate CPT, ICD-10, CM, and HCPCS medical coding needed for reimbursement for medical procedures and services provided by the physician.
Once the PMCC course has been completed, Advanced Coding Services will proctor the AAPC Certified Professional Coder (CPC) exam.
*In-person classes take place in Phoenix, AZ and start every second week of January, July, and NovemberPrerequisite
There is no prerequisite. This is perfect for individuals who are new to medical billing and also for those who have experience in medical billing and coding. An instructor is assigned to each student knowing where you are at time of registration to support you.
Orientation/Registration
Students taking classes at our Phoenix, AZ location must complete orientation/registration requirements in order to be considered an enrolled student. If a student is unable to attend the formal orientation/registration he/she must meet with their Instructor prior to the first day of class. To schedule an appointment with your Instructor please contact Beth at beth@advancedcodingservices.com or 602-469-1193.
20 Week CPC Online Course Description
Medical coding terminology and issues are introduced, including the meaning and importance of a compliance program in a medical setting. The significance of accuracy, ethics, and continuing education are emphasized.
Basic human anatomy is provided and reviewed. The meanings of medical and surgical terms are reviewed and how they are broken down for interpretation. Accurate documentation of procedures and services is paramount for coding and reimbursement. In this chapter, students will be introduced to the rules and guidelines necessary.
Diagnostic coding through medical necessity, coding guidelines, and how-to steps are presented along with coding conventions, coding tips, and understanding ICD-10-CM Volumes 1 and 2.
A closer review of the Official Coding Guidelines and application. An addendum introduces the ICD-10 format, which is informational only and not included in the CPC examination.
HCPCS codes in relation to reporting physician and/or other provider procedures and services are discussed. Introduction to CPT®: coding conventions usage, different sections, Appendix and Index will be reviewed.
Evaluation and management (E/M) codes are described with the fundamentals in preparation and application to medical claims. Each section explains a topic pertinent to E/M coding such as the definitions of key components, reporting consultations, emergency department visits, critical care, preventive medicine, and home health services.
From the basics of E/M coding, the students advance to actual reporting of these codes based on provider information. A step-by-step approach to E/M auditing is presented with the various types of audits common to medical practices.
The AMA’s coding modifiers and coding guidelines are defined. Application of proper use of AMA modifiers will be examined.
Descriptions of each section of surgery codes are in-depth and begin with the integumentary system. Definitions and anatomical descriptions give an overview of these code ranges, which are updated annually to reflect any changes in health care.
One of the largest sets of codes in the CPT® is the musculoskeletal system. The application, relevant definitions, anatomical descriptions, and an overview of the various procedures are demonstrated.
Students are introduced to respiratory diseases with subsequent treatment and the functions of the system’s organs. The respiratory system codes with the application and proper documentation are defined.
Cardiothoracic surgery of the heart, coronary arteries and great vessels are discussed in this chapter, in addition to pacemaker and cardioverter-defibrillator placement, surgery, therapeutic and diagnostic vascular procedures.
This chapter covers the digestive process, diagnostic tests, procedures and endoscopies pertaining to the digestive system, Hemi and Lymphatic systems and Mediastinum and Diaphragm.
The urinary system range of the CPT® manual includes codes specific to males and females and explores the general concepts and anatomy of the urinary system as well as the anatomy and consequent services and procedures specific to each gender. Three sections of CPT® codes are reviewed in this chapter of the PMCC. The chapter reviews the male genital system, which is followed by an overview of the female genital system. The third set of codes discussed reviews the delivery and maternity care codes.
This chapter covers coding procedures and techniques of the skull, meninges and the brain, spine and spinal cord, extracranial nerves, peripheral nerves, and the autonomic nervous system.
This chapter covers procedures and coding pertaining to the eye and auditory system are discussed. The final code in the chapter reports the use of an operating microscope.
A discussion of the ASA relative values, anesthesia guidelines, modifiers, code organization and crosswalk, as well as a review of the different types of anesthesia available for patients and the methods in which they are administered is covered in this chapter. A discussion of radiological procedures and coding guidelines including body positions and relationship terms, radiological supervision and interpretation codes, technique and equipment issues, diagnostic radiology, MRIs, ultrasounds, and chemotherapy administration are covered in this chapter.
This chapter covers procedure and coding issues pertaining to pathology and laboratory. Topics include organ and disease oriented panels, drug testing, therapeutic drug assays, consultations, hematology and coagulation, blood counts, hemograms and differentials, bone marrow procedures, blood clot studies, transfusion medicine, microbiology, anatomic pathology, and CLIA requirements.
This chapter discusses immunization and administration for vaccines/toxoids, therapeutic and diagnostic infusions, psychiatry, dialysis, gastroenterology, ophthalmology codes, cardiovascular codes, physical medicine, and other special services that are found in the Medicine section of the CPT®-4 text.
Final Exam reviewed and an overall review prior to the Certification Exam.
Class Size
There is no prerequisite. This is perfect for individuals who are new to medical billing and also for those who have experience in medical billing and coding. An instructor is assigned to each student knowing where you are at time of registration to support you.
Online Availability
This course is offered online, with weekly webinars and available office hours.
Tuition
Total Tuition $3500 This fee includes the certified exam fee, classroom books, and materials outlined below in description.
Deposit of $200 is required with registration form to secure a place in class. Your deposit will be applied to tuition.
Tuition: $2360
Administration/Registration fee, non-refundable: $200
AAPC Student 1 year Membership, non-refundable: $125
PMCC workbooks, CPT, ICD-10 and HCPCS, non-refundable: $390
CPC™ exam: $425
Refundable prior to the purchase of CPC™ exam voucher. Vouchers purchased 6 weeks prior to the completion of course, at which time fee is no longer refundable.
Deposit of $200 is required with registration form to secure a place in class. Your deposit will be applied to tuition.
Tuition: $2360
Administration/Registration fee, non-refundable: $200
AAPC Student 1 year Membership, non-refundable: $125
PMCC workbooks, CPT, ICD-10 and HCPCS, non-refundable: $390
CPC™ exam: $425
Refundable prior to the purchase of CPC™ exam voucher. Vouchers purchased 6 weeks prior to the completion of course, at which time fee is no longer refundable.
Certified Professional Biller (CPB®)
2 days of intensive Certified Professional Biller (CPB®) training. Course is taught with a live CPC-I certified instructor. Individual and group exercises, live billing scenarios, and exam taking techniques are covered in the class.
Prerequisite
Recommended: Minimum of two years coding experience and coding certification strongly recommended.
Proficiency across the covered material, which include:
- Health Insurance Specialist Career
- Introduction to Health Insurance/Managed Health Care
- Processing an Insurance Claim
- Legal and Regulatory Issues
- Diagnosis Coding
- CPT
- HCPCS
- CMS Reimbursement Methodologies
- Coding for Medical Necessity
- Essential CMS-1500 Claim Instructions
- Commercial Insurance
- Blue Cross Blue Shield
- Medicare/Medicaid/Tricare
- Workers’ Compensation
Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a first come, first served basis. Should there be a high demand for additional classes, Advanced Coding Services will try to accommodate students by adding a class to the schedule.
Online Availability
This course is offered online.
Tuition
$695 per team member
Tuition includes course materials and practice questions. (Certificate of Completion will be issued.)
Certified Risk Adjustment Coder (CRC®)
The student will learn principles of risk adjustment and accurate diagnosis coding. In addition, there will be discussion of predictive modeling, financial impact of risk adjustment coding, documentation challenges, official diagnosis coding guidelines, and diagnosis coding in ICD-10-CM. This course is recommended for anyone who is currently working in risk adjustment or wants to learn risk adjustment coding.
Prerequisite
Knowledge of medical terminology and anatomy (or ACS courses) strongly recommended.
Course Objectives
- Define different models of risk adjustment (HCC, CDPS, HHS-ACA, Hybrid)
- Understand predictive modeling and its impact on risk adjustment
- Explain risk adjustment impact on financial matters
- Apply official ICD-10-CM coding guidelines
- Identify elements of the medical record
- Identify documentation deficiencies for diagnosis coding
- Understand the most common conditions in risk adjustment and how to properly code in ICD-10-CM
Course Content
- Hierarchal Condition Categories (HCC)
- Medicaid Chronic Illness and Disability Payment System (CDPS)
- Hybrid models
- Predictive modeling impact
- Suspect logic
- Quality of care
- Star ratings
- HCC RAF score
- Financial impact based on coding
- Common errors in diagnosis coding
- Elements of the medical record
- Signatures
- Insufficient documentation
- Risk Adjustment Data Validation (RADV) process
- Official diagnosis coding guidelines
- Acute vs. Chronic conditions
- Differential Diagnosis
- Risk Factors and Comorbidities
- Angina
- Artificial Openings
- BMI and Obesity
- Cardiac Conduction Disorders
- Cardiomyopathy
- CVA
- CKD, Dialysis, and AV Fistula
- COPD
- Complications of Care
- Congestive Heart Failure
- Cor Pulmonale
- DVT
- Dementia
- Depression
- Diabetes and Secondary Diabetes
- Epilepsy & Convulsions
- GERD
- Hepatitis & Cirrhosis
- HIV
- Hypercholesterolemia
- Hypertension
- Hypothyroidism
- Klebsiella Pneumoniae
- Malnutrition & Cachexia
- Myocardial Infraction
- Neoplasms
- Neuropathy
- Pneumonia
- Pulmonary Embolism
- Pulmonary Hypertension
- Respirator/Ventilator Status
- Septicemia & Sepsis
- Ulcers & Wounds
- Varicose Veins
- Vertebral Fractures
- Practical diagnosis coding skills utilizing cases for practical application
Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a first come, first served basis. Should there be a high demand for additional classes, Advanced Coding Services will try to accommodate students by adding a class to the schedule.
Online Availability
This course is offered online.
Tuition
$1295 per team member
Tuition includes course materials and practice questions. (Certificate of Completion will be issued.)
Additional Required Code Books (Not Included):
ICD-10-CM code book (2023 year), any publisher
Required code book may be purchased through AAPC or any major bookseller.
Certified Professional Medical Auditor (CPMA®)
During this 2 day course, student will learn principles of medical auditing. In addition, there will be discussion of key areas of regulations, CIA’s, medical record documentation and chart abstraction. This course is recommended for anyone who is preparing for a career in medical auditing and strongly recommended for anyone who is preparing for the AAPC CPMA certification examination.
Prerequisite
Recommended: Minimum of two years coding experience and coding certification strongly recommended.
Course Objectives
- Define fraud and abuse and explain regulatory guidelines for key regulations
- Explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)
- List the elements of compliance plans and identify potential compliance risk areas
- Identify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas
- Identify the purpose of recovery audit contractors and how to prepare for potential RAC audits
- Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement
- Identify medical record documentation standards and record retention standards
- Identify common errors found in documentation for evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and medicine services
- Explain the types of audits and the resources required for audits
- Define steps of the audit process and identify statistical sampling types and factors
- Explain aggregate analysis and when it is useful
- Explain the importance of discussing audit findings with the provider
- Provide practical application of auditing operative reports and evaluation and management services
Course Content
- Fraud and abuse
- Federal False Claims Act
- Anti-Kickback Law
- Stark Law
- Exclusion Statute
- Civil Monetary Penalties Law
- Office of Inspector General (OIG)
- Centers for Medicare and Medicaid services (CMS)
- HIPAA Privacy Regulations
- Types and components of medical records
- Accreditation Standards
- CPT® Guidelines
- Evaluation and Management
- Anesthesia
- Surgery
- Radiology
- Pathology and Laboratory
- Medicine including chemotherapy, psychotherapy, and physical therapy
- Modifiers
- Diagnosis coding and medical necessity
- Physicians at Teaching Hospital (PATH) Guidelines Auditing
- Auditing
- Statistical sampling, utilization review, RAT-STATs
- Validation of audit results
- Analysis and report of audit findings
- Communicating audit results
- Practical audit skills utilizing cases for practical application
- Certificatiohn given at completion of course and successful passing of final exam
Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a first come, first served basis. Should there be a high demand for additional classes, Advanced Coding Services will try to accommodate students by adding a class to the schedule.
Online Availability
This course is offered online.
Tuition
$995 per team member
(Certificate of Completion will be issued.) Included Reading Material: Medical Auditing Training: CPMA® 2014; AAPC; AAPC publisher
Additional Required Code Books (Not Included):
CPT® Professional Edition (current year), AMA publisher ICD-10-cm Volumes 1 & 2 (current year), any publisher HCPCS Level II (current year), any publisher.
Required code books may be purchased through AAPC or any major bookseller.
Please be sure to bring a pen, pencil and highlighter, as well as a calculator.
Required code books may be purchased through AAPC or any major bookseller.
Please be sure to bring a pen, pencil and highlighter, as well as a calculator.
Certified Professional Compliance Officer (CPCO®)
This 2 day Compliance Officer Training Course is designed for the experienced healthcare professional, AAPC’s CPCO training course provides training for the multifaceted components of compliance. This training course covers key requirements needed to effectively develop, implement, and monitor a healthcare compliance program for your practice based on governmental regulatory guidelines – including internal compliance reviews, audits, risk assessments, and staff education and training.
Course Content – Day 1
Check in
History of Compliance
- Individual Physicians
- Small Group Practices
- OIG Guidance
- OIG Work Plans
- OIG Fraud Alerts
- False Claims
- Qui Tam Action
- Anti-Kick Back & Stark Law
- PPACA
- Privacy Rules
- Security Rules
- EMTALA
- CLIA
Course Content – Day 2
- Blood Borne Pathogens
- Employee Training
- Equal Employment Opportunity
- Harassment
- ADA
- OIG
- Corporate Integrity Agreement
- Documentation
- Teaching Physicians
- Antitrust
- RACs
- ZIPCs
- Audit MICs
- MFCU
- federal Regulations
- OIG
- State Programs
Class Size
The maximum number of students will be 20 per class. Class size is limited and is on a first come, first served basis. Should there be a high demand for additional classes, Advanced Coding Services will try to accommodate students by adding a class to the schedule.
Online Availability
This course is offered online, with weekly webinars and available office hours.
Tuition
895 per team member
(20 CEUs available to certified members upon successful course completion and a Certificate of Completion will be issued.) Included Reading Material: Compliance Officer Training: CPCO®; AAPC
Additional Required Code Books (Not Included):
Please be sure to bring a pen, pencil and highlighter, as well as a calculator.
Refund Disclosure - Applies to Online/Virtual Classes Only
Online courses may be canceled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to ACS. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to ACS, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to ACS for review and consideration. Online courses are for individual use only and are non transferable.
ADVANCED CODING SERVICES IS AAPC ACCREDITED
AAPC Accredited Vocational School in Phoenix Arizona
