MEDICAL BILLING AND CODING CERTIFICATION
DOWNLOADABLE EBOOK
,2 | TABLE OF CONTENTS
TABLE OF CONTENTS
Introduction 5
SECTION 1 What is Medical Billing and Coding? 6
Working in Medical Billing and Coding 8
Medical Coding Certification 12
Medical Billing Certification 14
SECTION 2 Learn More About Medical Coding 16
Medical Coding Vocabulary & Key Terms 22
ICD-9 & ICD-9-CM 26
Using ICD-9-CM 34
ICD-10-CM 38
Using ICD-10-CM 44
Intro to CPT 48
Using CPT 54
CPT Modifiers 60
Human Anatomy and Medical Terminology 68
HCPCS Codes 78
HCPCS Modifiers 82
Crosswalking 86
Electronic vs. Paper Coding 90
Medical Coding Review 92
SECTION 3 Introduction to Medical Billing 98
Medical Billing Vocabulary 102
The Medical Billing Process 108
More About Insurance and the Insurance Claims Process 112
Medicare & Medicaid 116
Medicare, Medicaid and Medical Billing 120
Potential Billing Problems and Returned Claims 122
HIPAA 101 126
HIPAA and Medical Billing 130
Medical Billing Review 132
SECTION 4 Try Medical Coding 136
Try Medical Billing 142
Common Problems in Medical Coding 146
, TABLE OF CONTENTS | 3
TABLE OF CONTENTS
SECTION 5 What is the CPC Exam? 148
General Preparation and Test Strategies for the CPC Exam 152
CPC Exam: Anesthesia 156
CPC Exam: Radiology 160
CPC Exam: Medicine 162
CPC Exam: The Nervous System 166
CPC Exam: the Endocrine System 168
CPC Exam: Digestive System 172
CPC Exam: The Urinary System 174
CPC Exam: The Musculoskeletal System 176
CPC Exam: Evaluation and Management 178
CPC Exam: Anatomy and Physiology 182
CPC Exam: Mediastinum and Diaphragm 186
CPC Exam: Practice Management 188
CPC Exam: Male and Female Genital System 190
CPC Exam: Hemic and Lymphatic System 192
CPC Exam: Maternity and Delivery 194
CPC Exam: Eye and Ocular Adnexa 196
CPC Exam: ICD-9-CM 198
CPC Exam: HCPCS Level II 200
CPC Exam: Coding Guidelines 202
CPC Exam: Medical Terminology 204
CPC Exam: Pathology and Laboratory 208
CPC Exam: Integumentary 210
CPC Exam: Respiratory System 212
CPC Exam: Cardiovascular System 214
CPC Exam: Where to Take an Exam 216
The CPC Apprentice Program 218
The CPB Exam 220
SECTION 6 Accredited Billing and Coding Schools 222
How to Recognize Industry Scams 226
Getting Your First Medical Billing and Coding Job 228
, 4 | INTRODUCTION
DOWNLOADABLE EBOOK
,2 | TABLE OF CONTENTS
TABLE OF CONTENTS
Introduction 5
SECTION 1 What is Medical Billing and Coding? 6
Working in Medical Billing and Coding 8
Medical Coding Certification 12
Medical Billing Certification 14
SECTION 2 Learn More About Medical Coding 16
Medical Coding Vocabulary & Key Terms 22
ICD-9 & ICD-9-CM 26
Using ICD-9-CM 34
ICD-10-CM 38
Using ICD-10-CM 44
Intro to CPT 48
Using CPT 54
CPT Modifiers 60
Human Anatomy and Medical Terminology 68
HCPCS Codes 78
HCPCS Modifiers 82
Crosswalking 86
Electronic vs. Paper Coding 90
Medical Coding Review 92
SECTION 3 Introduction to Medical Billing 98
Medical Billing Vocabulary 102
The Medical Billing Process 108
More About Insurance and the Insurance Claims Process 112
Medicare & Medicaid 116
Medicare, Medicaid and Medical Billing 120
Potential Billing Problems and Returned Claims 122
HIPAA 101 126
HIPAA and Medical Billing 130
Medical Billing Review 132
SECTION 4 Try Medical Coding 136
Try Medical Billing 142
Common Problems in Medical Coding 146
, TABLE OF CONTENTS | 3
TABLE OF CONTENTS
SECTION 5 What is the CPC Exam? 148
General Preparation and Test Strategies for the CPC Exam 152
CPC Exam: Anesthesia 156
CPC Exam: Radiology 160
CPC Exam: Medicine 162
CPC Exam: The Nervous System 166
CPC Exam: the Endocrine System 168
CPC Exam: Digestive System 172
CPC Exam: The Urinary System 174
CPC Exam: The Musculoskeletal System 176
CPC Exam: Evaluation and Management 178
CPC Exam: Anatomy and Physiology 182
CPC Exam: Mediastinum and Diaphragm 186
CPC Exam: Practice Management 188
CPC Exam: Male and Female Genital System 190
CPC Exam: Hemic and Lymphatic System 192
CPC Exam: Maternity and Delivery 194
CPC Exam: Eye and Ocular Adnexa 196
CPC Exam: ICD-9-CM 198
CPC Exam: HCPCS Level II 200
CPC Exam: Coding Guidelines 202
CPC Exam: Medical Terminology 204
CPC Exam: Pathology and Laboratory 208
CPC Exam: Integumentary 210
CPC Exam: Respiratory System 212
CPC Exam: Cardiovascular System 214
CPC Exam: Where to Take an Exam 216
The CPC Apprentice Program 218
The CPB Exam 220
SECTION 6 Accredited Billing and Coding Schools 222
How to Recognize Industry Scams 226
Getting Your First Medical Billing and Coding Job 228
, 4 | INTRODUCTION
