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This course provides an overview of medical coding for clinical auditors. Learn the diagnosis and procedure coding systems, as well as CPT outpatient procedure coding. Gain an understanding of modifiers and HCPCS Level II codes (implants/supplies/drugs/procedures), and learn why, and when, they are utilized. The course introduces diagnosis-related group (DRG) assignments for inpatient, ambulatory payment classification (APC), and physician fee schedule (PFS) systems for outpatient services. Key concepts and guidelines for these methodologies are reviewed.
