National Associates, Inc
CPC Prep Course (6 Weeks)
POLICIES AND GUIDELINES
Professional Medical Coding Classes
Certified Professional Coder (CPC) is the first line of defense against noncompliance and down-coding for any medical provider.
Certified coders help prevent legal difficulties and ensure providers receive full reimbursement in a timely manner.
Our instructors have been training physicians and coders for over a decade.
The Curriculum includes:
• Lecture
• Exercises
• Abstracting from Operative Reports
• End of Chapter Tests
• Final Exam
What is a Certified Coder (CPC)?
A Certified Professional Coder (CPC) is an individual of high professional integrity, who has passed a coding certification examination sponsored by the American Academy of Professional Coders. The examination consists of questions regarding the correct application of CPT, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies. A CPC must have at least two years coding experience and maintain yearly CEU requirements (18 CEU’s) which must be submitted to the AAPC every two (2) years.
A student who successfully passes the AAPC’s certification examination will be awarded the CPC certification if he/she has at least two years full time coding experience.
Full Time is defined as follows:
• Thirty-two (32) or more hours per week.
• Job must be either coding or coding related (CPT books used daily).
• One year experience may be waived for completing the A+ Coding Institute’s 80 hour coding course.
• Six months experience will be waived for completing A+ Coding Institute’s Boot Camp 40 hour coding course.
CPC-Apprentice (CPC-A)
Students lacking any of the above combination of coding experience and education who successfully sit for and pass the exam will be awarded the apprentice certification (CPC-A). The same exam is administered.
Upon passing, the student will be sent a certificate stating the CPC-A credential has been earned.
The same number of CEU’s are required each year (18 CEU’s) for both CPC and CPC-A credentials and are required to be submitted to the AAPC every two (2) years (36 CEU’s).
Once the student has completed the coding experience requirements, two letters of recommendation must be submitted to the AAPC.
• One letter from the student’s employer.
• If part of the experience is waived for education one letter must come from the instructor.
Upon receipt and approval of the letters the “-A” will be dropped from the credential and a diploma will be issued.
NAI Coding Institute
Addendum Anatomy and Word Elements
A review of basic human anatomy, medical and surgical terms, and a review of how medical terms can be broken down into word elements to obtain word meaning are contained in this chapter.
Chapter One ∞ Introduction to CPT
A high level overview of CPT is covered in this chapter. This chapter addresses the CPT format as well as how to use the CPT index. Topics include a review of the section numbers and their sequences, terminology and format. A discussion of the three levels of HCPCS coding conventions, a legend to explain HCPCS specific symbols, appendices and modifiers are provided. An in-depth presentation and review on how to search for various HCPCS codes are provided.
Chapter Two ∞ Evaluation & Management
This chapter addresses the coding conventions for identifying and selecting the appropriate evaluation and management service The “key” components are defined and the determination of patient status, e.g., “new” versus “established” are addressed. AMA© conventions for using time as a basis of selecting a visit are discussed along with consultations, emergency department services, critical care, preventive medicine and home care coding guidelines.
Chapter Three ∞ Anesthesia
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 and covered in this chapter.
Chapter Four ∞ Introduction to the Surgery Section and Integumentary Section
This chapter presents the “global surgical package” concept and coding conventions. “Separate procedures” and “add-on” CPT procedure codes in great detail. CPT modifiers are examined in great depth. This information teaches the students how to use a set of coding rules for surgery, applying them across all anatomical subsection of surgery codes. This chapter also includes an overview of anatomy and medical terms as they apply to the integumentary system. A discussion of procedures and techniques, e.g., debridement, repair, etc., lesion measurement, local treatment of burns and Moh's’ micrographic surgery is provided.
Chapter Five ∞ Musculoskeletal System
This chapter includes an overview of anatomy and medical terms as they apply to the musculoskeletal system. This chapter covers CPT procedure and coding guidelines for incisions/excisions, introductions and removals, repairs and reconstruction, fractures, and dislocations as well as endoscopies, arthroscopies and arthrodesis of the musculoskeletal system.
Chapter Six ∞ Respiratory System
This chapter covers procedure and coding guidelines pertaining to the respiratory system. Topics include the respiratory process, endoscopic and sinus surgeries, procedure and coding explanations of the larynx, trachea bronchi, lungs and pleura.
Chapter Seven ∞ Cardiovascular System
Cardio-thoracic surgery of the heart, coronary arteries and great vessels present a special set of coding challenges, which are discussed in this chapter. Pacemaker and auto-defibrillator placement also come with a unique set of coding conventions that are covered in this chapter. Surgery on the vasculature for occlusive disease and aneurysms are also addressed. Therapeutic and diagnostic vascular procedures, such as creation of an A/V shunt for dialysis, venipuncture, vein stripping, and refilling of an implantable infusion port are all addressed in this chapter.
Chapter Eight ∞ Female Genital System and Maternity Care and Delivery
This chapter is an in-depth look at the female reproductive system for both gynecologic procedures and the conventions of coding for obstetrical care can be found in this chapter.
Chapter Nine ∞ General Surgery I
Digestive System
Urinary and Male Genitourinary System
Chapter Ten ∞ General Surgery II
Hemic and Lymphatic Systems
Endocrine System
Nervous System
Eye and Ocular Adnexa
Chapter Eleven ∞ Radiology Section
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, MRI's, ultrasounds, and radiation oncology are covered in this chapter.
Chapter Twelve ∞ Pathology/Laboratory Section
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.
Chapter Thirteen ∞ Medicine
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.
Chapter Fourteen & Fifteen ∞ ICD-9-CM
This chapter covers all aspects of the ICD-9-CM text including medical necessity, coding guidelines and how-to-steps, coding conventions, coding tips, as well as a section devoted to the use and understanding of Volumes I and II are located in this chapter.
Chapter Sixteen ∞ Third Party
Reimbursement Issues
CPC Examination Preparation Course Program Costs:
Payable to the AAPC
Membership Fee $ 70.00 (non-refundable)
AAPC National Board Exam Fee $260.00 (non-refundable)
AAPC Membership dues and exam fee is payable to the American Academy of Professional Coder’s. This fee will be due at least 8 weeks before your test date
National Associates, Inc.
Instructors Fee $ 650.00
Total Due to National Associates, Inc. $ 650.00
Make check payable to: NAI for Registration Fee or give us a call to pay via credit card
FINANCIAL ASSISTANCE THROUGH PAYMENT ARRANGEMENTS AVAILABLE AS FOLLOWS:
• Payment in Full – $650.00
• Deposit $350
• Two payments of payments of $150, paid in full before the start of the 4th class
“Any holder of this consumer payment arrangement contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts paid by the debtor (FTC5-14-76.)”
Admission Policies
National Associates, Inc. does not discriminate on the basis of sex, ethnicity, religion, age, disability, or national origin in the admission process.
• Applicants must be 18 years of age or older at the start of the program.
• Applicants must have a High School Diploma or GED.
• Applicants must have 3 years Medical billing experience to take CPC boot camp
• Applicants are strongly advised to have knowledge of the following subjects:
• Medical Terminology
• Human Anatomy/Physiology
This knowledge may be obtained through previous college courses, previous medical training, and/or work and life experience.
Payment Policy Classroom Course
Deposit of $350.00 shall be paid at the time of registration. The balance of the tuition and all other fees shall be paid on or before the first day of class. (Payment plans must be authorized before enrollment and contract completed prior to the first day of class).
* Tuition assistance maybe available through external avenues.
Attendance Policies
Students shall notify instructor in advance, if possible, of any anticipated absences. One (1) absence is allowed for each course which meets once weekly on Saturday. A student may be dropped from the curriculum upon the second absence. If a student is dropped from the course a refund is not available.
Procedure for makeup work: The student will be notified by administration that he or she is exceeding the attendance policy and must contact the instructor directly to obtain make up work and due dates.
A student may not sit for a final exam until all makeup work is completed.
Tardiness Policy
National Associates, Inc. trained professional Instructors understand that this class is held on the weekend and occasionally it will be necessary for a student to be tardy/late to class. Please enter the classroom in a quiet manner and take a seat in the back if at all possible.
Leave of Absence Policy
A request for Leave of Absence must be submitted in writing and the student must have been enrolled for 3 weeks. A leave of absence entitles the student to return to the next available class.
The following costs may apply if returning to the next class:
Current Year Reference Materials required for the class:
• CPT-4 Published by the AMA©
• ICD-9-CM Volumes I & II
• HCPCS Level II
Leave may be granted for jury duty, military reasons, or circumstances covered under the FMLA of 1993. If a student fails to return from an approved leave of absence on the date indicated by the program on the approval for leave of absence, the student is considered to have withdrawn.
Reinstatement
If a student is terminated for attendance or non-payment, the student may petition to be reinstated. If the petition is granted this student may attend the next series of classes for a reinstatement fee of $50.00.
A student with excessive absences will need to have a plan to improve their attendance or makeup the classes online.
A student terminated for non-payment must pay all fees due to be re-admitted to class.
Termination
Failure to pay tuition in a timely manner is cause for dismissal. Other causes for dismissal from training would be attending class while under the influence of alcohol or illegal drugs and or behavior disruptive to the class.
Cancellation & Refund Policy
In the event that a student is dismissed or cancels the enrollment contract, all refunds will be made according to the following policy.
Termination Date: The termination date for refund computation purposes is the last date of actual attendance by the student. An applicant rejected from the program is entitled to a refund of all monies paid (If rejected before class begins).
The Applicant may cancel this contract and receive a full refund the amount paid to date, if cancellation is made in writing to National Associates, Inc. within three business days after signing this enrollment agreement and making an initial payment.
Tuition paid will be refunded to students officially withdrawn based on the following schedule:
• 100% of tuition before beginning class and up to 3 business days after signing the student contract and agreement.
• 50% if requested before 14 days or before logging into the website 4 times which is the equivalent of 2 weeks of class.
• No refund after 14 days (two weeks) or after logging into the website 4 times which is the equivalent of two weeks of the curriculum.
Exceptions to Refund Policy
In the event of the following circumstances arise; the student enrolled in the course may request a refund by submitting a written Refund Request to National Associates, Inc.
Refunds for Serious Illness
A pro rata refund will be made to a student suffering from a serious illness that necessitates a withdrawal from the course as long as the request is made prior to the end of the course in which the illness occurs. The student must produce a verifiable doctor’s statement certifying that the illness prevents the student from attending class (es).
Refund for Death of Student or Student’s Spouse, Parent or Child
A refund will be made to the student or the student’s estate, in the event of death of the student or student’s spouse, parent, or child that results in a withdrawal from the curriculum. The refund request must be made prior to the end of the curriculum in which the death occurs. The student must provide a death certificate or newspaper obituary notice with proof of relationship (i.e., birth certificate, marriage license, etc.). In the event of a student death, the estate must produce a death certificate. Based on the date of occurrence, the refund will be calculated in accordance with the course curriculum dates.
All refunds will be made within 30 calendar days of institution receiving written notice of a student’s withdrawal or of the institution terminating the enrollment of the student, whichever is earlier.
Students on Leave of Absence may attend the next class available without paying an additional instructors fee.
The following costs may apply:
• Current year textbooks
• Current Membership in the American Academy of Professional Coders
Current Year Reference Materials required for the class:
• CPT-4 Published by the AMA(©
• ICD-9-CM Volumes I & II
• HCPCS Level II
National Associates, Inc. Syllabus
Week 1
Chapter 1 Introduction to the CPT
Chapter 2 Evaluation and Management (E/M) Section
Chapter 3 Anesthesia Section and Modifiers
Week 2
Chapter 4 Introduction to the Surgery Section and Integumentary System
Chapter 5 Musculoskeletal System
Chapter 6 Respiratory System
Week 3
Chapter 7 Cardiovascular System
Chapter 8 Female Genital System and Maternity Care and Delivery
Chapter 9 General Surgery I
Week 4
Chapter 10 General Surgery II
Chapter 11 Radiology Section
Chapter 12 Pathology/Laboratory Section
Week 5 (Bring your Text Book and Workbook Questions)
Chapter 13 Medicine Section and Level II National Codes
Chapter 14 An Overview of the ICD-9-CM
Chapter 15 Using the ICD-9-CM
Chapter 16 Third-Party Reimbursement Issues
Week 6 Final WeeK
Sample CPC exam please be on time. This will be a timed test.
Student Academic Progress
In order to be considered within the guidelines of satisfactory progress towards a certificate of completion, a student must maintain a 70% or above grade point average. A certificate of completion is awarded upon completion of the 80 hour curriculum and completion of the final exam.
Grading System: Each Chapter is tested. Grades from each Test will be added and averaged throughout the curriculum. One re-test per chapter is allowed (per instructor approval). All grades will be averaged.
The National Certification is awarded by the American Academy of Professional Coders after successfully passing the National Examination.
Requirements for National Certification are as follows:
A student who successfully sits for and passes the AAPC’s certification examination will be awarded CPC certification if he/she has:
• At least two years full time coding experience
• Full time is defined as 32 or more hours per week.
• Job must be either coding or coding related (CPT books used daily)
• One year experience may be waived for completing an 80+ hour coding course.
• Six months experience will be waived for completing a 40+ hour coding course.
Students lacking any of the above combination of coding experience and education who successfully sit for and pass the exam will be awarded the apprentice certification. The same exam is administered.
Upon passing, the student will be sent a certificate stating the CPC-A credential has been earned.
Once the student has completed the coding experience requirement, two letters of recommendation must be submitted to the AAPC.
• One letter is required to come from the employer.
• One letter is required to come from the instructor documenting the amount of education.
Requirements for National Exam Application American Academy of Professional Coders:
Membership in the AAPC
Student membership fee $70.00
Regular membership fee $120.00
Exam Payment
PMCC student $260.00
All others $300.00
Exam paperwork must be completed and received by AAPC at least six weeks prior to exam date:
• Membership Application Form
• National Exam Application
• National Exam Order Form
• Two Letters of Recommendation
• Employer Letter
• Instructor Letter