CPC Certification

What is CPC Certification?

CPC CertificationCertified Professional Coder also known, as CPC is a certification acquired by an individual who passes a rigid certification examination.  A CPC credential ensures that the individual has the necessary competence to perform professional service expertise in medical record review and take important and essential information required from those records to support accurate medical coding. CPC certification has verified proficiency in all sets of medical codes as well as the managing principles, evaluation, guidelines and documentation that oversees medical coding.

Medical Coding is assigning accurate medical codes to diagnoses, procedures and related services executed and provided by physicians and other authorized and qualified healthcare provider. Related services includes certain devices used, supplies expended and equipment acquired to perform the services provided to. Medical coding is performed after carefully reviewing notes and medical records of such activity performed to patients. The medical coder professional converts and translates these documentations to a form that uses specific medical terminology for every medical activity performed and provided. This form becomes a standardized documentation that contains terminologies that is acceptable and recognized across all field of the healthcare industry. Accurate medical coding is crucial and important for claims submitted to third party clients and or payers.

A medical coder must have essential knowledge of anatomy, physiology, medical procedures and medical terminology required to correctly define the activity performed though the use of medical codes. Medical codes are pre-defined medical terminology acknowledged across all sectors of healthcare industry. These sets of medical codes can be referenced to in CPT, ICD-10-CM and HCPCS Level II.

CPT, ICD-10-CM and HCPCS Level II are among the many procedural coding books and medical codebooks in the healthcare industry.

CPT means Current Procedural Terminology. This is a coding system that defines and describes in what way medical procedures or services reports are created. Each CPT code comprises of five digits and this system is copyrighted as well as maintained by the American Medical Association. The AMA CPT Editorial Panel handles reviews, pertinent additions and revisions to CPT.

ICD-10-CM means International Classification of Diseases, 10th revision, Clinical Modification. This is a coding system used for making diagnoses and disorder reports. This system is administered by the NCHS (National Center for Health Statistics).

HCPCS means Healthcare Common Procedure Coding System. This is a coding system used to create supplies, devices and equipment provided to patients. This system is managed by the CMS (Centers for Medicare and Medicaid Services).

A thorough understanding and comprehension of the guidelines and regulations governing medical coding as well as the rules of compliance makes a CPC handles issues effectively.

With CPC certification professional must be able to but not limited to efficiently compile patients’ data record, intellectually review and abstract information and convert them into medical codes that will be used but not limited to claims, payment policy charges, compliance with regulations and to document condition and treatment.

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