Why Knowing Physiology, Anatomy, and Medical Terminology Can Help You in a CPC Course and for AAPC CPC Exam Prep Preparing for the AAPC CPC exam is no small task. While coding guidelines, CPT®, ICD-10-CM, and HCPCS rules form the backbone of the exam, one of the most...
What Is the Table of Drugs & Chemicals? The Table of Drugs & Chemicals is an alphabetical list of substances—including prescription medications, over-the-counter drugs, alcohols, gases, industrial chemicals, and other agents—that can cause toxic or adverse...
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Understanding Risk of Mortality (ROM) in Medical Coding What is Risk of Mortality (ROM)? Risk of Mortality (ROM) is a clinical severity measure used in healthcare coding and reporting that estimates the likelihood a patient will die during a hospital stay. ROM is...
Understanding Severity of Illness (SOI) in Medical Coding What is SOI? Severity of Illness (SOI) is a classification system used in healthcare coding and reporting that measures the extent of a patient’s illness. It reflects how sick the patient is and how much...
What Is MCC in Medical Coding and How Is It Used? Understanding MCC In medical coding, MCC stands for Major Complication or Comorbidity. It is a classification used in the ICD-10-CM and MS-DRG (Medicare Severity Diagnosis-Related Group) systems. MCCs represent...
How to Approach a Long Medical Coding Exam Scenario Read the Case Carefully Skim the entire scenario once to understand the big picture (inpatient, outpatient, ED, surgical, etc.). Underline or highlight key clinical details: Primary diagnosis Secondary...
What Is Pro Fee Coding? Pro fee coding, short for professional fee coding, refers to the process of assigning medical codes to professional services provided by physicians and other qualified healthcare professionals. It focuses on capturing and billing for the...
What Is CMS in Medical Coding? The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that plays a critical role in healthcare administration and policy. In the context of medical...
What Is a Manifestation Code in Medical Coding? In medical coding, accuracy is crucial for proper diagnosis reporting, insurance reimbursement, and compliance. One specific type of diagnosis code that often confuses new coders is the manifestation code. Understanding...