Medical Coding Basics_Enduring

This course will enhance your ability to identify medical code sets and understand their use in provider reporting of services. It will also teach you how to accurately assign medical codes for reporting diagnoses, services, and quality measures addressed during an encounter.

Target Audience

This course is designed for physicians, nurses, and clinical staff. 

Learning Objectives

Upon completion of this activity, participants should be able to:

  1. Explain the importance of medical coding as it converts provider documentation into structured data for services performed and diagnoses addressed during an encounter.
  2. Increase knowledge to understand codes representing patient severity of illness and quality measures performed are just as important as codes for provider reimbursement.
  3. Describe the main code sets (CPT ®, HCPCS, and ICD-10-CM) for provider reimbursement and quality measure reporting.
Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.25 Attendance
Course opens: 
02/17/2025
Course expires: 
02/17/2028
Part of: 
UPMC Health Plan – Risk Adjustment/HCC Provider Coding Education [CME]

Marlana Tice, BA, CCS-P, CPC, CCS  - AHIMA Approved ICD-10-CM Trainer - Program Director – Risk Adjustment/HCC Coding Education 

Kalpana Char, M.D., Medical Director - Assistant Vice President, Special Needs Plan Medical Services 

Molly Dell, MBA, BSN, RN - Senior Director, Risk Adjustment Government Revenue & Education 

No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. 

DISCLAIMER STATEMENT 

The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine.  Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. 

Accreditation Statement:  

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  

Physician (CME)
The University of Pittsburgh designates this enduring activity for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)  
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.25 contact hour. 

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. 

Available Credit

  • 0.25 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 0.25 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 0.25 Attendance
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