Course Descriptions
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IVR1: Principles
of Arterial Catheter Placement
The Goal of this course is to prepare individuals to accurately
assign catheterization codes for the most frequently encountered interventional
radiology services in the arterial system. The Principles of Arterial Catheterization
course is the first course in the Interventional Radiology Curriculum. The
entire arterial anatomy is reviewed in detail as well the corresponding
catheterization codes.
The course begins with a discussion of interventional radiology coding guidelines.
Each anatomical area in the arterial system is then reviewed in detail with
corresponding state-of-the-art images to provide the user with visual aids
to ensure comprehension. The course is sub-divided into distinct modules
to assist with time management and course completion. The specific modules
for this course are: Head and Neck, Upper Extremities, Thorax, Abdomen,
and Lower Extremities and Pelvis.
All of the modules contain advanced graphics, examples,
and multiple choice exercises. Actual case studies are utilized to instruct
and reinforce the user’s learning experience. At the completion of the course
material, the user will complete a scored assessment
that tests the key learning points of the course.
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IVR2:
Arterial Diagnostic Imaging
The Goal of this course is to prepare individuals to accurately
assign radiological supervision & interpretation (RS&I) codes for
the most frequently encountered interventional radiology services in the
arterial system. The Arterial Diagnostic Imaging course is the second course
in the Interventional Radiology Curriculum. In order to enroll in this course,
the student should have completed the Coding Metrix Principles of Arterial
Catheterization course or the equivalent. The Arterial Diagnostic Imaging
course is a comprehensive training program that provides users with in-depth
information on the most frequently performed diagnostic imaging studies
in the arterial system. The entire arterial anatomy is reviewed in detail
as well the corresponding imaging codes.
The course begins with a discussion of interventional radiology
coding guidelines. Each anatomical area in the arterial system is then reviewed
in detail with corresponding images to provide the user with visual aids
to ensure comprehension. The course is sub-divided into distinct modules
to assist with time management and course completion. The specific modules
for this course are: Head and Neck, Upper Extremities, Thorax and Abdomen,
and Lower Extremities and Pelvis.
All of the modules contain examples, multiple choice exercises
and actual case studies that are utilized to instruct and reinforce the
user’s learning experience. At the completion of the course material, the
user will receive a scored assessment that tests the key learning points
of the course.
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IVR3:
Non-Arterial Vascular Procedures
The Goal of this course is to prepare individuals to accurately assign surgical and imaging codes for the most frequently encountered interventional radiology services performed in non-arterial vascular systems.
The Non-Arterial Interventional Procedures course is the
third course in the Interventional Radiology Curriculum. This course is
a comprehensive training program that provides users with in-depth information
on the most frequently performed imaging studies and procedures performed
in the venous, pulmonary and portal systems.
The specific modules for this course are: Venous Imaging,
Central Venous Catheter (CVC) Procedures, Portal Imaging/TIPS, Pulmonary
Imaging and Other Transcatheter Therapies. The Other Transcatheter Therapies
module includes filter placement, retrieval of intravascular foreign bodies,
transcatheter biopsies and endovenous ablation therapy for incompetent veins.
The key areas contained within each module address the
most frequently performed procedures with easy to understand graphics and
instructions. All of the modules contain examples, multiple choice exercises
and actual case studies that are utilized to instruct and reinforce the
user’s learning experience. At the completion of the course material, the
user will receive a scored assessment that tests the key learning points
of the course.
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The Goal of this course is to prepare individuals to accurately
assign surgical and imaging codes for transcatheter therapies procedures.
This course introduces the coder to transcatheter interventional procedures,
including angioplasty, stent placement, embolization, infusion therapy,
thrombectomy and dialysis access maintenance.
The rules for coding diagnostic angiograms in conjunction with therapeutic
interventions are discussed in detail so that the user can accurately determine
when it is appropriate to code for both an intervention and an angiogram.
Use of modifier 59 in the setting of combined diagnostic and therapeutic
procedures is also discussed extensively.
Each of the therapeutic procedures covered in this course is reviewed in
detail, including procedure technique; coding guidelines; and use of modifiers.
Key terms are defined, and the coder’s learning is reinforced through completion
of multiple-choice exercises and actual case studies are utilized to instruct
and reinforce the user’s learning experience. At the completion of the course
material, the user will complete a scored assessment that tests the key
learning points of the course.
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IVR5:
Non-Vascular Interventions
This course introduces the coder to non-vascular “special”
interventional procedures, including GI, biliary, urinary, radiofrequency
ablation, biopsy/aspiration/drainage procedures as well as vertebroplasty
and kyphoplasty.
The anatomy for each area will be reviewed along with explanations of all
commonly performed nonvascular procedures relevant to that area. Procedure
codes and coding guidelines will be reviewed in depth. Special attention
will be paid to common procedure combinations and modifier usage.
Key terms are defined, and the coder’s learning is reinforced through completion
of multiple-choice exercises and actual case studies are utilized to instruct
and reinforce the user’s learning experience. At the completion of the course
material, the user will receive a scored assessment that tests the key learning
points of the course.
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This course introduces the coder to endovascular repair
procedures, including those performed in the abdominal aorta, thoracic aorta,
and iliac arteries. In order to enroll in this course, the user must have
completed the Coding Metrix courses on Principles of Arterial Catheterization,
Arterial Diagnostic Imaging and Transcatheter Therapies, or the equivalent.
Key terms are defined, and the coder’s learning is reinforced
through completion of multiple-choice exercises and actual case studies
are utilized to instruct and reinforce the user’s learning experience. At
the completion of the course material, the user will complete a scored assessment
that tests the key learning points of the course.
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DRG1:
Radiology Compliance
The Radiology Compliance course is part of the Diagnostic
Radiology Curriculum. It is designed to familiarize users with basic compliance
issues for diagnostic radiology.
The national Medicare policy regarding the ordering of diagnostic tests is discussed in detail, including the definition and required contents of a physician order. Medicare policies regarding physician supervision of diagnostic tests are also discussed, including the definitions of general, direct, and personal supervision and the documentation required for each level. The National Correct Coding edits are reviewed, including the structure and rationale of the edits and the use of modifier 59 to indicate a separate and distinct procedure.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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DRG2:
ICD-9-CM Diagnosis Coding
The ICD-9-CM Diagnosis Coding course is part of the Diagnostic Radiology Curriculum. It is designed to improve users’ ability to accurately and efficiently assign diagnosis codes for diagnostic radiology services. Users should have a working knowledge of ICD-9-CM diagnosis coding before beginning this course.
The process for identifying reportable diagnoses is discussed in detail, including the portions of the radiology report that must be reviewed and the best order in which to review them. Specific diagnoses and diagnosis coding issues commonly encountered in diagnostic radiology are reviewed in detail, including trauma cases, mammography, obstetrical ultrasound, etc. Linkage of diagnoses with procedure codes is also discussed.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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DRG3:
Plain Films and Fluoroscopy
The Plain Films and Fluoroscopy course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for plain film and fluoroscopy exams, including skeletal exams, upper GI series, barium enema, intravenous pyelogram, etc.
The techniques for commonly performed exams is reviewed. Procedure coding guidelines, modifier use, and bundling issues will be discussed in detail.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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The Ultrasound course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for diagnostic ultrasound exams, including abdominal, retroperitoneal, pelvic, and obstetrical ultrasound exams.
The techniques for commonly performed ultrasound exams including abdominal, retroperitoneal, pelvic and obstetrical are reviewed. Procedure coding guidelines, documentation requirements, modifier use, and bundling issues are also discussed in detail.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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The Breast Procedures course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for mammography, breast ultrasound, percutaneous breast biopsy, needle localization and other common breast procedures.
The techniques for commonly performed breast procedures are reviewed as well as procedure coding guidelines, documentation requirements, modifier use, and bundling issues. Medicare national coverage criteria for mammography are also reviewed in detail.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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The CT/CTA course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for diagnostic CT and CTA exams.
The techniques for commonly performed CT/CTA exams, including cardiac CT/CTA are reviewed as well as procedure coding guidelines, documentation requirements, modifier use, and bundling issues. Key issues including documentation and coding criteria for 3D rendering and low osmolar contrast material are also reviewed.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
The MRI/MRA course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for diagnostic MRI and MRA exams.
The techniques for commonly performed MRI/MRA exams are discussed as well as procedure coding guidelines, documentation requirements, modifier use, and bundling issues. Key issues including Medicare coding and coverage criteria for gadolinium are also reviewed.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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The PET/PET-CT course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for diagnostic PET and PET-CT exams.
The techniques for commonly performed PET/PET-CT exams are discussed as well as procedure coding guidelines, documentation requirements, modifier use, and bundling issues. Key issues including Medicare coverage criteria and proper billing of radiotracers are reviewed.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and dictated
reports to reinforce the user’s learning experience. At the completion of
the course, the user will complete a scored assessment that tests the key
learning points and confirms comprehension.
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The Nuclear Medicine course is part of the Diagnostic Radiology Curriculum. It is designed to prepare users to accurately assign procedure codes for diagnostic nuclear medicine exams. Note: PET and PET-CT scans are covered in the Coding Metrix PET/PET-CT course.
The techniques for commonly performed nuclear medicine exams are discussed as well as procedure coding guidelines, documentation requirements, modifier use, and bundling issues. Key issues including proper billing of radiotracers are also reviewed.
This course uses advanced multi-media learning tools, including
state-of-the-art graphics, examples, multiple choice exercises, and actual
dictated reports to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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RO0:
Overview
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This course provides an overview of the history of radiation services as well as the current technologies and services utilized in the treatment of cancer. This course may not be purchased separately.
RO1:
Patient Visit Guidelines
(Physician or Hospital--The Choice
is Yours!)
The Patient Visits - Physician
course addresses specific issues related to physician visit services rendered
by radiation oncologists. Users should be familiar with the guidelines for
assigning evaluation and management (E/M) codes prior to enrolling in this
course.
The course discusses in detail the distinctions between consultations and
visits, including documentation requirements for consultations. Inpatient
and observation admission and discharge services are reviewed in depth.
Other topics include billing for visits along with procedures; encounters
dominated by counseling; prolonged services; “incident to” services; and
non-physician practitioner services.
This course uses multi-media learning tools, including state-of-the-art
graphics, examples and multiple choice exercises to reinforce the user’s
learning experience. At the completion of the course, the user will complete
a scored assessment that tests the key learning points and confirms comprehension.
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The Patient Visits – Hospital
course addresses specific issues related to hospital visit services provided
to radiation oncology patients, including cancer clinic visits. The course
provides an in-depth discussion of Medicare requirements and reimbursement
for hospital visit services under the Hospital Outpatient Prospective Payment
System. Users will learn how to determine when a visit can be billed together
with a procedure; how to distinguish between new and established patient
visits; how to distinguish between a visit and a consultation; how to apply
modifiers to visit service codes; and reporting of multiple visits on the
same date.
This course uses multi-media learning tools, including state-of-the-art
graphics, examples, and multiple choice exercises to reinforce the user’s
learning experience. At the completion of the course, the user will complete
a scored assessment that tests the key learning points and confirms comprehension.
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RO2:
Diagnosis Coding for Oncology
The Diagnosis Coding for Radiation Oncology course prepares
the user to assign ICD-9-CM diagnosis codes for radiation oncology services.
Code selection guidelines will be discussed in detail, including the identification
and sequencing of reportable diagnoses and the code assignment process.
The Table of Neoplasms will be reviewed in depth, and users will learn to
identify common errors in ICD-9-CM diagnosis coding for neoplasms.
This course uses advanced multi-media learning tools, including state-of-the-art
graphics, examples, multiple choice exercises, and actual case studies (medical
records) to reinforce the user’s learning experience. At the completion
of the course, the user will complete a scored assessment that tests the
key learning points and confirms comprehension.
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RO3:
External Beam Radiation Therapy Services
The External Beam Radiation Therapy course is a comprehensive
training program designed to prepare users to assign procedure codes for
external beam therapy.
The course discusses the separate services, medical necessity, and coding
and billing guidelines for each step in the process of care, as well as
coding guidelines for special services associated with the radiation therapy
treatment process. Issues related to place of service, dates of service,
physician presence, CCI edits and modifiers will also be discussed.
All of the modules contain examples, multiple choice exercises and actual
case studies that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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The IMRT course is the fifth course is a comprehensive
training program that provides users with in-depth information on the unique
aspects of intensity modulated radiation therapy coding and reimbursement.
Users will learn the differences between IMRT and standard radiation services
and how these differences impact medical necessity, documentation, procedure
coding and reimbursement. Key areas of concern including CCI edits, bundling
guidelines and modifiers are also reviewed in detail.
All of the modules contain examples, multiple choice exercises and actual
case studies that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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The Stereotactic Procedures course is a comprehensive training
program that provides users with in-depth information on the unique aspects
of stereotactic procedure coding and reimbursement.
The course discusses the roles of each member of the radiosurgery team,
as the neurosurgeon, radiation oncologist and other professionals combine
their individual expertise during the treatment process. Medical necessity,
ICD -9 codes and CPT® codes for each phase of the treatment modality will
be discussed. Key areas of concern including CCI edits, bundling guidelines
and modifiers are also reviewed in detail.
All of the modules contain examples, multiple choice exercises and actual
case studies that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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The Brachytherapy course is a comprehensive training program
that provides users with in-depth information on the unique aspects of brachytherapy
coding and reimbursement.
The course introduces users to the separate services, medical necessity,
coding and billing guidelines for each step in the process of care and also
coding guidelines for special services associated with brachytherapy. Key
areas of concern including CCI edits, bundling guidelines and modifiers
are also reviewed in detail.
All of the modules contain examples, multiple choice exercises and actual
case studies that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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RO7:
Radiopharmaceutical Procedures
The Radiopharmaceutical Procedures course is a comprehensive
training program that provides users with in-depth information on the unique
aspects of coding and reimbursement for radiopharmaceutical procedures.
The course introduces the separate services, medical necessity, coding and
billing guidelines for the radiopharmaceutical services typically performed
by radiation oncologists. Key areas of concern including CCI edits, bundling
guidelines and modifiers are also reviewed in detail.
All of the modules contain examples, multiple choice exercises and actual
case studies that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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EM0:
Evaluation and Management Overview*
The Evaluation and Management Overview course is the first course in the Evaluation and Management (E/M) Curriculum. This course will introduce the user to the concept of evaluation and management services and will provide an orientation to the Coding Metrix E/M Curriculum. The user will also learn how to utilize the navigation tools and other on-line features to take full advantage of on-line training technology.
*Not sold separately.
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EM1:
Evaluation and Management Principles
This Course teaches participants the basic principles of evaluation and management coding, including key concepts, definitions, and fundamentals of medical documentation.
The Evaluation and Management Principles Course is the first Course in the Coding Metrix, Inc. Evaluation and Management Curriculum. This course is designed to familiarize users with the fundamental principles of evaluation and management (E/M) documentation and coding. Participants will learn the definitions of the key and contributory components of the E/M service as well as other important concepts such as encounter time and new versus established patient.
Users will be introduced to the AMA’s Documentation Guidelines for Evaluation and Management Services. They will learn how to identify key medical record documentation that supports the E/M level of service. They will also learn the differences between the 1995 and the 1997 versions of the Documentation Guidelines and the implications of these differences for E/M code assignment.
The mechanics of E/M code selection will be reviewed in detail, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).
At the end of the Course, the user will complete a scored
assessment that tests the key learning points and confirms comprehension.
Upon successful completion of this Course, the user will be ready to begin
a more in-depth study of the various E/M service categories, including physician
office and hospital services, critical care, etc. These areas are covered
in the other Courses of the Evaluation and Management Curriculum.
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EM2: Physician
Office Services
The Evaluation and Management Physician Office Services
Course is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.
This course is designed to prepare users to assign evaluation and management
(E/M) codes for services provided in the physician office, including new
patient visits, established patient visits, and office consultations.
Participants will learn key concepts associated with office E/M services,
including new patient versus established patient, encounter time, counseling,
etc. They will also learn to identify key medical record documentation that
is required to support the various categories and levels of office E/M services.
Criteria for distinguishing between consultations and office visits will
be discussed in detail.
The mechanics of E/M coding for office services will be reviewed in depth,
and users will gain confidence in code assignment through completion of
multiple choice exercises and actual case studies (physician reports).
At the completion of the Course, the user will complete a scored assessment
that tests the key learning points and confirms comprehension.
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EM3:
Physician Hospital Services
This course prepares participants to accurately assign
evaluation and management codes for physician services provided in the hospital
setting.The Evaluation and Management Physician Hospital Services Course
is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.
This course is designed to prepare users to assign evaluation and management
(E/M) codes for services provided in the hospital setting, including initial
hospital care, subsequent hospital care, observation care, and hospital
discharge day management.
Participants will learn key concepts associated with hospital E/M services,
including the distinction between inpatient and observation care, the definition
of an interval history, and the guidelines for patients admitted and discharged
on the same date. They will also learn to identify key medical record documentation
that is required to support the various categories and levels of hospital
E/M services.
The mechanics of E/M coding for hospital services will be reviewed in depth,
and users will gain confidence in code assignment through completion of
multiple choice exercises and actual case studies (physician reports).
At the completion of the Course, the user will complete a scored assessment
that tests the key learning points and confirms comprehension.
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EM4: Critical
Care and Emergency Services
This Course prepares participants to accurately assign
evaluation and management codes for services performed in the critical care,
emergency department and neonatal intensive care arenas.
The Evaluation and Management Critical Care and Emergency Services Course
is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.
This course is designed to prepare users to assign evaluation and management
(E/M) codes for services provided in the critical care, emergency department,
and neonatal intensive care settings, including emergency department visits,
adult critical care, neonatal critical care, and pediatric critical care.
Participants will learn key concepts associated with these services, including
the definition of critical illness or injury, age categories for critical
care, and services that are included in critical care. They will learn the
unique rules for assigning the E/M level in the emergency department, including
the definition of a complete past/family/social history for an emergency
department service, and the special instructions for a Level 5 emergency
department service.
The mechanics of E/M coding for critical care and emergency department services
will be reviewed in depth, and users will gain confidence in code assignment
through completion of multiple choice exercises and actual case studies
(physician reports).
At the completion of the Course, the user will complete a scored assessment
that tests the key learning points and confirms comprehension.
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EM5: Preventative Medicine Services
This Course prepares participants to accurately assign evaluation and management codes for preventive medicine services.
The Evaluation and Management Preventive Services Course
is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.
This course is designed to prepare users to assign evaluation and management
(E/M) codes for preventive services such as well child visits and well adult
visits.
Participants will learn key concepts associated with preventive services,
including patient age categories and initial versus periodic preventive
services. They will also learn to identify key medical record documentation
that is required to support the various categories and levels of preventive
services. Criteria for distinguishing between a “sick” visit and a preventive
visit will also be discussed.
The mechanics of preventive service E/M coding will be reviewed in detail,
and users will gain confidence in code assignment through completion of
multiple choice exercises and actual case studies (physician reports).
At the completion of the Course, the user will complete a scored assessment
that tests the key learning points and confirms comprehension.
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MOH0: Medical
Oncology HOSPITAL Overview**
The Overview is the first course in the Medical Oncology
–Hospital Curriculum. It is designed to introduce users
to the basic concepts of cancer, chemotherapy administration, non-chemotherapeutic
infusions and injections, surgical procedures, and patient visits.
Upon completion of this course, the user will understand the basic concepts
and definitions required for the remaining courses in the Medical Oncology
– Hospital curriculum.
- Reviews systemic therapies used to treat cancer.
- Identifies coding guidelines for various patient visits in medical oncology services
- Discusses chemotherapy administration and non-chemotherapeutic administration as it relates to payor guidelines
** Not sold separately.
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MOH1: HOSPITAL
- Patient Visit Guidelines
The goal of this course is to prepare individuals to accurately assign procedure codes for patient visits for the most frequently encountered medical oncology services in an outpatient facility setting.
The Patient Visit Guidelines course is a comprehensive training program that provides users with in-depth information on the most frequently performed clinical interventions in a hospital facility setting. The course begins with a discussion about the use of hospital resources as it relates to coding guidelines. The course is sub-divided into distinct modules to assist with time management and course completion. The specific modules for this course are patient services which include information on modifiers and code 99211 and Other Hospital Procedures which include specific coding for additional services offered in the hospital.
All of the modules contain advanced graphics, examples,
and multiple choice exercises.
At the completion of the course material, the user will complete a scored
assessment that tests the key learning points of the course.
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MOH2: HOSPITAL
- Diagnosis Coding for Oncology
The Diagnosis Coding course is a comprehensive training
program that provides users with in-depth information on the most frequently
encountered scenarios for medical oncology.
The course begins with a discussion of the official ICD-9-CM coding guidelines
for neoplasms. The course is sub-divided into distinct modules to assist
with time management and course completion. The specific modules for this
course are Code Assignment for Neoplasms and Essential Coding Guidelines.
All of the modules contain examples and multiple choice
exercises that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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MOH3: HOSPITAL
- Injections and Infusions
The Injections and Infusions course is the fourth course
in the Medical Oncology - Hospital Curriculum. This course is a comprehensive
training program that provides users with in-depth information on the most
frequently performed injection and infusion procedures administered in a
hospital outpatient department. This course begins with a discussion of
facility infusion administration rules and protocols. The specific modules
for this course are Infusion Administration Rules, Chemotherapy Infusion
and Injections, and Administration of Non-Chemotherapeutic Agents.
All of the modules contain advanced graphics, examples, and multiple choice
exercises.
At the completion of the course material, the user will complete a scored
assessment that tests the key learning points of the course.
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MOP0: FREESTANDING/PHYSICIAN
- Overview**
The Overview is the first course in the Medical Oncology
– Free-Standing Physician Curriculum. It is designed to introduce users
to the basic concepts of cancer, chemotherapy administration, non-chemotherapeutic
infusions and injections, surgical procedures, and patient visits.
Upon completion of this course, the user will understand the basic concepts
and definitions required for the remaining courses in the Medical Oncology
– Hospital curriculum.
- Reviews systemic therapies used to treat cancer.
- Identifes coding guidelines for various patient visits in medical oncology services
- Discusses chemotherapy administration and non-chemotherapeutic administration as it relates to payor guidelines
** Not sold separately.
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MOP1: FREESTANDING/PHYSICIAN
- Patient Visits
Patient Visits is the second course
in the Medical Oncology Free Standing/Physician Curriculum. This course
is a comprehensive training program that provides users with a review of
frequently encountered Medical Oncology E/M services. The course begins
with a discussion about patient evaluation and the levels of E/M services
with regards to coding guidelines. The course is sub-divided into distinct
modules to assist with time management and course completion. The specific
modules for this course are Coding E/M Services which include information
on new and established patient visits and consultations and Other Physician
Services which includes information on modifier 25 and other office services.
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MOP2: FREESTANDING/PHYSICIAN
- Diagnosis Coding for Oncology
The Diagnosis Coding course is the third course in the
Medical Oncology – Free-Standing/Physician Curriculum. The Diagnosis Coding
course is a comprehensive training program that provides users with in-depth
information on the most frequently encountered scenarios for medical oncology.
The course begins with a discussion of the official ICD-9-CM coding guidelines
and neoplasm code assignment. The course is sub-divided into distinct modules
to assist with time management and course completion. The specific modules
for this course are Code Assignment for Neoplasm and Essential Coding Guidelines.
All of the modules contain examples and multiple choice
exercises that are utilized to instruct and reinforce the user’s learning
experience. At the completion of the course material, the user will receive
a scored assessment that tests the key learning points of the course.
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MOP3: FREESTANDING/PHYSICIAN
- Injections and Infusions
The Injections and Infusions course is the fourth course in the Medical Oncology – Free-Standing/Physician Curriculum. This course is a comprehensive training program that provides users with in-depth information on the most frequently performed injection and infusion services used in medical oncology. This course begins with a discussion of infusion administration rules and protocols. The specific modules for this course are Infusion Administration Rules, Chemotherapy Infusion and Injections, and Administration of Non-Chemotherapeutic Agents.
All of the modules contain advanced graphics, examples,
and multiple choice exercises. At the completion of the course material,
the user will complete a scored assessment that tests the key learning points
of the course.
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IVC1: Diagnostic
Cardiac Catheterization
The Diagnostic Cardiac Catheterization course is the first
course in the Invasive Cardiology Curriculum. This course is a comprehensive
training program that provides users with in-depth information on the most
frequently performed types of diagnostic cardiac catheterization.
The course begins with an overview of cardiac anatomy, followed by an in-depth
discussion of coding guidelines for diagnostic heart cath. Each type of
heart cath procedure is then discussed, including right heart catheterization,
left heart catheterization, combined left-right heart catheterization, coronary
artery catheterization without heart cath, and catheterization for congenital
heart disease. State-of-the-art images are used to provide the user with
visual aids to ensure comprehension. Ancillary diagnostic services are also
discussed, including coronary intravascular ultrasound, coronary flow reserve
measurement, and endocardial biopsy.
The course is sub-divided into distinct modules to assist with time management
and course completion. The specific modules for this course are: Right
Heart Catheterization, Left Heart Catheterization, Combined Heart Catheterization,
Coronary Artery Catheterization, Congenital Heart Disease, Injection Procedures,
Imaging Supervision & Interpretation, Other Procedures, Intravascular
Ultrasound – Coronary and Coronary Flow Measurement.
All of the modules contain advanced graphics, examples,
and multiple choice exercises. Actual case studies are utilized to instruct
and reinforce the user’s learning experience. At the completion of the course
material, the user will complete a scored assessment that tests the key
learning points of the course.
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IVC2: Percutaneous
Coronary Interventions
The Percutaneous Coronary Interventions course is the second course in the Invasive Cardiology Curriculum. This course is a comprehensive training program that provides users with in-depth information on the most frequently performed types of percutaneous coronary interventions and other percutaneous cardiac procedures.
The course begins with a summary of coding guidelines for percutaneous coronary interventions, and these guidelines will be reiterated in the subsequent modules. Individual therapeutic techniques are then discussed, including coronary artery angioplasty, stenting, atherectomy, thrombectomy, thrombolysis, and intravascular brachytherapy. Other percutaneous cardiac procedures are also discussed, including intra-aortic balloon pumps and transcatheter closure of septal defects. State-of-the-art images are used to provide the user with visual aids to ensure comprehension.
The course is sub-divided into distinct modules to assist
with time management and course completion. The specific modules for this
course are: Coding Guidelines; Coronary Angioplasty, Stenting, and
Atherectomy; Other Percutaneous Coronary Procedures; and Other Percutaneous
Cardiac Procedures.
All of the modules contain advanced graphics, examples, and multiple choice
exercises. Actual case studies are utilized to instruct and reinforce the
user’s learning experience. At the completion of the course material, the
user will complete a scored assessment that tests the key learning points
of the course.
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The Peripheral Angiography course is the third course in
the Invasive Cardiology Curriculum. This course is a comprehensive training
program that provides users with in-depth information on the types of peripheral
angiograms most frequently performed by cardiologists.
The specific modules of this course are: General Definitions, Arterial
Catheter Placement Codes, Aortic Arch, Head and Neck, Catheterization Coding
Guidelines, Upper Extremity, Thoracic Aorta, Abdominal Aorta, Lower Extremities
and Pelvis.
The key areas contained within each module address the
most frequently performed types of angiograms with easy to understand graphics
and instructions. All of the modules contain examples, multiple choice exercises
and actual case studies that are utilized to instruct and reinforce the
user’s learning experience. At the completion of the course material, the
user will receive a scored assessment that tests the key learning points
of the course.
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IVC4: Peripheral
Interventions
The Peripheral Interventions course introduces the coder
to the most common peripheral transcatheter interventions performed by cardiologists,
including angioplasty, stents, atherectomy, embolization, transcatheter
infusion, and thrombectomy. This course is a comprehensive training program
that provides users with in-depth information on the most frequently performed
types of peripheral vascular procedures.
The specific modules of this course are: Peripheral Interventions,
Angioplasty, Stent Placement, Atherectomy, Emolization and Infusion, and
Thrombectomy.
The key areas contained within each module address the
most frequently performed procedures with easy to understand graphics and
instructions. All of the modules contain examples, multiple choice exercises
and actual case studies that are utilized to instruct and reinforce the
user’s learning experience. At the completion of the course material, the
user will receive a scored assessment that tests the key learning points
of the course.
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IVC5: Peripheral
Procedures with Heart Catheterization
The Peripheral Procedures with Heart Catheterization course prepares the user to assign procedure codes for peripheral angiograms and transcatheter interventions performed during the same encounter as heart catheterization. Code assignment for these cases is especially complex due to medical necessity issues, bundling edits, and special Medicare coding requirements.
The specific modules of this course are: Overview, Non-Selective Angiography, and Selective Angiography & Interventions.
Medical necessity and coverage issues related to peripheral procedures are discussed in depth. Common indications for peripheral angiograms performed with heart cath are also discussed, including renovascular hypertension. Guidelines for coding aortography and other non-selective exams are reviewed in detail, as are the Level 2 HCPCS codes for non-selective angiograms (G0275 and G0278). Selective angiograms are covered in depth, including renal, lower extremity, subclavian, carotid, and vertebral angiograms. Finally, the guidelines for coding peripheral interventions (for example, angioplasty) with heart cath are briefly discussed.
This course is intended for users with prior training in coding peripheral angiograms and interventions. Other users should complete Coding Metrix courses IVC3 Peripheral Angiography and IVC4 Peripheral Interventions before taking this course.
This course contains examples, multiple choice exercises and actual case
studies to instruct and reinforce the user’s learning experience. At the
completion of the course material, the user will receive a scored assessment
that tests the key learning points.
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PM0: Overview**
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The Overview is the preview course in the Pain Management Curriculum. It is designed to introduce users to the basic terminology and concepts of pain management coding and reimbursement. Topics to be covered include the scope of practice for pain management; the distinction between acute and chronic pain services; and the major types of diagnostic and therapeutic pain procedures.
Upon completion of this course, the user will understand the basic concepts and definitions required for the remaining courses in the Pain Management curriculum.
** Not sold separately.
The Patient Visits course is the first course in the Pain Management Curriculum. This course provides users with in-depth information on the most frequently encountered types of visit services performed by pain management specialists.
The course begins with a discussion of Office/Outpatient services, including consultations and new and established office/outpatient visits. Inpatient services are then discussed, including initial and subsequent hospital care as well as inpatient consultations.
All of the modules contain examples and multiple choice exercises that are utilized to instruct and reinforce the user’s learning experience. At the completion of the course material, the user will receive a scored assessment that tests the key learning points of the course.
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PM2: Diagnosis
Coding for Pain Management
The Diagnosis Coding course is the second course in the Pain Management Curriculum. The course begins with a discussion of the portions of the ICD-9-CM Official Guidelines for Coding and Reporting related to pain, including use of codes in category 338, and reporting of codes for symptoms versus definitive diagnosis. The course also covers diagnosis coding for spinal disorders and for other disorders commonly treated by pain management specialists, including myofascial pain syndrome, complex regional pain syndrome, headache, etc.
All of the modules contain examples and multiple choice exercises to instruct and reinforce the user’s learning experience. At the conclusion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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The Spinal Procedures I course is the third course in the Pain Management Curriculum. The course begins by discussing relevant spinal anatomy. Coding principles for diagnostic spinal imaging exams are then reviewed, including myelograms, epidurograms, and diskograms. Finally, the course covers coding for epidural injections in detail, including single and continuous epidurals, transforaminal epidural injections, and epidural blood patch.
All of the modules contain advanced graphics, examples, multiple choice exercises, and case studies taken from actual physician reports. At the conclusion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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The Spinal Procedures II course is the fourth course in the Pain Management Curriculum. The course provides in-depth coverage of procedure coding guidelines for facet injections, medial branch blocks, facet neurolysis, epidurolysis, percutaneous diskectomy, IDET, vertebroplasty, and kyphoplasty.
All of the modules contain advanced graphics, examples, multiple choice exercises, and case studies taken from actual physician reports. At the conclusion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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PM5: Other Chronic
Pain Injections
The Other Chronic Pain Injections course is the fifth course in the Pain Management Curriculum. The course provides in-depth coverage of procedure coding guidelines for peripheral pain injections, including trigger point injections, joint injections, nerve blocks, catheter infusions, neurolysis, and chemodenervation.
All of the modules contain advanced graphics, examples, multiple choice exercises, and case studies taken from actual physician reports. At the conclusion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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PM6: Implanted
Pumps and Neurostimulators
The Implanted Pumps and Neurostimulators course is the sixth course in the Pain Management Curriculum. This course is a comprehensive training program that provides users with in-depth information on procedure coding for insertion, maintenance, and removal of implanted pumps and neurostimulators. Documentation and compliance issues related to these procedures are also discussed.
All of the modules contain advanced graphics, examples, and multiple choice exercises. At the completion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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PM7: Other Chronic
Pain Procedures
The Other Chronic Pain Procedures course is the final course in the Pain Management Curriculum. This course is a comprehensive training program that provides users with in-depth information on procedure coding for other chronic pain services. This course begins with a discussion of procedure coding for moderate sedation, followed by coverage of acupuncture, osteopathic manipulative treatment, and drugs and supplies.
All of the modules contain advanced graphics, examples, and multiple choice exercises. At the completion of the course material, the user will complete a scored assessment that tests the key learning points of the course.
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ER0: Overview**
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The Overview course is the first course in the Emergency Medicine Curriculum. It is designed to introduce users to the basic concepts of coding for physician services provided in the emergency department, including the difference between physician and facility coding for the emergency department and how nonphysician practitioners can impact emergency department coding.
Upon completion of this course, the user will understand the basic concepts and definitions required for the remaining courses in the Emergency Medicine Curriculum.
** Not sold separately.
ER1: Diagnosis Coding for Emergency Medicine
The Diagnosis Coding for Emergency Medicine course is part of the Emergency Medicine Curriculum. It is designed to improve users’ ability to accurately and efficiently assign diagnosis codes for physician services provided in the emergency department. Users should have a working knowledge of ICD-9-CM diagnosis coding before beginning this course.
The process for identifying reportable diagnoses is discussed in detail, including the portions of the emergency department medical record that must be reviewed and the best order in which to review them. Specific diagnoses and diagnosis coding issues commonly encountered in emergency medicine are reviewed in detail, including trauma cases, burns, cardiac issues, etc.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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ER2: Emergency Department Visits and Critical Care
The Emergency Department Visits and Critical Care course is part of the Emergency Medicine Curriculum. It is designed to prepare users to accurately assign evaluation and management codes for physician services provided in the emergency department.
The course reviews the special rules that apply to this type of care when performed in this setting, including documentation caveats, modifier use and bundling issues. In addition, there is a specific discussion of critical care coding that outlines what should be included and what coders can report separately with the proper documentation.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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ER3: Procedure Coding in the Emergency Department
The Procedure Coding in the Emergency Department course is part of the Emergency Medicine Curriculum. It is designed to prepare users to accurately assign procedure codes for various procedures performed in the emergency department, including wound repair, fracture care and diagnostic tests, among others.
The techniques for these commonly performed procedures are reviewed. Procedure coding guidelines, documentation requirements, modifier use, and bundling issues are also discussed in detail.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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The Overview course is the first course in the Pathology Curriculum. It is designed to introduce users to the basic concepts of coding for pathology services, including the differences between clinical and anatomical pathology and how a pathologist works.
Upon completion of this course, the user will understand the basic concepts and definitions required for the remaining courses in the Pathology Curriculum.
*Not sold separately.
PATH1:
Diagnosis Coding for Pathology
The Diagnosis Coding for Pathology course is part of the Pathology Curriculum. It is designed to improve users’ ability to accurately and efficiently assign diagnosis codes for pathology services. Users should have a working knowledge of ICD-9-CM diagnosis coding before beginning this course.
The process for identifying reportable diagnoses is discussed in detail, including the portions of the pathology report that must be reviewed and the best order in which to review them. Specific diagnoses and diagnosis coding issues commonly encountered for pathology services are reviewed in detail, including a patient’s clinical history, neoplasms, Pap smears, etc.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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The Surgical Pathology course is part of the Pathology Curriculum. It is designed to prepare users to accurately assign CPT® procedure codes for surgical pathology services.
The course reviews the special rules that apply to defining a specimen, including when it is appropriate to code separately for specimens submitted in a single container. In addition, there is a complete discussion of how to choose the appropriate surgical pathology level, as well as how to report related services such as frozen section, touch preps, and special and immunohistochemical stains, when used. Modifier use is also reviewed in detail.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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The Cytopathology course is part of the Pathology Curriculum. It is designed to prepare users to accurately assign procedure codes for both gynecological and non-gynecological cytopathology.
The techniques for these commonly performed services are reviewed, including thin prep, Bethesda System, and other Pap smear techniques. Medicare coverage and billing requirements for Pap smears are also reviewed. Procedure coding guidelines, documentation requirements, modifier use, and bundling issues are discussed in detail.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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PATH4:
Other Pathology Services
The Other Pathology Services course is part of the Pathology Curriculum. It is designed to prepare users to accurately assign procedure codes for pathology services not covered in the Surgical Pathology and Cytopathology courses, including interpretation of clinical lab tests, bone marrow services and consultations for referred materials.
The techniques for these commonly performed services are reviewed. Procedure coding guidelines, documentation requirements, modifier use, and bundling issues are also discussed in detail.
This course uses advanced multi-media learning tools, including state-of-the-art graphics, examples, multiple-choice exercises, and actual dictated reports to reinforce the user’s learning experience. At the completion of the course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.
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MPA1:
Radiology Compliance for Physicians
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This course is designed to familiarize radiologists with basic concepts of billing compliance related to radiology, including:
- Orders for diagnostic tests
- Physician supervision of diagnostic tests
- Documentation requirements for radiology reports
- Unbundling and CCI edits
- Modifiers
The course is self-paced and takes approximately one hour to complete. It includes several hands-on exercises that are relevant to radiologists and will allow participants to be sure they have understood the key learning points.
Here are some of the questions that participants will be able to answer after taking this course:
- When can I perform a different or additional exam than what was ordered by the referring physician?
- What levels of physician supervision does Medicare recognize for diagnostic tests?
- What constitutes direct supervision for an exam that uses intravenous contrast?
- What types of exams require personal supervision?
- What elements must be included in a radiology report to ensure correct billing?
- Can I sign my colleagues’ reports when they are absent?
- What are the CCI edits, and what does it mean when a service is “bundled”?
- Why is modifier 59 important?
Upon completing the course, participants will print out a certificate of completion that can be filed as part of the group’s compliance plan documentation.
MPA2:
Evaluation and Management Fundamentals for Physicians
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This course is designed to familiarize new physicians and physicians new to E/M with the documentation and coding requirements associated with these patient services, such as the following:
- Common E/M categories
- Levels of service
- Medical necessity
- Counseling and coordination of care
The course is self-paced and takes approximately one hour to complete. It includes several hands-on exercises that are relevant to physicians and allow participants to be sure they have understood the key learning points.
Here are some of the questions that participants will be able to answer after taking this course:
- What 3 key components must every medical record include for proper E/M reporting?
- How can you get the most out of your patient history?
- What’s the one driving factor behind your physical examination E/M component?
- When and how to properly base you E/M coding on time?
- What factors must you consider to properly document medical decision-making?
Upon completing the course, participants may print out a certificate of completion that can be filed as part of the group’s compliance plan documentation.
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MPA3:
Documenting the History
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This course is designed to familiarize physicians with how to document the history component of the evaluation and management (E/M) service, including:
- Defining the history elements
- Reviewing documentation guidelines
- Selecting the overall history level
The physician will learn the specific items to cover for the four history elements (chief complaint, history of present illness, review of systems, and past, family and/or social history), understand the levels available within each history element, and apply those elements to determine the overall history level.
The course is self-paced and takes approximately one hour to complete. The course includes a number of application exercises that will allow participants to be sure they have understood the key learning points.
Here are some of the questions that participants will be able to answer after taking this course:
- Who can document what? Make sure you know the rules before you hand the patient that questionnaire.
- What one key element must be in every patient record? Miss it, and you’re left reporting the lowest level every time.
- How to avoid the dangers of ROS double dipping ... Why your HPI doesn’t count and what to do about it.
At the conclusion of the course, the participant can print a certificate of completion for the group’s compliance education files.