CCS – Ahima

1: Introduction to Medical Coding
Overview of healthcare industry and coding profession
Importance of accurate coding in revenue cycle
Types of medical coding certifications (CCS)
Summary of key medical coding systems: ICD-10-CM, HCPCS level 2, CPT

2: Anatomy & Physiology
Basic medical terminology
Human body systems and their functions
Anatomical positions, planes, and directions
Common diseases and surgical procedures

3: Medical Terminology
Prefixes, suffixes, root words
Abbreviations and acronyms
Vocabulary related to body systems
Word building and interpreting medical terms

4: ICD-10-CM (Diagnosis Coding)
Structure and format of ICD-10-CM
Guidelines for coding diagnoses
Chapter-specific coding (e.g., infectious diseases, neoplasms, pregnancy, mental health)
Combination codes, Excludes notes, and sequencing guidelines

5: CPT (Procedure Coding)
Introduction to CPT and coding structure
Coding guidelines and conventions
Evaluation and Management (E/M) services
Surgery section by body system
Anaesthesia, Radiology, Pathology, and Medicine sections

6: HCPCS Level II
Structure and use of HCPCS
Durable Medical Equipment (DME) codes
Drugs, injections, and supplies
Medicare and payer-specific use of HCPCS

7: Reimbursement & Compliance
Overview of healthcare reimbursement systems
Insurance plans (Medicare, Medicaid, private insurers)
HIPAA and compliance regulations
Introduction to claim forms (CMS-1500, UB-04)
Medical necessity and documentation requirements

8: Coding Guidelines & Ethical Practices
AHIMA coding ethics
Fraud and abuse in medical billing
Denials, appeals, and audits
Confidentiality and professional conduct

9: Practical Coding Scenarios
Hands-on coding exercises with real-world cases
Coding from medical records and charts
Mock exams and practice assessments
Case studies for outpatient and inpatient scenarios

10: Certification Exam Preparation
Review of all modules
Time management strategies
Practice tests (CCS format)
Exam registration and logistics