The Learning Units are

1. Introduction to Medical Coding

• Overview of healthcare industry and coding profession
• Importance of accurate coding in revenue cycle
• Types of medical coding certifications (CPC)
• Summary of key medical coding systems: ICD-10-CM, HCPCS level II, CPT

2. Anatomy & Physiology (12 Body Systems)

• 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

• AAPC 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 (CPC format)
• Exam registration and logistics