Medical Coding 101

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Medical coding is the language that providers must use when submitting health care claims to obtain reimbursement. Accurate coding results in a “clean claim,” which in turn results in timely and accurate payment to the provider. Alternatively, complex legal disputes may arise between payers and providers when allegations of fraud are made.  

Designed for early career attorneys, compliance professionals, payment professionals, and advisors new to health care, this course explains the basics and implications of medical coding.  

Learners will master key fundamentals by engaging with clear and concise explanations, coupled with videos in which experienced practitioners elaborate on more challenging concepts. 

Click here for a preview of Lesson 1. 

Course Syllabus 

Module 1. Medical Coding is a Language 

Module 2. Terms of Art: Three Basic and Distinct Concepts 

Module 3. Different Types of Medical Codes: Which One Are You Using? 

Module 4. CPT Code Modifiers 

Module 5. The E/M Code: A Type of CPT Code 

Module 6. The Most Common Root Causes of Improper Coding 

Module 7. Putting It All Together in a Coding Scenario 

Module 8. Where Can I Learn More about Code Sets? 

Faculty 

Robert E. Wanerman and William Walters, Epstein Becker & Green, PC 

Credit Information: 

CLE: The maximum number of credits available for ON DEMAND is 1.0 for a 60-minute state and 1.2 for a 50-minute state. Please note that the availability of credits may vary from state to state.  This self-study course will be available for purchase for approximately two years after the recording date, but state rules on duration of eligibility for CLE-credits differ, so please check with your state before purchasing self-study offerings. 

CPE: CPE credits are not available for on-demand. 

CCB: The Compliance Certification Board (CCB)® has approved this event for up to 1.2 NON-LIVE CCB CEUs based on a 50-minute hour. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor. 

For additional information, please visit the AHLA Continuing Education page. 

Discounted licenses are available for groups of 10 or more. Email agreene@americanhealthlaw.org for more information.  

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