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Current Procedural Terminology

In this unit, you were introduced to procedural coding of the Current Procedural Terminology (CPT) coding system as well as the diagnosis coding system known as the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). You also reviewed how encoders and computer-assisted coding is used in healthcare facilities. Additionally, you analyzed what code sets are and their importance of meeting Health Insurance Portability and Accountability Act (HIPAA) code standards for insurance payers during the claim submission process.

For this essay, review the reading assignments, and utilize the CSU Online Library to discuss the information below.

· Explain the differences between encoders and computer-assisted coding applications.

· Describe the steps for developing an effective coding compliance program, and explain who is responsible for maintaining this program.

· Explain what code edits are and how they are used by insurance companies.

· Select one code set reviewed in this unit, and articulate how that system is used.

Your essay must be at least two pages in length, not counting the title page or references page. You must use at least two sources for this essay. One resource must be found in the CSU Online Library, and the other may be your textbook. All sources used must have proper citations. Your essay, including all references, will be formatted in APA style.

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