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Chapter Objectives
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After completing Chapter 16, you will be able to:

16.1 Explain the purpose and format of the ICD-9-CM volumes that are used by medical offices.

16.2 Describe how to analyze diagnoses and locate correct codes using the ICD-9-CM.

16.3 Identify the purpose and format of the CPT.

16.4 Name three key factors that determine the level of Evaluation and Management codes that are selected.

16.5 Identify the two types of codes in the Health Care Common Procedure Coding System (HCPCS).

16.6 Describe the process used to locate correct procedure codes using CPT.

16.7 Explain how medical coding affects the payment process.

16.8 Define fraud and provide examples of fraudulent billing and coding.







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