Copy of Stock Management System Project Proposal

1.

HCPCS LEVEL II
CODING: THE
KEY TO DMEPOS
& OUTPATIENT
BILLING
Transforming Healthcare Claims Through Smarter
Coding.
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2.

AGENDA
WHAT IS HCPCS LEVEL II?
HCPCS Level II is critical for
services outside of CPT
It is the bedrock of efficient
claims processing
Key Points:
Level I (CPT):
Describes physician procedures
and services
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Level II (HCPCS):
Covers products, supplies, and nonphysician services
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3.

STRUCTURE OF
HCPCS LEVEL II
CODES
01
Codes start with a
letter (A-V) followed
by four digits
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02
The initial letter
categorizes the
service or supply (e.g.,
J-Codes for drugs)
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4.

UNDERSTANDING DMEPOS
• Covers Durable Equipment, Prosthetics, Orthotics
& Supplies
• Used for wheelchairs, braces, wound care &
more
• Accurate DMEPOS coding = proper patient care &
payment
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5.

ROLE OF HEALTHCARE
MODIFIERS
• Modifiers clarify “how” & “where” a service
occurred
• Examples: -RT (Right), -LT (Left), -QM
(Physician)
• Prevents underpayment or claim denial
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6.

OUTPATIENT SERVICES
CODING
Combines CPT &
HCPCS for
complete facility
billing
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C-codes capture
hospital
outpatient
services
J-codes cover
administered
drugs (e.g.,
chemotherapy)
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7.

MEDICAL BILLING INTEGRATION
Works alongside CPT
(procedures) & ICD-10
(diagnoses)
Each code tells part of
the patient care story
Correct coding ensures
smooth reimbursement
Aligns coders, billers, and
clinicians for efficient claims
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8.

KEEPING UP WITH
CODE UPDATES
• HCPCS Level II updates quarterly by CMS
• Regular learning avoids outdated code use
• Stay informed via CMS, code books & CE
courses
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9148711600

9.

BEST PRACTICES FOR ACCURACY
Ensure thorough
documentation
& unit accuracy
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Understand
payer-specific
rules
Conduct regular
coding audits for
compliance
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10.

HCPCS expertise = key to accurate
billing & compliance.
Join CliniLaunch to master
DMEPOS & outpatient coding.
Enroll now — build your career in
medical coding excellence.
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