Activity

Activity ID

14691

Expires

November 4, 2027

Format Type

Enduring

CME Credit

0.25

Fee

$30

CME Provider: American Medical Association

Description of CME Course

In many health care settings, a procedure or service is reviewed by a certified professional coder or other billing specialist before being submitted as a claim to the payer. In some instances, CPT codes and/or the associated diagnosis codes need to be adjusted to match the service provided or corrected if the wrong code was selected by mistake. Some organizations require that these changes be made only by the physician or other qualified health care professional who performed the service. Thus, there exists confusion around who is permitted to make such changes.

To earn full credit for this activity, you must review all accompanying resources, which have been curated to support your learning of the subject matter.

Disclaimers

1. This activity is accredited by the American Medical Association.
2. This activity is free to AMA members.

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ABMS Member Board Approvals by Type
More Information
Commercial Support?
No

NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

1. Describe the myth or issue that impacts physicians and their care teams
2. Explain the facts that debunk the myth or issue that impacts physicians and their care teams
3. Explain who is allowed to enter or change diagnosis and procedure codes

Keywords

Guidelines, Health Care Economics, Insurance, Payment, Medical Coding

Competencies

Medical Knowledge

CME Credit Type

AMA PRA Category 1 Credit

DOI

10.1001/ama.2025.0002095

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The information provided on this page is subject to change. Please refer to the CME Provider’s website to confirm the most current information.