Learning Outcomes

In this free course, you will learn how to:

• Describe the NDC structure, including labeler, product, and package codes used for drug identification
• Identify HCPCS drug levels and related J-Codes, Q-Codes, and CPT codes for medication administration billing
• Explain the integration of RxNorm IDs and UNII codes with NDCs to support standardized drug data mapping
• Classify ATC drug classes and distinguish their roles in therapeutic categorization and reimbursement
• Evaluate billing compliance by assessing Modifier JW and Modifier JZ usage for drug waste documentation
• Outline the ICD-10-CM T36-T50 range to code poisonings, adverse effects, and under-dosing incidents accurately
• Compare CPT codes for chemo administration, immunotherapy, and anesthesia adjuncts in procedure reporting
• Categorize adverse drug event sequencing and therapeutic use coding for correct diagnosis coding practices
• Compute dosage unit conversions between NDC package quantities and HCPCS billing units for claims accuracy
• Review MUE edits, coverage limits, and 340B indicators to prevent claim denials and ensure proper payment
• Assess compliance risks by evaluating NDC/HCPCS mismatches and expired drug usage in audit scenarios
• Illustrate NDC-HCPCS crosswalk tools to support billing, prior authorization, and reimbursement processes