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Medical Billing and Coding: Certified Coder - Inpatient Version

Course Language: English
Course Duration: 4 Days
Cost $1495.00
Deployment Options: Instructor-Led:On-Site Training

Medical Billing and Coding: Certified Coder - Inpatient Version:
With Client Site Training, courses can be scheduled on a date that is convenient for you, and because they can be scheduled at your location, you don't incur travel costs and students won't be away from home. An additional advantage is that the class is taught on your equipment, so students are learning in their work environment rather than in a classroom setup.

Client Site classes can also be tailored to meet your needs. You might shorten a 10-day class into a 5-day class, or combine portions of several related courses into a single course, or have the instructor vary the emphasis of topics depending on your staff's and site's requirements. We require a minimum of five employees and above.
 
Audience
  • Coders
  • Medicare Records/Health Information Managers/Staff
  • Case Managers
  • Quality Assurance Professionals
  • Clinical Documentation Specialists
  • Clinical Managers and Department Heads
  • Physicians, NPs, PAs and Other Clinicians
  • Compliance Officers and Auditors
  • Finance and Reimbursement Managers/Staff
  • Healthcare Consultants, CPAs and Lawyers
  • Health Plan and Insurance Company Personnel
  • Medicare Intermediary Personnel
 
Prerequisites
The course starts with coding fundamentals and does not assume that participants have any particular background or experience. However, because of the fast-paced nature of the course, it is recommended (but not required) that Certified Coder Boot Camp participants have at least one year of experience working in the healthcare industry in a billing-related, administrative or clinical position.

Also, if you do not already have a solid understanding of medical terminology, we strongly recommend that you complete a medical terminology self study course prior to the start of the course. A good self-study program is Medical Terminology for Health Professions, 4th Edition by Ann Ehrlich and Carol L. Schroeder. The ISBN number is 0-7668-1297-9. The book is available on amazon.com and may also be available from one of your local bookstores. Our students who do not have a strong background in medical terminology typically find this book extremely helpful.
 
Course Aim
Certified Coder Inpatient Version is an intensive, 5-Day medical coding course focusing on ICD-9-CM Diagnosis (Volumes 1 and 2) and Procedure (Volume 3) Coding for Inpatient Hospital (Facility) Services. The course emphasizes inpatient coding guidelines, abstracting inpatient medical records and DRG ("Diagnosis Related Grouping") assignment.
 
Learning Objectives:
Its intended to be much more than an exam prep class. Although we work hard to help our course participants become credentialed, the objective of the course is to provide a solid foundation in coding principles and to teach the course participants how to use the coding manuals properly. However, as a part of the course our instructors also review suggested strategies for preparing for and taking the CPC exam.
Topics Covered
Introduction
· The Role of the Professional Coder in Inpatient Facility Reporting
· Introduction to ICD-9-CM as an Inpatient Facility Reporting System
· ICD-9-CM Coding Resources for Inpatient Facility Reporting
· The Role of Encoders in Inpatient Facility Reporting
· Exercises/Case Studies

Using the ICD-9-CM Manual Effectively
· Symbols/Typographic Conventions
· Include Notes, Exclude Notes and Example Conditions
· Sequencing Directives
· Using the Diagnosis and Procedure Indices Effectively
· Exercises/Case Studies

DRG Assignment
· The DRG Definitions
· Selecting the "Principal Diagnosis"
· Role of Procedures in DRG Assignment
· Complications/Comorbidities and CC Exclusions
· Impact of Patient Age and Sex
· Exercises/Case Studies

Fundamental Diagnosis Coding Rules for Inpatient Reporting
· Rule Out versus Ruled Out
· Acute and Chronic Conditions
· Impending/Threatened Conditions
· Signs/Symptoms
· Combination Codes
· Exercises/Case Studies

Fundamental Procedure Coding Rules for Inpatient Reporting
· Principal Procedure
· What is a Significant Procedure?
· Operative Approaches and Closures
· Cancelled Procedures
· Incomplete Procedures
· Eponyms
· Exercises/Case Studies

Infectious and Parasitic Diseases
· Overview of Disease Processes
· Specific Coding Guidelines
o HIV/AIDS
o Septicemia and Septic Shock
· DRG Assignment Issues
· Exercises/Case Studies

Neoplasms
· Overview of Disease Processes
· Specific Coding Guidelines
o Type and Behavior
o Sequencing
o Chemotherapy and Radiation
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Endocrine, Metabolic and Nutritional Disorders
· Overview of Disease Processes
· Specific Coding Guidelines
o Diabetes and Diabetic Manifestations/Complications
o Hyponatremia/Hypokalemia
o Obesity
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Blood and Blood Forming Organs
· Overview of Disease Processes · Specific Coding Guidelines
o Anemia
o Coagulation Defects
· DRG Assignment Issues
· Exercises/Case Studies

Mental Disorders
· Overview of Disease Processes
· Specific Coding Guidelines
o Organic Psychoses and Non-Organic Psychoses
o Alcohol/Drug Abuse and Dependence
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Nervous System and Sensory Organs
· Overview of Disease Processes
· Specific Coding Guidelines
o Epilepsy
o Cataracts
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Circulatory System
· Overview of Disease Processes
· Specific Coding Guidelines
o Hypertension
o Hypertensive Heart and Renal Disease
o Myocardial Infarctions
o Cerebrovascular Accidents and Transient Ischemic Attacks (CVA/ TIA’s)
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Respiratory System
· Overview of Disease Processes
· Specific Coding Guidelines
o Pneumonia
o Chronic Obstructive Pulmonary Disease (COPD)
o Respiratory Failure
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Digestive System
· Overview of Disease Processes
· Specific Coding Guidelines
o Gastrointestinal Hemorrhages
o Hernias
o Cholelithiasis/Cholecystitis
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Genitourinary System
· Overview of Disease Processes
· Specific Coding Guidelines
o Acute and Chronic Renal Failure
o Inflammatory Diseases of the Female Pelvic Organs
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Complications of Pregnancy, Childbirth and the Puerperium
· Specific Coding Guidelines
o Normal Deliveries
o Outcomes of Deliveries
o Fetal/Maternal Complications
o Abortions
· Relevant Procedures
· DRG Assignment
· Exercises/Case Studies

Diseases of the Skin and Subcutaneous Tissue
· Overview of Disease Processes
· Specific Coding Guidelines
o Cellulitis
o Dermatitis
· DRG Assignment Issues
· Exercises/Case Studies

Diseases of the Musculoskeletal and Connective Tissue
· Overview of Disease Processes
· Specific Coding Guidelines
o Arthopathies
o Spinal Stenosis/Degenerative Disc Disease
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Congenital Anomalies/ Perinatal Conditions
· Specific Coding Guidelines
o Newborn Codes (V30-V39)
· DRG Assignment Issues
· Exercises/Case Studies

Injuries and Burns
· Overview of Disease Processes
· Specific Coding Guidelines
o Fractures
o Burns
· Relevant Procedures
· DRG Assignment Issues
· Exercises/Case Studies

Adverse Effects and Poisonings
· Differentiating Between Adverse Effect and Poisoning Cases
· Sequencing Issues
· DRG Assignment Issues
· Exercises/Case Studies

Codes and E Codes
· V Codes as an Appropriate Principal Diagnosis
· Use of E Codes
· DRG Assignment Issues
· Exercises/Case Studies


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