What is your level of coding experience?

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1 The TrustHCS Academy is dedicated to growing new coders to enter the field of medical records coding while also increasing the ICD-10 skills of seasoned coding professionals. A unique combination of on-line coding educational content and resources for student placement empowers the graduates of TrustHCS Academy. Determine the TrustHCS Academy courses that are best for you and your staff. What is your level of coding experience? No Experience Clinical Background Experienced ICD-9 Outpatient Coder Experienced ICD-9 Inpatient Coder New ICD-9 Coder Graduate Programs for: ICD-9 Outpatient and Inpatient Coding ICD-9 Training Program & Nonexperienced Student Courses $3, Months ICD-9 Training Program $2,700 3 Months ICD-9 Outpatient to Inpatient Training Program $2, Months Programs for: ICD-10-CM or ICD-10-PCS Coding ICD-10 New Student Program $3,850 4 Months ICD-10 New Student Program $3,850 4 Months ICD-10 Advanced Training $2, Months ICD-10 Advanced Training $2, Months ICD-10 Fast Track $830 1 Month Learn more regarding the content covered within each course on the following pages. 1

2 TrustHCS Academy Courses ICD-9 Training Program... 3 ICD-9 Training Program: Additional Non-experienced Student Courses... 5 ICD-9 Outpatient to Inpatient Training Program... 7 ICD-10 New Student Program: ICD-10 New Student Program: ICD-10 Fast Track

3 ICD-9 Training Program 463 Hours Program Orientation (1 hour) 1. Identify the elements, expectations, and requirements of the program. 2. Navigate the program using the pages, menus, and buttons provided. 3. Use the program tools, including the study planner, grade book, and completion report. 4. Contact Career Step using communication tools, including phone, , forums, chat rooms, and social media. 5. Identify program-specific resources, including the 3M encoder. Students will also be able to order their coding books with an understanding of the yearly coding update schedule. Evolution of Coding in the Healthcare Environment (15 hours) 1. Describe the evolution of the ICD-9-CM, CPT and HCPCS code sets and the upcoming changes to the ICD-9-CM code set. 2. Describe the history and uses of specialty coding resources, including Mental Disorders and Oncology. 3. Identify the responsibilities of a medical coder, as well as the job opportunities for coders and related certification and salary information. Medical Record Content (20 hours) 1. Identify types of medical records and the information found in each record, as well as describe the role medical records take in coding and billing. 2. Effectively search for and categorize information in medical records. 3. Identify common query format requirements and implement the steps in the query and query response processes. Diagnostic Coding with ICD-9-CM Block 1 (48 hours) 1. Navigate the ICD-9-CM code book and find official and additional coding conventions. 2. Find and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Neoplasms, and the Hypertension Table. 3. Identify the ICD-9-CM general coding guidelines. 4. Implement the chapter-specific coding guidelines for chapters 1-10 of the ICD-9-CM code book. Diagnostic Coding with ICD-9-CM Block 2 (48 hours) 1. Find and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Drugs and Chemicals, and the Alphabetic Index of External Causes. 2. Implement the chapter-specific coding guidelines for chapters of the ICD-9-CM code book. 3. Accurately assign POA indicators to ICD-9-CM diagnosis codes reported in the inpatient setting. 4. Accurately construct and assign procedure codes by using the Alphabetic Index of Procedures and the Tabular List of Procedures. 3

4 Medical Procedural Coding Block 1 (50 hours) 1. Navigate the CPT code book and identify the uses of the conventions, index, numeric section, and appendices. 2. Recognize modifiers that can be appended to CPT procedure codes, as well as identify when their use is appropriate. 3. Calculate and assign CPT Evaluation and Management codes. Medical Procedural Coding Block 2 (50 hours) 1. Identify the meaning and purposes of procedural code audits and how to apply them. 2. Apply the guidelines for the six main sections of the CPT. 3. Assign codes from each of the six main sections of the CPT. 4. Identify the uses of CPT Category II and Category III codes. 5. Navigate the HCPCS Level II code book and apply its contents, including the conventions, index, tabular list, levels of use, Table of Drugs and Biologicals, and appendices. Exploring Healthcare Reimbursement (25 hours) 1. Recognize how coding for physicians differs from coding other healthcare entities. 2. Identify the fundamental elements of the billing process, including the collection of patient demographic information, the use of charge masters and fee schedules, and the assignment of revenue codes. 3. Follow the proper steps to create, submit, and collect claims for medical services, as well as appeal denied claims. 4. Completely and accurately fill out both the UB-04 and CMS 1500 claim forms. 5. Calculate charges and bill for reimbursement of medical services. 6. Identify the process for auditing claims, as well as the differences between internal, external, proactive, and reactive audits. 7. Recognize Diagnostic Related Groups (DRGs), identify the factors that influence their assignment, and identify the purpose and proper use of Relative Weight. Skill Building for Outpatient Coding (100 hours) At the conclusion of this module, the learner will be able to assign ICD-9-CM diagnosis codes, ICD-9-CM Procedure Codes, CPT Procedure Codes, and HCPCS procedure codes to a variety of outpatient coding scenarios including coding for both physician and facility settings. Skill Building for Inpatient Coding (105 hours) 1. Assign ICD-9-CM diagnosis codes, ICD-9-CM Procedure Codes, POA Indicators, and DRGs to a variety of inpatient coding scenarios. 2. Use encoding software to assign ICD-9-CM Diagnosis and Procedure Codes and to determine appropriate DRGs. 4

5 Final Exam Overview and Preparation (1 hour) 1. Identify the steps they need to take to be eligible for and effectively prepare for and access their final exam. 2. Identify the format, restrictions, and policies of final exams, including scoring, retakes, allowed resources, and time limits. ICD-9 Training Program: Additional Non-experienced Student Courses 206 Hours Technology and the Medical Professional (25 hours) 1. Identify basic computer hardware and interpret system requirements. 2. Navigate a Windows operating system environment, as well as install and operate basic software utilities. 3. Use a web browser to navigate between websites in multiple tabs or windows, send and receive , and access search engines to find information and troubleshoot basic computer problems. 4. Recognize basic technologies related to a medical office environment. Learning and Mastering Medical Terminology Block 1 (16 hours) 1. Use print and digital resources to ensure proper medical word usage. 2. Identify and combine parts of speech, word roots, prefixes, and suffixes. 3. Identify, define, and use common medical word suffixes. 4. Identify, define, and use common medical word prefixes. Documentation, Confidentiality, and Ethics (18 hours) 1. Identify basic types of medical records, including work types, components, formatting, and documentation standards. 2. Define HIPAA compliance and other related regulations, as well as the role of healthcare documentation workers in preserving patient confidentiality and managing risk. Learning and Mastering Medical Terminology Block 2 (16 hours) Learning and Mastering Medical Terminology Block 1 is reviewed. At the conclusion of this module, the learner will be able to: 1. Identify and interpret medical root words 2. Define them when used in context with prefixes, suffixes, and combining forms Learning and Mastering Medical Terminology Block 3 (16 hours) 1. Pluralize common medical words. 2. Define common medical slang, jargon, and foreign terms. 3. Distinguish between common similar medical words and word parts. 4. Recognize common medical abbreviations and their meanings. 5

6 Healthcare Structure and Organization (25 hours) 1. Identify the involvement of everyone in the healthcare system, including: consumers, providers, government and regulatory agencies, third-party payers, vendors, and trade associations. 2. Identify and describe patient rights and responsibilities. 3. Identify the responsibilities of healthcare-related government agencies. 4. Identify third-party payers, as well as appropriately use the associated terminology in a healthcare documentation context. Anatomy, Pathophysiology, and Disease Processes Block 1 (37 hours) 1. Identify and classify basic disease terms, symptoms, diagnoses, and treatments. 2. Identify and describe the basic structure, organization, and functions of human body systems. 3. Identify, define, and accurately spell basic anatomical terms related to the basic structure and function 4. Use the Merck Manual to obtain information regarding the cause, diagnosis, and treatment of diagnoses in each body system. Exploring Pharmacology (16 hours) 1. Distinguish between different categories of drugs and their basic actions and effects. 2. Distinguish between different topical, enteral, and parenteral administration routes. 3. Use legitimate resources to find drug definitions, dosages, pronunciations, and other related information. 4. Properly interpret medications, dosages, and instructions for medication administration. Anatomy, Pathophysiology, and Disease Processes Block 2 (37 hours) 1. Identify and classify basic disease terms, symptoms, diagnoses, and treatments. 2. Identify and describe the basic structure, organization, and functions of human body systems. 3. Identify, define, and accurately spell basic anatomical terms related to the basic structure and function of human body systems. 4. Use the Merck Manual to obtain information regarding the cause, diagnosis, and treatment of diagnoses in each body system. 6

7 ICD-9 Outpatient to Inpatient Training Program 370 hours Program Orientation (1 hour) 1. Identify the elements, expectations, and requirements of the program. 2. Navigate the program using the pages, menus, and buttons provided. 3. Use the program tools, including the study planner, grade book, and completion Report. 4. Contact Career Step using communication tools, including phone, , forums, chat rooms, and social media. 5. Identify program-specific resources, including the 3M encoder. Students will also be able to order their coding books with an understanding of the yearly coding update schedule. Learning and Mastering Medical Terminology Block 2 (16 hours) Learning and Mastering Medical Terminology Block 1 is reviewed. At the conclusion of this module, the learner will be able to: 1. Identify and interpret medical root words 2. Define them when used in context with prefixes, suffixes, and combining forms Learning and Mastering Medical Terminology Block 3 (16 hours) 1. Pluralize common medical words. 2. Define common medical slang, jargon, and foreign terms. 3. Distinguish between common similar medical words and word parts. 4. Recognize common medical abbreviations and their meanings. Anatomy, Pathophysiology, and Disease Processes Block 1 (37 hours) 1. Identify and classify basic disease terms, symptoms, diagnoses, and treatments. 2. Identify and describe the basic structure, organization, and functions of human body systems. 3. Identify, define, and accurately spell basic anatomical terms related to the basic structure and function 4. Use the Merck Manual to obtain information regarding the cause, diagnosis, and treatment of diagnoses in each body system. Exploring Pharmacology (16 hours) 1. Distinguish between different categories of drugs and their basic actions and effects. 2. Distinguish between different topical, enteral, and parenteral administration routes. 3. Use legitimate resources to find drug definitions, dosages, pronunciations, and other related information. 4. Properly interpret medications, dosages, and instructions for medication administration. 7

8 Anatomy, Pathophysiology, and Disease Processes Block 2 (37 hours) 1. Identify and classify basic disease terms, symptoms, diagnoses, and treatments. 2. Identify and describe the basic structure, organization, and functions of human body systems. 3. Identify, define, and accurately spell basic anatomical terms related to the basic structure and function of human body systems. 4. Use the Merck Manual to obtain information regarding the cause, diagnosis, and treatment of diagnoses in each body system. Medical Record Content (20 hours) 1. Identify types of medical records and the information found in each record, as well as describe the role medical records take in coding and billing. 2. Effectively search for and categorize information in medical records. 3. Identify common query format requirements and implement the steps in the query and query response processes. Diagnostic Coding with ICD-9-CM Block 1 (48 hours) 1. Navigate the ICD-9-CM code book and find official and additional coding conventions. 2. Find and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Neoplasms, and the Hypertension Table. 3. Identify the ICD-9-CM general coding guidelines. 4. Implement the chapter-specific coding guidelines for chapters 1-10 of the ICD-9-CM code book. Diagnostic Coding with ICD-9-CM Block 2 (48 hours) 1. Find and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Drugs and Chemicals, and the Alphabetic Index of External Causes. 2. Implement the chapter-specific coding guidelines for chapters of the ICD-9-CM code book. 3. Accurately assign POA indicators to ICD-9-CM diagnosis codes reported in the inpatient setting. 4. Accurately construct and assign procedure codes by using the Alphabetic Index of Procedures and the Tabular List of Procedures. Exploring Healthcare Reimbursement (25 hours) 1. Recognize how coding for physicians differs from coding other healthcare entities. 2. Identify the fundamental elements of the billing process, including the collection of patient demographic information, the use of charge masters and fee schedules, and the assignment of revenue codes. 3. Follow the proper steps to create, submit, and collect claims for medical services, as well as appeal denied claims. 4. Completely and accurately fill out both the UB-04 and CMS 1500 claim forms. 5. Calculate charges and bill for reimbursement of medical services. 6. Identify the process for auditing claims, as well as the differences between internal, external, proactive, and reactive audits. 7. Recognize Diagnostic Related Groups (DRGs), identify the factors that influence their assignment, and identify the purpose and proper use of Relative Weight. 8

9 Skill Building for Inpatient Coding (105 hours) 1. Assign ICD-9-CM diagnosis codes, ICD-9-CM Procedure Codes, POA Indicators, and DRGs to a variety of inpatient coding scenarios. 2. Use encoding software to assign ICD-9-CM Diagnosis and Procedure Codes and to determine appropriate DRGs. Final Exam Overview and Preparation (1 hour) 1. Identify the steps they need to take to be eligible for and effectively prepare for and access their final exam. 2. Identify the format, restrictions, and policies of final exams, including scoring, retakes, allowed resources, and time limits. 9

10 ICD-10 New Student Program: 565 hours Program Orientation (1 hour) 1. Identify the elements, expectations, and requirements of the program. 2. Navigate the program using the pages, menus, and buttons provided. 3. Use the program tools, including the study planner, grade book, and completion Report. Learners will also be able to contact Career Step using communication tools, including phone, , forums, chat rooms, and social media. 4. Identify program-specific resources, including the 3M encoder. Learners will also be able to order their coding books with an understanding of the yearly coding update schedule. Computer Fundamentals (5 hours) 1. Identify basic computer hardware and interpret system requirements. 2. Navigate a Windows operating system environment, as well as install and operate basic software utilities. 3. Use a web browser to navigate between websites in multiple tabs or windows, send and receive , and access search engines to find information, and troubleshoot basic computer problems. 4. Recognize basic technologies related to an office environment. Legal and Compliance (45 hours) 1. Explain the legislative and regulatory processes in the United States. 2. Describe the laws and regulations pertaining to health information. 3. Define Health Insurance Portability and Accountability Act (HIPAA). 4. Adhere to privacy and security policies. 5. Identify the components of the Code of Ethics and Standards of Ethical Coding. Health Information Management (45 hours) 1. Identify data sources by describing types of medical records and the information found in each record. 2. Describe the role medical records take in coding and billing. 3. Describe the structure and use of health information. 4. Identify record data collection tools. 5. Discuss health care data sets. 6. Discuss appropriate health record documentation. 7. Describe data quality and integrity. 8. Discuss health information systems, including specialty coding systems. 9. Describe the archival, retrieval, and imaging systems used in health information. 10. Identify data retrieval, maintenance, security and integrity processes. 11. Discuss the evolution of the electronic health record (EHR) and the personal health record (PHR). 10

11 Healthcare Delivery Systems (13 hours) 1. Explain the main structure and organization of healthcare services in the United States. 2. Differentiate between the various healthcare settings. 3. Differentiate between healthcare providers. 4. Identify the structure of hospitals in the United States. 5. Explain the purpose of healthcare licensure, certification and accreditation in healthcare facilities. 6. Differentiate between healthcare registries and their purpose. 7. Identify the various stakeholders throughout the healthcare delivery system. 8. Describe current trends in healthcare delivery. Reimbursement Methodologies (45 hours) 1. Define commercial, managed care, and federal insurance plans. 2. Identify various compliance strategies and reporting. 3. Define and list payment methodologies and systems (such as capitation, prospective payment systems, RBRVS, MS-DRGs). 4. Describe the billing processes and procedures (such as claims, EOB, ABN, electronic data interchange). 5. Explain chargemaster maintenance. 6. Describe regulatory guidelines. 7. Discuss reimbursement monitoring and reporting. Medical Terminology (45 hours) 1. Spell, define, and pronounce medical terms. 2. Engage in supplemental CD tools to enhance learning. 3. Discuss concepts of building medical words using root/suffix/prefix. 4. Define common medical terms of major disease processes. 5. Identify common diagnostic procedures. 6. Discuss common laboratory tests. 7. Define common abbreviations. 8. Discuss common drugs and treatment modalities in body systems. Pathophysiology (45 hours) 1. Identify common disease processes by human body system. 2. Discuss common disease causes. 3. Define common disease diagnoses, symptoms and treatments for disease processes. 4. Identify common symptoms of disease processes important for coders. 11

12 Anatomy and Physiology (45 hours) 1. Identify and describe the basic structure, organization, and functions of human body systems. 2. Identify anatomical structures of the body using anatomical orientation tools such as labels and assessment. 3. Discuss different online lookup tools such as Adam. 4. Utilize anatomical plate work to enhance learning experience. Pharmacology (25 hours) 1. Define drug actions (absorption, distribution, metabolism, and excretion). 2. Identify various drug classifications. 3. Discuss the most commonly prescribed drugs. 4. Review drug formulary. 5. Match drugs to common conditions and laboratory findings. Introduction to Coding (20 hours) 1. Discuss use of official coding guidelines. 2. Define the difference between the inpatient and outpatient coding guidelines. 3. Discuss coding compliance strategies including the physician query process. 4. Identify auditing methods. 5. Identify the principles and application of coding systems (International Classification of Diseases ICD-9-CM and ICD-10-CM). 6. Discuss automated coding software systems (CAC, encoders). 7. Describe natural language processing. 8. Compare classifications, nomenclatures, terminologies, and clinical vocabularies (SNOMED-CT, ICD-O, CPT, DSM-IV). 9. Describe the relationship between the Systematized Nomenclature of Medicine (SNOMED) and the electronic health record. 10. Apply ethical coding to practice cases. 11. Discuss severity of illness systems, including MS-DRGs. 12. Describe coding quality monitors. 12

13 ICD-10 Coding (45 hours) 1. Describe the use of official coding guidelines and reporting requirements. 2. Define the background of ICD-10-CM and ICD-10-PCS. 3. Define and apply the General ICD-10-CM and ICD-10-PCS conventions and guidelines. 4. Define the Uniform Hospital Discharge Data Set (UHDDS). 5. Practice basic coding process steps. 6. Define and apply the ICD-10-CM Chapter specific coding guidelines to all 21 chapters in ICD-10- CM. 7. Define and apply the root operation guidelines in ICD-10-PCS. 8. Discuss the Present on Admission Indicator (POA). 9. Define the ICD-10-PCS definitions and apply to coding common procedure codes. 10. Practice coding ICD-10-CM/PCS codes in many practice exercises. 11. Navigate the ICD-10-CM and ICD-10-PCS code books. 12. Locate and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Neoplasms, the Table of Drugs and Chemicals and the Index to External causes. 13. Locate and accurately construct procedure codes using the Alphabetic Index and Tables in the ICD-10-PCS classification. CPT/HCPCS Coding Block 1 (45 hours) 1. Navigate the CPT code book and identify the uses of the conventions, index, numeric section, and appendices. 2. Recognize modifiers that can be appended to CPT procedure codes, as well as identify when their use is appropriate. 3. Calculate and assign CPT Evaluation and Management codes. CPT/HCPCS Coding Block 2 (45 hours) 1. Identify the meaning and purposes of procedural code audits and how to apply them. 2. Apply the guidelines for the six main sections of the CPT. 3. Assign codes from each of the six main sections of the CPT. 4. Identify the uses of CPT Category II and Category III codes. 5. Navigate the HCPCS Level II code book and apply its contents, including the conventions, index, tabular list, levels of use, Table of Drugs and Biologicals, and appendices. 6. Describe the use of coding guidelines and reporting requirements. 7. Practice case studies and more complex code assignments using CPT and HCPCS Level II codes. 8. Review examples of RBRVS, APCs, ASCs and E/M services. Advanced ICD-10 Coding (50 hours) 1. Assign ICD-10-CM diagnosis codes and ICD-10-PCS Procedure Codes to a variety of coding scenarios including coding for multiple scenarios. 2. Apply official coding guidelines and reporting requirements for many coding scenarios. 3. Practice assigning ICD-10-CM/PCS codes to many case studies using more complex code assignments to gain in proficiency. 13

14 Coding Practicum (45 hours) 1. Apply knowledge of coding to a variety of authentic coding scenarios to build speed and accuracy. 2. Demonstrate hands on encoder use. 3. Assign diagnostic groupings. 4. Practice the use of official coding guidelines and reporting requirements. 5. Practice case mix analysis. 6. Apply codes to many types of records including inpatient, outpatient, physician, emergency room, long term care and home health. Final Exam Overview and Preparation (1 hour) 1. Identify the steps they need to take to be eligible for and effectively prepare for and access their final exam. 2. Identify the format, restriction, and policies of final exams, including scoring, retakes, allowed 14

15 ICD-10 New Student Program: 412 hours Program Orientation (1 hour) 1. Identify the elements, expectations, and requirements of the program. 2. Navigate the program using the pages, menus, and buttons provided. 3. Use the program tools, including the study planner, grade book, and completion Report. Learners will also be able to contact Career Step using communication tools, including phone, , forums, chat rooms, and social media. 4. Identify program-specific resources, including the 3M encoder. Learners will also be able to order their coding books with an understanding of the yearly coding update schedule. Medical Terminology (45 hours) 1. Spell, define, and pronounce medical terms. 2. Engage in supplemental CD tools to enhance learning. 3. Discuss concepts of building medical words using root/suffix/prefix. 4. Define common medical terms of major disease processes. 5. Identify common diagnostic procedures. 6. Discuss common laboratory tests. 7. Define common abbreviations. 8. Discuss common drugs and treatment modalities in body systems. Pathophysiology (45 hours) 1. Identify common disease processes by human body system. 2. Discuss common disease causes. 3. Define common disease diagnoses, symptoms and treatments for disease processes. 4. Identify common symptoms of disease processes important for coders. Anatomy and Physiology (45 hours) 1. Identify and describe the basic structure, organization, and functions of human body systems. 2. Identify anatomical structures of the body using anatomical orientation tools such as labels and assessment. 3. Discuss different online lookup tools such as Adam. 4. Utilize anatomical plate work to enhance learning experience. Pharmacology (25 hours) 1. Define drug actions (absorption, distribution, metabolism, and excretion). 2. Identify various drug classifications. 3. Discuss the most commonly prescribed drugs. 4. Review drug formulary. 5. Match drugs to common conditions and laboratory findings. 15

16 Introduction to Coding (20 hours) 1. Discuss use of official coding guidelines. 2. Define the difference between the inpatient and outpatient coding guidelines. 3. Discuss coding compliance strategies including the physician query process. 4. Identify auditing methods. 5. Identify the principles and application of coding systems (International Classification of Diseases ICD-9-CM and ICD-10-CM). 6. Discuss automated coding software systems (CAC, encoders). 7. Describe natural language processing. 8. Compare classifications, nomenclatures, terminologies, and clinical vocabularies (SNOMED-CT, ICD-O, CPT, DSM-IV). 9. Describe the relationship between the Systematized Nomenclature of Medicine (SNOMED) and the electronic health record. 10. Apply ethical coding to practice cases. 11. Discuss severity of illness systems, including MS-DRGs. 12. Describe coding quality monitors. ICD-10 Coding (45 hours) 1. Describe the use of official coding guidelines and reporting requirements. 2. Define the background of ICD-10-CM and ICD-10-PCS. 3. Define and apply the General ICD-10-CM and ICD-10-PCS conventions and guidelines. 4. Define the Uniform Hospital Discharge Data Set (UHDDS). 5. Practice basic coding process steps. 6. Define and apply the ICD-10-CM Chapter specific coding guidelines to all 21 chapters in ICD-10- CM. 7. Define and apply the root operation guidelines in ICD-10-PCS. 8. Discuss the Present on Admission Indicator (POA). 9. Define the ICD-10-PCS definitions and apply to coding common procedure codes. 10. Practice coding ICD-10-CM/PCS codes in many practice exercises. 11. Navigate the ICD-10-CM and ICD-10-PCS code books. 12. Locate and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Neoplasms, the Table of Drugs and Chemicals and the Index to External causes. 13. Locate and accurately construct procedure codes using the Alphabetic Index and Tables in the ICD-10-PCS classification. CPT/HCPCS Coding Block 1 (45 hours) 1. Navigate the CPT code book and identify the uses of the conventions, index, numeric section, and appendices. 2. Recognize modifiers that can be appended to CPT procedure codes, as well as identify when their use is appropriate. 3. Calculate and assign CPT Evaluation and Management codes. 16

17 CPT/HCPCS Coding Block 2 (45 hours) 1. Identify the meaning and purposes of procedural code audits and how to apply them. 2. Apply the guidelines for the six main sections of the CPT. 3. Assign codes from each of the six main sections of the CPT. 4. Identify the uses of CPT Category II and Category III codes. 5. Navigate the HCPCS Level II code book and apply its contents, including the conventions, index, tabular list, levels of use, Table of Drugs and Biologicals, and appendices. 6. Describe the use of coding guidelines and reporting requirements. 7. Practice case studies and more complex code assignments using CPT and HCPCS Level II codes. 8. Review examples of RBRVS, APCs, ASCs and E/M services. Advanced ICD-10 Coding (50 hours) 1. Assign ICD-10-CM diagnosis codes and ICD-10-PCS Procedure Codes to a variety of coding scenarios including coding for multiple scenarios. 2. Apply official coding guidelines and reporting requirements for many coding scenarios. 3. Practice assigning ICD-10-CM/PCS codes to many case studies using more complex code assignments to gain in proficiency. Coding Practicum (45 hours) 1. Apply knowledge of coding to a variety of authentic coding scenarios to build speed and accuracy. 2. Demonstrate hands on encoder use. 3. Assign diagnostic groupings. 4. Practice the use of official coding guidelines and reporting requirements. 5. Practice case mix analysis. 6. Apply codes to many types of records including inpatient, outpatient, physician, emergency room, long term care and home health. Final Exam Overview and Preparation (1 hour) 1. Identify the steps they need to take to be eligible for and effectively prepare for and access their final exam. 2. Identify the format, restriction, and policies of final exams, including scoring, retakes, allowed 17

18 ICD-10 Fast Track 135 Hours Advanced Anatomy and Physiology (45 Hours) 1. Identify the anatomic structures of the human body as needed to assign correct and complete diagnosis and procedure codes. 2. Identify anatomic structures associated with body systems, disease processes, and procedures including new terms for ICD-10-CM and ICD-10-PCS. 3. Contrast and compare traditionally studied human body systems and the body system values for ICD-10-PCS. 4. Define and recall body parts for ICD-10-PCS. Advanced Pathophysiology (45 Hours) 1. Discuss pathophysiology by body system. 2. Identify specific pathophysiology conditions that have a different focus in ICD-10-CM coding, including diabetes mellitus, Glasgow coma scale and seizure and epilepsy coding. 3. Compare and contrast various disease processes. 4. Identify important conditions related to adult and pediatric coding. ICD-10 Coding (45 Hours) 1. Describe the use of official coding guidelines and reporting requirements. 2. Define the background of ICD-10-CM and ICD-10-PCS. 3. Define and apply the General ICD-10-CM and ICD-10-PCS conventions and guidelines. 4. Define the Uniform Hospital Discharge Data Set (UHDDS). 5. Practice basic coding process steps. 6. Define and apply the ICD-10-CM Chapter specific coding guidelines to all 21 chapters in ICD-10- CM. 7. Define and apply the root operation guidelines in ICD-10-PCS. 8. Discuss the Present on Admission Indicator (POA). 9. Define the ICD-10-PCS definitions and apply to coding common procedure codes. 10. Practice coding ICD-10-CM/PCS codes in many practice exercises. 11. Navigate the ICD-10-CM and ICD-10-PCS code books. 12. Locate and accurately construct diagnosis codes using the Alphabetic Index to Diseases, the Tabular List, the Table of Neoplasms, the Table of Drugs and Chemicals and the Index to External causes. 13. Locate and accurately construct procedure codes using the Alphabetic Index and Tables in the ICD-10-PCS classification. 18

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