1 CCS Prep CTHIMA September 23, 2013 Speakers: Phyllis Hilt, MBA, RHIA Rachael D Andrea, MS, RHIA, CPHQ
2 CCS Prep Certified Coding Specialist (CCS ) The CCS credential denotes a high standard of competence in coding beyond the entry level certification. Medical coders must be very familiar with the ICD 9 CM coding system and the CPT (Current Procedural Terminology ) coding system's surgery section. Clinical coders must, in addition, be well versed in medical terminology, hospital practices, pharmacology and treatment options in order to translate the information within clinical case notes into medical codes. The CCS certification exam assesses mastery proficiency in coding rather than entry level skills.
3 Agenda 8:00-8:30 Registration 8:30-10:00 CCS Session #1 Introduction; Overview of test Domain #1: Health Information Documentation 10:00-10:15 Break 10:15-12:00 CCS Session #2 Domain #2: Diagnosis Coding, including Coding Clinic 12:00-12:45 Lunch 12:45-1:45 CCS Session #3 Domain #3: Procedure Coding 1:45-2:15 Break 2:15-3:00 CCS Session #4 Domain #4: Regulatory Guidelines and Reporting Requirements for Acute Care Service Domain #5: Regulatory Guidelines and Reporting Requirements for Outpatient Services Domain #6: Data Quality and Management 3:00-5:00 CCS Session #5 Domain #7: Information and Communication Technologies Domain #8: Privacy, Confidentiality, Legal and Ethical Issues Domain #9: Compliance
4 CCS Session #1 Introduction Overview of test Domain #1: Health Information Documentation Tasks Hands on
5 CCS Prep Introduction Please note that this workshop is designed to serve as a valuable supplement to your overall education plan for preparing for the CCS certification examination. This workshop will NOT teach you how to code. Attendees of this workshop should already have a good working knowledge of the basic coding rules of ICD-9 as how to apply them. Participation in this course does not guarantee a passing score on the examination. The exam WILL NOT BE ADMINISTERED DURING THIS WORKSHOP. We strongly encourage workshop participants to go to the AHIMA Certification website to learn more about the credential and the exam prior to attending this workshop. For this workshop, you will need to bring your ICD-9 CM and CPT 2013 coding books. The CCS exam is based on ICD-9-CM codes effective October 1, 2012, and CPT codes effective January 1, 2013 (exam will not be administered at workshop!)
6 CCS Prep Introduction Workshop Materials (Handout Information): At the workshop we will be providing handouts with study questions & scenarios/answers. We will NOT be providing handouts of the Powerpoint slides (the 3 slide per page handouts) at the workshop! Registered attendees will be sent a link to download the Powerpoints and will be able to print the 3 slides per page handout. If you wish, you may print these and bring them with you to the workshop.
7 Certified Coding Specialist (CCS) Examination Content Outline Number of Questions on Exam: 81 Multiple Choice (18 unscored/pretest) 8 Multiple Select (2 unscored/pretest 12 medical record cases Exam Time: 4 hours
8 CCS Prep Exam Overview Part 1 Pharmacology, anatomy & physiology, DRGs, legal issues & government regulations, pathophysiology. Coding conventions & guidelines; for example: which type of hernia repair can use mesh? You must read coding guidelines and practice coding exercises to gain experience prior to exam. 81 multiple choices. You don't have much time, so try to answer all questions on time. 8 multiple select. This means more than one answer to select. Part 2 12 inpatient and outpatient cases. You have around 15 minutes/case. Many have difficulty finishing this part on time. Some cases have pages. You need to read efficiently, focus and assign the codes correctly. If you don't understand the question, come back to do later if time permits. Do not spend too much time on single question. Part II can be complex and stressful. You need to remain calm and focused. Passing score is graded at 300/400 for entire exam.
9 Exam Overview Multiple Choice: One best answer item format requires the test taker to select the single best response from four (4) options. AHIMA certification exams currently utilize this format for all objective items. Multiple Select: More than one answer will be required by the test taker (example: select 2 correct answers out of 4 presented, 3 correct answers out of 5 or 4 correct answers out of 6). Candidates will be prompted within the question on how many answers are required.
10 Exam Overview Quantity Fill in the Blank (QFIB): Used for medical record cases. More than one answer will be required by the test taker. Candidates will receive the exact amount of boxes that they will need to provide diagnosis and procedure codes for.
12 Exam Scoring Multiple Choice and Multiple Select questions are worth 1 point. Fill in the Blank items are worth 1 point per correctly assigned code. For example: Multiple Choice Correct answer = 1 point, Incorrect answer = 0 points Multiple Select Correct answers = 1 point (you have to select all right answers to get the entire question correct), Incorrect answers = 0 points Fill in the Blank Correct codes = 1 point (each code that you enter will be worth 1 point), Incorrect codes = 0 points If the medical record cases requires the candidate to code eight (8) correct codes and the candidate only correctly answers six (6) codes, the candidate will have a point total of 6 for that medical record case
17 Procedures for Coding Medical Record Cases Instructions and official guidelines for coding medical records are included in the following resources: ICD 9 CM, CPT, UHDDS, Coding Clinic for ICD 9 CM and CPT Assistant. However, hospitals and other organizations may develop their own procedures in the absence of approved guidelines. To ensure consistent coding, the following procedures have been developed for use in the CCS examination. The procedures do not supersede or replace official coding advice and guidelines included in the resources identified above. These procedures are to be used only in completing the CCS examination. They will be provided to test takers as part of the examination packet. Not adhering to these procedures may result in the miscoding of an exercise, which may result in the deduction of points when the item is scored.
18 Inpatient Cases 1. Apply UHDDS definitions, ICD 9 CM instructional notations and conventions, and current approved national ICD 9 CM coding guidelines to assign correct ICD 9 CM diagnostic and procedural codes to hospital inpatient medical records. 2. Sequence the ICD 9 CM codes, listing the principal diagnosis first. 3. Code other diagnoses that coexist at the time of admission, that develop subsequently, or that affect the treatment received and/or the length of stay. These represent additional conditions that affect patient care in terms of requiring clinical evaluation, therapeutic treatment, diagnostic procedures, extended length of hospital stay, or increased nursing care and/or monitoring. A. Code diagnoses that require active intervention during hospitalization. For example: Admission for small bowel ileus and subsequent aspiration pneumonia that is treated with antibiotics and respiratory therapy. Code the ileus and aspiration pneumonia.
19 Inpatient Coding (cont.) E. Do not code status post previous surgeries or histories of conditions that have no bearing on the management of the patient. For example: Admission for pneumonia; status post hernia repair six months prior to admission. Code only the pneumonia. Previous surgeries involving transplants, internal devices, and prosthetics should be coded. F. Do not code localized conditions that have no bearing on the management of the patient. For example: Admission for hernia repair; the patient has a nevus on his leg that is not treated or evaluated. Code only the hernia and its repair. G. Do not code abnormal findings (laboratory, x ray, pathologic, and other diagnostic results) unless there is documentary evidence from the physician of their clinical significance. For example: Admission for elective joint replacement for degenerative joint disease. The laboratory report shows a serum sodium of 133; no further documentation addresses this laboratory result. Code only the degenerative joint disease and the replacement surgery. For example: Admission for elective joint replacement for degenerative joint disease. The laboratory report shows a low potassium level, and the physician documents hypokalemia. Intravenous potassium was administered by the physician for hypokalemia. Code the degenerative joint disease, the replacement surgery, and hypokalemia.
20 Inpatient Coding (cont.) B. Code diagnoses that require active management of chronic disease during hospitalization, which is defined as a patient who is continued on chronic management at time of hospitalization. For example: Admission for acute exacerbation of COPD. The patient has depression that extends the stay and for which psychiatric consultation is obtained. Code the COPD and depression. For example: Admission for acute exacerbation of COPD. Physician lists "history of depression" on face sheet, and the patient is given Desyrel. Code the COPD and depression. C. Code diagnoses of chronic systemic or generalized conditions that are not under active management when a physician documents them in the record and that may have a bearing on the management of the patient. For example: Admission for breast mass; diagnosis is carcinoma. Patient is blind and requires increased care. Code the breast carcinoma and blindness. D. Code status post previous surgeries or conditions likely to recur that may have a bearing on the management of the patient. For example: Admission for pneumonia; status post cardiac bypass surgery. Code the pneumonia and status post cardiac bypass surgery (V code).
21 Inpatient Coding (cont.) H. Do not code symptoms and signs that are characteristic of a diagnosis. For example: A patient has dyspnea due to COPD. Code only the COPD. I. Do not code condition(s) in the Social History section that has no bearing on the management of the patient. 4. Do not assign E codes, except those that identify the causative substance for an adverse effect of a drug that is correctly prescribed and properly administered and/or poisoning (E850 E949). 5. Do not assign Morphology codes (M codes). 6. Code all procedures that fall within the code range through 86.99, but do not code (Foley catheter).
22 Inpatient Coding (cont.) 7. Do not code procedures that fall within the code range through But code procedures in the following ranges: Cholangiograms and Retrogrades, urinary systems Arteriography and angiography Radiation therapy Psychiatric therapy Alcohol/drug detoxification and rehabilitation Insertion of endotracheal tube Other lavage of bronchus and trachea Mechanical ventilation ESWL Chemotherapy
23 Ambulatory Cases 1. Apply ICD 9 CM instructional notations and conventions and current approved Diagnostic Coding and Reporting Guidelines for Outpatient Services (Section IV of the official ICD 9 CM Guidelines for Coding and Reporting),to select diagnoses, conditions, problems, or other reasons for care that require ICD 9 CM coding in an ambulatory care encounter/visit either in a hospital clinic, outpatient surgical area, emergency room, physician's office, or other ambulatory care setting. 2. Sequence the ICD 9 CM code so that the first diagnosis shown in the medical record is the one chiefly responsible for the outpatient services provided during the encounter/visit. 3. Code the secondary diagnoses as follows: A. Chronic diseases that are treated on an ongoing basis may be coded and reported as many times as the patient receives treatment and care for the condition(s).
24 Ambulatory Cases (cont.) B. Code all documented conditions that coexist at the time of the encounter/visit that require or affect patient care, treatment, or management. C. Conditions previously treated and no longer existing should not be coded. 4. Do not assign E codes, except those that identify the causative substance for an adverse effect of a drug that is correctly prescribed and properly administered and/or poisoning (E850 E949). 5. Do not assign Morphology codes (M codes). 6. Do not assign ICD 9 CM procedure codes. 7. Assign CPT codes for all surgical procedures that fall in the surgery section.
25 Ambulatory Cases (cont.) 8. Assign CPT codes from the following ONLY IF indicated on the case cover sheet: a) Anesthesia section b) Medicine section c) Evaluation and management services section d) Radiology section e) Laboratory and pathology section 9. Assign CPT/HCPCS modifiers for hospital based facilities, if applicable (regardless of payer). 10. Do not assign HCPCS Level II (alphanumeric) codes.
26 Domain 1 Health Information Documentation(10%) Tasks: Interpret health record documentation Determine when additional clinical documentation is needed. Consult with physicians/health care providers to obtain further documentation. Consult reference materials. Identify patient encounter type. Identify and post charges for health care services.
27 CCS Prep Exercises for Domain 1 Hands on exercises Page 20
28 CCS Session #2 Domain II Diagnosis Coding Tasks Overview Coding Clinic Topics Stroke Adverse effect Additional topics Hands on CCS Prep Text Page 22 Health Records TBD
29 Domain II Diagnosis Coding (64%*) Tasks* (% combined w Domain III Procedure coding) Select diagnoses according to current coding/reporting requirements for inpatients. Select diagnoses according to current coding/reporting requirements for outpatients. Interpret conventions, formats, notations, tables and definitions for the encounter. Sequence diagnosis codes according to UHDDS. Apply official ICD 9 CM coding guidelines.
30 Coding Clinic Topics Stroke (Coding Clinic, First Quarter, 2010) Hemiplegia as an additional diagnosis Change in guidance: because hemiplegia is not inherent in an acute cerebrovascular accident, coders should report the hemiplegia. This is true even if the condition has resolved with or without treatment at the time of hospital discharge.
31 Coding Clinic Topics Symptom versus diagnosis Seizure in ICD 9 CM is a symptom code; a seizure disorder is a diagnosis. Providers required to differentiate whether these symptoms are current or related to the current stroke; or whether they re a late effect of a previous stroke. Unresponsive: query for the level of unresponsiveness (e.g., stupor versus coma) because it can affect the risk adjustment in MS DRGs and APR DRGs.
32 Coding Clinic Topics Cerebral edema due to stroke Is it appropriate to code vasogenic edema when the physician documents it for a patient admitted and diagnosed with intracerebral hemorrhage? It is appropriate to assign code 431 (intracerebral hemorrhage) as the principal diagnosis and code (cerebral edema) as an additional diagnosis. Documented clinical circumstances (e.g., ICU, intubation).
33 Coding Clinic Topics Hemorrhagic conversion of stroke A physician admitted a 77 year old with expressive aphasia and documented that it was due to an acute cerebral infarction. The physician ordered and documented IV tissue plasminogen activator (tpa) within 4.5 hours of onset of symptoms, as approved by the Food and Drug Administration. After the tpa, there was evidence of an asymptomatic hemorrhagic conversion of the stroke caused by the tpa, despite the fact that the physician administered the tpa as directed (i.e., it was not an accidental overdose).
34 Coding Clinic Topics Coding Clinic stated the following codes are appropriate to report for this scenario: (cerebral artery occlusion, unspecified, with cerebral infarction) as the principal diagnosis (iatrogenic cerebrovascular infarction or hemorrhage) 431 (intracerebral hemorrhage) for the cerebral hemorrhagic conversion due to the thrombolytic therapy (aphasia) E (drugs, medicinal, and biological substances causing adverse effects in therapeutic use, fibrinolysisaffecting drugs) as additional diagnosis
35 Coding Clinic Topics Patient sustained a left frontal cerebral infarction with hemorrhagic conversion. The provider documented that the patient presented with expressive aphasia due to an acute cerebral infarct and later developed hemorrhagic conversion of the infarct. When queried, the provider stated that this hemorrhagic conversion was spontaneous.
36 Coding Clinic Topics For this circumstance, code: (cerebral artery occlusion, unspecified, with cerebral infarction) and code 431 (intracerebral hemorrhage) Cause and effect relationship
37 Coding Clinic Topics Coding Clinic (Q3 2011) was asked what the correct coding for a diagnostic statement of depression and anxiety. Coding Clinic advised that the correct coding was 311 and , not 300.4, because the physician had not established a linkage between the two conditions. Coding Clinic (Q3 2011) was asked about the clinical significance of obesity or morbid obesity, when the physician does not perform any further assessment, monitoring or care for the condition. Coding Clinic indicated that these patients are at increased risk of certain medical conditions, and that they should be coded when documented by the physician.
38 Coding Clinic Topics The question of a diagnostic statement of "pneumonia with hemoptysis" was raised. Coding Clinic (Q3 2011) pointed out that hemoptysis is a Chapter 16 code, and as such should not be coded if it was integral to a disease process. In Q4 2011, Coding Clinic was asked how a diagnosis of chemotherapy induced pancytopenia was coded. The questioner was advised to code , Antineoplastic chemotherapy induced pancytopenia. Further, the questioner was told that it was unnecessary to code E933.1, Antineoplastic and immunosuppressive drugs, since it was inherent in the title of However, providers could choose to capture this information if they wished.
39 CCS Session #3 Domain III Procedure Coding Tasks Overview Hands on CCS Prep Text Page 26 Health Records TBD
40 Domain III Procedure Coding (64%*) Tasks* (% combined w Domain II Diagnosis Coding) Select procedures according to current coding/reporting requirements for inpatients. Select procedures according to current coding/reporting requirements for outpatients. Interpret conventions, formats, notations, tables and definitions that require coding. Sequence procedure codes according to UHDDS. Apply official ICD 9 CM coding guidelines. Apply the official CPT/HCPCS Level II coding guidelines.
41 CCS Session #4 Domain IV Regulatory Guidelines and Reporting Requirements for Acute Care (Inpatient) Service (5%) Domain V Regulatory Guidelines and Reporting Requirements for Outpatient Services (6%) Domain VI Data Quality and Management (4%) Tasks Overview Hands on CCS Prep Text Page 31
42 Domain IV Acute Care Regulatory Guidelines and Reporting Requirements (5%) Tasks: Select principal diagnosis, principal procedure, complications, comorbid conditions, other diagnoses and procedures according to UHDDS and Coding Clinic. Evaluate impact of codes on DRG assignment. Verify DRG assignment based on IPPS. Assign appropriate discharge disposition.
43 Domain V Outpatient Services Regulatory Guidelines and Reporting Requirements (6%) Tasks: Select reason for encounter, pertinent secondary conditions, primary procedure and other procedures according to UHDDS, CPT Assistant, Coding Clinic for ICD 9 CM and HCPCS. Apply OPPS reporting requirements: Modifiers CPT/HCPCS Level II Medical necessity. Evaluation and Management code assignment (facility reporting)
44 Domain VI Data Quality and Management (4%) Tasks: Assess quality of coded data. Educate providers regarding reimbursement methodologies, documentation and regulations. Analyze documentation for quality and completeness. Review accuracy of abstracted data elements for integrity and claims processing. Review/resolve coding edits: CCI, MCE, OCE.
45 CCS Session #5 Domain VII Information and Communication Technologies (3%) Domain VIII Privacy, Confidentiality, Legal and Ethical Issues (4%) Domain IX Compliance (4%) Tasks Overview Hands on CCS Prep Text Page 38
46 Tasks: Domain VII Information and Communication Technologies (3%) Use computer to ensure data collection, storage, analysis and reporting of information. Use common software applications in execution of work processes. Use specialized software in completion of HIM processes.
47 Domain VIII Privacy, Confidentiality, Legal and Tasks: Ethical Issues (4%) Apply policies and procedures for access and disclosure of PHI. Apply AHIMA Code of Ethics/Standards of Ethical Coding. Recognize/report privacy issues/problems. Protect data integrity and validity using software/hardware technology.
48 Domain IX Compliance (4%) Tasks: Participate in institutional coding policies to ensure compliance with official coding rules/guidelines. Evaluate accuracy/completeness of patient record as defined by organizational policy/external regs/standards. Monitor compliance with organizational wide health record documentation/coding guidelines. Recognize/report compliance concerns/findings.
49 Questions? CCS Exam with ICD 10 CM/PCS starting April 1, Expect modifications to ICD 9 CM format.
Stroke Coding Issues Presentation to: NorthEast Cerebrovascular Consortium October 30, 2008 Barry Libman, RHIA, CCS, CCS-P President, Barry Libman Inc. Stroke Coding Issues Outline Medical record documentation
Health Information Technology & 363 Health Information Technology and Cancer Information Management Opportunities in the health information field have expanded with changes in health care delivery, utilization
HIM 111 Introduction to Health Information Management 1. Demonstrate comprehension of the difference between data and information; data sources (primary and secondary), and the structure and use of health
Defining the Core Clinical Documentation Set for Coding Compliance Quality Healthcare Through Quality Information It is time to examine coding compliance policy and test it against the upcoming challenges
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
WHAT IS CODING & UNDERSTANDING THE DIFFERENCE BETWEEN CCA, CCS, CPC Julie A. Shay, RHIA HIT Program Director 352-395-5024 Julie.firstname.lastname@example.org 1 Informatics Certificate Medical Transcriptionist Certificate
Title: Coding and Documentation for Effective Date: 2/01; Rev. 6/03, 7/05 POLICY: Diagnoses and procedures will be coded utilizing the International Classification of Diseases, Ninth Revision, Clinical
Revenue Cycle: Basics and Beginnings Leigh Williams CPC, CPHIMS AHIMA Approved ICD-10-CM/PCS Trainer Director, Revenue Cycle/HIM Today s Agenda Terminology for code sets ICD Modifier RVU What about ICD-10?
July 22, 2015 It s Time to Transition to ICD-10 What do the changes mean to your SNF? Presented by: Linda S. Little, RN-BSN Clinical Consultant HMM Consulting Office: (631) 265-6289 E-Mail: email@example.com
Professional Review Guide for the CCS-P Examination 2009 Edition Patricia J. Schnering, RHIA, CCS Toni Cade, MBA, RHIA, CCS, FAHIMA Lisa Delhomme, MHA, RHIA Irene L. E. Mueller, EdD, RHIA PRG Publishing,
Board of Medical Specialty Coding ICD-9 Basics Study Guide for the Home Health ICD-9 Basic Competencies Examination Two Washingtonian Center 9737 Washingtonian Blvd., Ste. 100 Gaithersburg, MD 20878-7364
The Why and How of a CDI Program Deb Neville, RHIA, CCS-P, Elsevier/MC Strategies Donna Bonno, CPC- CPC-I, QuadraMed September 12, 2012 Objectives Understand the reasons behind a Clinical Documentation
I. SCOPE: Regulatory Compliance Policy No. COMP.RCC 4.71 Page: 1 of 12 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
I. SCOPE: Regulatory Compliance Policy No. COMP.RCC 4.70 Page: 1 of 9 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
OST 148 MEDICAL CODING, BILLING AND INSURANCE COURSE DESCRIPTION: Prerequisites: None Corequisites: None This course introduces CPT and ICD coding as they apply to medical insurance and billing. Emphasis
RARITAN VALLEY COMMUNITY COLLEGE ACADEMIC COURSE OUTLINE HITC 290 MEDICAL CODING INTERNSHIP I. Basic Course Information A. Course Number and Title: HITC-290 Medical Coding Internship B. Date of Proposal:
Basic CPT Coding, Part I Course Description The purpose of this course is to provide students with the basic principles of CPT coding and classification systems, the sequencing of codes and impact on reimbursement,
Physician queries and the use of prior information: Reevaluating the role of the CDI specialist WHITE PAPER Summary: The following white paper examines the issue of whether to use information from a prior
316 Health Information Technology and Cancer Information Health Information Technology and Cancer Information Degrees, Certificates and Awards Associate in Science Health Information Technology Associate
Monterey County I 50T02 II 50T03 HEALTH INFORMATION MANAGEMENT CODER I/II DEFINITION Under general supervision, reviews, interprets, codes and abstracts medical records information according to standard
FAQ for Coding Encounters in ICD 10 CM Topics: Encounter for Routine Health Exams Encounter for Vaccines Follow Up Encounters Coding for Injuries Encounter for Suture Removal External Cause Codes Tobacco
HOSPITAL INPATIENT AND OUTPATIENT BILLING GUIDE FOR THE NOVOSTE BETA-CATH SYSTEM INTRAVASCULAR BRACHYTHERAPY DEVICE This guide is intended solely for use as a tool to help hospital billing staff resolve
American Psychological Association D esignation Criteria for Education and Training Programs in Preparation for Prescriptive Authority Approved by APA Council of Representatives, 2009 Criterion P: Program
Welcome to the online information session for the Medical Coding Certificate Program. You may also be listening to this information session because you intend to register for Health Information Technology
Department of Veterans Affairs VHA HANDBOOK 1907.03 Veterans Health Administration Transmittal Sheet Washington, DC 20420 November 2, 2007 HEALTH INFORMATION MANAGEMENT CLINICAL CODING PROGRAM PROCEDURES
Medical Coding and Billing Specialist Course Description EDUCATIONAL OBJECTIVES American School of Technology s Medical Coding and Billing Specialist program is an academic program that prepares graduates
ICD-10-CM and ICD-10-PCS Frequently asked questions for HIM and Patient Financial Services Leaders Executive questions What is the current status of ICD-10? The U.S. Department of Health and Human Services
Health Information Management AAS Degree Program Offered at the HNL Online Campus Objective: Health Information Technology AAS degree program is designed to equip students with the skills and knowledge
Syllabus HIM 170 Physician Coding: HCPCS & CPT Credit Hours 3 lecture + 1 lab DEPARTMENT: School of Health Sciences COURSE DESCRIPTION This course is a study of the official coding rules, guidelines, and
Section I. Conventions, general coding guidelines and chapter specific guidelines The conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise
Monterey County 50T22 HEALTH INFORMATION MANAGEMENT CODING SUPERVISOR DEFINITION Under direction, supervises the work of staff who review, interpret, code and abstract medical records information according
Libman Education Inc. offers the following training and education opportunities for HIM professionals: ANATOMY & PHYSIOLOGY/MEDICAL TERMINOLOGY Anatomy & Physiology Skills Assessment Knowledge of anatomy
Section IV Diagnostic Coding and Reporting for Outpatient Services Section IV, here we come! Keep that book cracked open and let s go through Diagnostic Coding and Reporting Guidelines for Outpatient Services.
ICD-10 Coding for Audiology Mary Sue Fino-Szumski, Ph.D., M.B.A. Vanderbilt University School of Medicine Vanderbilt Bill Wilkerson Center Department of Hearing and Speech Sciences Disclosure Financial
CODING SPECIALIST CERTIFICATE PROGRAM Radcliff Administrative Office 734-462-4770 Updated 07/27/12 What does a do? A /Coder is an individual who reviews and analyzes health records to identify the diagnoses
Hospice and Palliative Medicine Maintenance of Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills
ICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014 *NOTE: The information in this document is not intended to impart legal advice. This overview is intended
ICD-10 Preparation Implementation Tools and Mitigating Financial Impact ICD-10 Preparedness Workshop Series Tuesday, April 2, 2013 John Behn, MPA Getting Started Appoint Steering Committee members Agree
Great Basin College is offering online training for Inpatient/Outpatient Medical Coding and Billing Certificate of Achievement (34 credits) Or Recognition of Achievement (28 Credits) will begin in Fall
Breaking the Code: ICD-9-CM Coding in Details ICD-9-CM diagnosis codes are 3- to 5-digit codes used to describe the clinical reason for a patient s treatment. They do not describe the service performed,
Sonoran Desert Institute School of Arts and Sciences Academy of Medical Professions 8767 E. Via De Ventura, Suite 126 Scottsdale AZ 85258-3376 Phone: (480) 314-2102 or Toll Free 1-800-336-8939 Fax: (480)
Great Basin College Professional Medical Coding and Billing Program Certificate of Achievement New semester for this Certificate will begin Fall 2015 For more information Contact: Cindy Hyslop Great Basin
Coding in Germany - The Use of ICD-10 for Diagnoses Dr. Thomas Mansky, TU Berlin Th. Mansky, HIMSS 2012 1 DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do
Policies regarding Coding for Healthcare Professionals Pretest Eligibility for enrollment in Coding for Healthcare Professionals is contingent upon successful completion of an online pretest that assesses
Neoplasms (C00-D49) March 2014 2014 MVP Health Care, Inc. CHAPTER SPECIFIC CATEGORY CODE BLOCKS C00-C14 Malignant neoplasms of lip, oral cavity and pharynx C15-C26 Malignant neoplasms of digestive organs
Dear Prospective Student: Thank you for your interest in the Coding Certificate Program. This Program is designed to provide you with the coding knowledge needed in today s healthcare environment. With
8470 N. Overfield Road Coolidge, AZ 85128 Phone: (520) 494-5444 Program Description for the Catalog: The Health Information Technology (HIT) A.A.S. degree program prepares students with the knowledge and
Rotator Cuff Repair Surgical Procedures 2011 Reimbursement and Coding Reference Guide for Physicians and Hospitals This coding reference guide is intended to illustrate the common CPT * codes, ICD-9 CM
SECTION 5 HOSPITAL SERVICES Table of Contents 1 GENERAL POLICY... 2 1-1 Clients Enrolled in a Managed Care Plan... 3 1-2 Clients NOT Enrolled in a Managed Care Plan (Fee-for-Service Clients)..................
2014 Prep Course Catalog Volume I Medical Coding Preparatory www.medicalcodingprep.com Page 1 of 17 2014 Prep Course Catalog Medical Coding Preparatory Visit: www.medicalcodingprep.com Mission: The Medical
Page 1 of 7 Central Arizona College 8470 N. Overfield Road Coolidge, AZ 85128 Phone: (520) 494-5444 Program Description for the Catalog: Effective Term: Fall Effective Year: 2013 Semester Hours: 71 The
Hospitalizations Inpatient Utilization General Hospital/Acute Care (IPU) * This measure summarizes utilization of acute inpatient care and services in the following categories: Total inpatient. Medicine.
ICD-10 Transition The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice.
Frequently Asked Questions Frequently asked questions: ICD-10 To help health care providers and payers prepare for ICD-10, Optum has prepared the following answers to frequently asked questions. ICD-10
Section 6. Medical Management Program Introduction Molina Healthcare maintains a medical management program to ensure patient safety as well as detect and prevent fraud, waste and abuse in its programs.
Academy of Medical Professions, Inc. Brunswick Business Center 18 Pleasant Street, Suite 210; Brunswick, ME 04011 www.academyofmedicalprofessions.com 1-866-516-8274. 207-721-0714. 207-449-1242 (fax) firstname.lastname@example.org
Using V Codes in LTC Developed By: 2009, The Long Term Care Consortium for HIPAA (LTCC). These materials may be reproduced and used only by long term health care providers and their health care affiliates
Contact: IBADCC PO Box 1548 Meridian, ID 83680 Ph: 208.468.8802 Fax: 208.466.7693 e-mail: email@example.com www.ibadcc.org Page 1 of 9 Twelve Core Functions The Twelve Core Functions of an alcohol/drug
Revenue Cycle Kathryn DeVault, RHIA, CCS, CCS-P AHIMA 2013 Objectives Identify responsibilities within the Revenue Cycle Focus on management of the revenue cycle process Discuss the revenue cycle process
STATEMENT 188.8.131.52 STATEMENT ON DICTATION SYSTEM IN WINDSOR Undergraduate Medical Education Approved by: Clerkship & Electives Committee Date of original approval: August, 2013 Date of last review: August,
Payer s Guide to Healthcare Diagnostic and Procedural Data Quality 2001 Edition By the Coding Policy and Strategy Committee Copyright 2001 by the American Health Information Management Association. All
Medical Billing and Coding Specialist Total Program Cost with Prerequisite Courses: $4,184 315 Total Program Hours with elective Medical Billing and Coding Specialists are responsible for translating and
Program Description The Peirce College Bachelor of Science in degree program will prepare students for employment in administrative and managerial positions in hospitals, clinics, managed care organizations,
Specific Standards of Accreditation for Residency Programs in Orthopedic Surgery 2012 EDITORIAL REVISION NOVEMBER 2013 VERSION 3.1 INTRODUCTION A university wishing to have an accredited program in Orthopedic
Education & Training Plan Medical Billing & Coding with Medical Administration Online includes National Certification and Clinical Externship MyCAA Information Course Code: TJC-MBCMA12 Program Duration:
American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues March 20-22, 2013 Introduction to Medical Coding for Payment Lawyers Robert A. Pelaia Senior University Counsel for
BREAKING THE CODE IN MEDICAL NEGLIGENCE CASES ALEXANDER B. KLEIN, III The Klein Law Firm 2000 The Lyric Centre 440 Louisiana Street Houston, Texas 77002 Telephone: (713) 650-1111 Toll Free: (800) 818-1601
A peer-to-peer online discussion community REPRINT July/August 2013 HFMA s Revenue Cycle Forum www.hfma.org/forums Understanding a Declining CMI: A Step-by-Step Analysis By Garri Garrison The first step
Coding Clinic update Conditions documented at the time of discharge, diabetes opportunities highlight important updates for CDI specialists W h i t e p a p e r Editor s note: The following article is provided
Acute Care Pediatric Nurse Practitioner Certification Exam Description of the Specialty This exam is for the pediatric nurse practitioner (PNP) who has graduated from a formal acute care PNP program with
School of Health Sciences HEALTH INFORMATION TECHNOLOGY Course: HIT 1020 - Basic Diagnosis Coding Credit Hours: 3cr hours Instructor: TBA Office Phone: Division of Allied Health (801) 957-6200 Office Hours:
Monitoring Coding Compliance Richard F. Averill, M.S. Coding compliance refers to the process of insuring that the coding of diagnoses and procedures complies with all coding rules and guidelines. Detection,
DIVISION OF HEALTH PROFESSIONS VIRGINIA BEACH CAMPUS Dear Applicant: If you enjoy the health care field, but prefer not to work in direct patient care, or you wish to use computer science or business skills
Medical Billing & Coding Catalog Course Description Effective 6/10/2011 Medical Billing & Coding Course Description Educational Objectives: American School of Technology s Medical Billing and Coding program
CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99) March 2014 2014 MVP Health Care, Inc. CHAPTER 9 CHAPTER SPECIFIC CATEGORY CODE BLOCKS I00-I02 Acute rheumatic fever I05-I09 Chronic rheumatic heart
Janice Brewer Governor Joey Ridenour Executive Director Arizona State Board of Nursing 4747 N. 7 th Street Phoenix, AZ 85014-3653 Phone (602) 771-7888 Fax (602) 771-7800 E-Mail: firstname.lastname@example.org Home
Pat Cox, CPC, CPC-H, CPMA, CPC-I, CEMC, CCS-P Professional Medical Coding Education Thank you for your interest in the upcoming Certified Professional Coder (CPC ) class. This session is a 16-week class
Coding with the CPT By: Amber M. Baylor, M.S. Before You Begin It is advised that you purchase the most up-to-date CPT code book before watching this movie Outline History of the CPT Who uses CPT Coding?
Medical Records and Health Information Technicians Overview The Field - Preparation - Specialty Areas - Day in the Life - Earnings - Employment - Career Path Forecast - Professional Organizations The Field
CODING and CODING LABORATORY Health Information Technology Program Course Number: John A. Logan College HIT 204 Shawnee Community College HIT 204 Hours of Lecture: 4 Hours of Lab: 2 Total Credits: 5 Semester/Year:
OVERVIEW 1. What is an ICD Code? The International Classification of Diseases (ICD) code set is used primarily to report medical diagnosis and inpatient procedures. ICD codes are mandated by the Centers