India

Advanced Hospital Coding and CCS Prep

This program covers advanced ICD-9 medical coding procedures and will help you meet the challenge of today's changing standards while learning and improving your coding skills.
Temecula, CA P.O. Box 760,, Temecula, CA 92593
(951) 9723600

Course at a Glance

Mode of learning : Online - Instructor Lead(LVC)

Domain / Subject : Medical/Healthcare/Pharma

Function : General

Trainer name : Ms. Dalgleish, Bunny Reeves

Duration : 80 Hours

Difficulty : Medium

Advanced Hospital Coding and CCS Prep

The Advanced Hospital Medical Coding Online Program and CCS Test Preparation Training Program will prepare you to take the American Health Information Management Association's (AHIMA) official certification exam to become a Certified Coding Specialist (CCS). This program covers advanced ICD-9 medical coding procedures and will help you meet the challenge of today's changing standards while learning and improving your coding skills.

This online certificate program is offered in partnership with major colleges, universities, and other accredited education providers.

Objectives

  • Understand how health information travels within departments of a facility
  • Be able to define the roles and responsibilities of a coder in both in- and out-patient facilities
  • Know how to interpret health-record documentation using your knowledge of anatomy, physiology, clinical disease processes, and medical terminology
  • Accurately assign codes for diagnoses, conditions, problems, or other reasons for patient encounters
  • Select codes according to Uniform Hospital Discharge Data Sets (UHDDS) definitions and official coding guidelines
  • Evaluate the effect of code selection on Diagnosis Related Group (DRG) assignment, and verify DRG assignment based on Prospective Payment System (PPS) definitions
  • Determine proper use of Modifiers, CPT vs. HCPCS Level II codes, and Medical Necessity (linking diagnosis to procedure or service)
  • Understand reimbursement methodologies and documentation rules and regulations
  • Identify the Charge Master and its components
  • Understand the CPT guidelines, with special emphasis on Evaluation and Management (E & M) and surgery coding

Requirements

This program is compatible with the Windows XP and later operating systems and IE 7 and later browsers.  It can be taken on either a Mac or a PC; however, most medical offices currently use PCs.Adobe Flash Player and Adobe Acrobat Reader are required for this program.

The following textbooks will be provided by ed2go:

  • Understanding Hospital Coding and Billing: A Worktext
  • Professional Review Guide for the CCS Certification Examination

Student must provide:

  • Current-year ICD-9-CM, Volumes 1, ,2 and 3 (any publisher)
  • Current-year Current Procedural Terminology (CPT)
  • Optional: current-year HealthCare Procedural Coding System (HCPCS)

Prerequisites

The Advanced Hospital Coding program is not an entry-level program. This program is designed specifically for students with previous coding experience or education, and for students who have completed either the ed2go Administrative Medical Specialist with Medical Billing and Coding or the Medical Billing and Coding program by itself.

Advanced Hospital Coding students should have:

  • High school diploma/GED
  • Minimum two years of experience with medical terminology, anatomy, physiology, pathology
  • ICD-9-CM coding experience
  • CPT-4 coding experience

If you intend on participating in the CCS examination, you must meet one of the following requirements:

  • Have one of the following credentials: RHIA, RHIT, or CCS/CCS-P
  • Complete a coding training program that teaches anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/ advanced ICD diagnostic/ procedural and CPT coding
  • Perform a minimum of two (2) years of related coding experience directly applying codes
  • Have another coding credential from a certifying organization plus one (1) year coding experience directly applying codes

All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace.

Module I: Introduction

  • The Hospital Revenue Cycle
  • Understanding the Patient Billing Process
  • Services Provided in the Facility Setting
  • Career Opportunities in the Hospital Setting

Module II: Hospital Coding and Billing Overview

  • ICD-9-CM Coding Guidelines
  • ICD-9-CM Procedural Guidelines
  • CPT/HCPCS Procedure Coding Guidelines
  • Review of Appropriate Coding Assignment

Module III: Hospital Billing Process

  • General Overview of the Billing Process
  • Admission/Preadmission Process
  • Insurance Carriers
  • Capturing Patient Services
  • Coding and Health Information Department
  • Billing Department
  • Collection and Payment Policies

Module IV: UB-04 Overview

  • General Overview of the Hospital Billing Form
  • Field-by-field Description of UB-04 With Code Values

Module V: Inpatient Coding

  • ICD-9-CM Diagnostic Coding Tools
  • Inpatient ICD-9-CM Diagnostic Coding
  • Additional ICD-9-CM Diagnostic Coding Guidelines
  • Special Inpatient ICD-9-CM Considerations
  • Injuries and Poisonings?

Module VI: Inpatient Billing

  • Methodologies for Inpatient Services
  • Concepts of Inpatient Prospective Payment System (IPPS)
  • Diagnosis Related Groups

Module VII: Outpatient Coding

  • Documentation Review for Key Elements
  • General ICD-9-CM Diagnostic Coding Guidelines
  • ICD-9-CM Procedure Coding
  • General Procedure Coding Guidelines (CPT/HCPCS)
  • CPT Specific Section Guidelines
  • Outpatient CPT Surgery Coding Guidelines
  • CPT Surgical Modifier Codes
  • Guidelines by all Body Systems
  • Outpatient Radiology Coding
  • HCPCS Codes

Module VIII: Outpatient Billing

  • General Concepts of the Outpatient Prospective Payment System (OPPS)
  • Ambulatory Payment Classifications (APC)
  • Outpatient Revenue Codes
  • Outpatient Code Editor
  • The Outpatient Billing Process (UB-04)

Module IX: Completion and Certification Preparation

  • AHC Program Completion Steps
  • Overview of the Certification Process
  • Introduction to the Certified Coding Specialist (CCS) Certification
  • Introduction to the American Health Information Management Association (AHIMA)
  • Skills Competency Review and Practice
  • Study Schedule for Certification Preparation

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