General Guidelines and Conventions
This course is the starting point for coding ICD-10-CM and a great review for experienced coders. This interactive course does more than restate the general coding guidelines conventions by giving realistic examples of how the coding rules are applied in daily coding. Learn how to “live the guidelines” in this immersive course that will sharpen your code book skills and help you better understand the logic behind those long encoder pathways.
Objectives:
Lesson 1: Introduction to ICD-10-CM
- Identify the four parts of the Alphabetic Index
- Use the Alphabetic Index and Tabular List to locate codes in ICD-10-CM
- Recognize valid ICD-10-CM codes
Lesson 2: Guidelines and Official Advice
- Distinguish between provider and clinician
- Rank official coding advice in order of priority
- Identify reasons why understanding book logic is key to utilizing encoder and computer-assisted coding software
Lesson 3: Coding Conventions
- Differentiate between NEC and NOS codes
- Link conditions using the “with” convention
- Apply inclusion notes and terms and excludes notes to coding scenarios
Lesson 4: General Coding Guidelines
- Determine when to use single codes, combination codes, and multiple codes
- Sequence codes for sequelae
- Recognize conditions and other factors that can be coded based on non-provider clinician documentation
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs: COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, RCMS
Target Audience:
- Facility Inpatient Coders
- Facility Outpatient Coders
- Professional Fee Coders
- CDI Staff
- Students
Diagnostic Coding in the Inpatient Hospital Setting
This course is a must for the hospital inpatient coder! Join us for a practical journey through the inpatient coding guidelines as we explore the principal diagnosis selection, coding additional conditions, and assigning present on admission indicators. Loaded with coding scenarios demonstrating the real-time application of coding guidelines, this course is more than a cursory glance at the bible for coding advice.
Objectives:
Lesson 1: Selection of Principal Diagnosis
- Identify two key factors in the definition of principal diagnosis
- Identify the principal diagnosis when the original treatment plan is not carried out
- Determine the principal diagnosis when the patient is admitted from the outpatient setting
- Assign principal diagnosis to case scenarios
Lesson 2: Reporting Additional Diagnoses
- Recognize criteria for reporting additional diagnoses
- Define the MEAT acronym
- Determine how to code uncertain diagnoses
- Assign principal diagnosis to case scenarios
Lesson 3: Reporting Present on Admission Indicator
- Identify why the present on admission indicator is important for reimbursement
- Match POA indicators to their definitions
- Determine the POA indicator for combination codes
- Assign POA indicators to a case example
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs: COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, RCMS
Target Audience:
- Facility Inpatient Coders
- Facility Outpatient Coders
- Professional Fee Coders
- CDI Staff
- Students
Diagnostic Coding for Outpatient Services
An essential part of coding diagnoses for outpatient services is a thorough understanding of the guidelines. This course walks through different types of outpatient and office visit encounters, matching them to their coding guidelines, and helping you apply them in your daily coding. Whether you are coding for a facility as a surgical coder or for provider office visits, this is the course you need to ensure your claims are compliantly meeting medical necessity requirements.
Objectives:
Lesson 1: Reason for Visit, First-Listed Diagnosis, and Additional Diagnoses
- Recognize the healthcare settings to which Section IV guidelines apply
- Differentiate between reason for visit and first-listed diagnosis codes
- Identify codeable documentation for outpatient encounters
- Recognize when payer requirements for medical necessity conflict with coding guidelines
Lesson 2: Coding for Outpatient Surgery, Observation, and Emergency Department
- Determine when a pathology report can be used for coding purposes
- Select the first-listed diagnosis for observation services
- Determine when to code signs and symptoms in the ED setting
Lesson 3: Coding for Ancillary Services and Office Visits
- Determine the correct codes for encounters for physical examinations with and without abnormal findings
- Assign codes for diagnostic ancillary services
- Choose the correct code for orthopedic aftercare
- Code for preoperative examinations
Lesson 4: What to Code When There is No Diagnosis
- Differentiate between screening and diagnostic studies
- Code for conditions that have been ruled out
- Distinguish between aftercare and follow-up
CE Credits:
AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- Domain: Data Structure, Content, and Information Governance
AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.
- Specialty CEUs: COC, CPC, CPC-P, CANPC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC, RCMS
Target Audience:
- Facility Inpatient Coders
- Facility Outpatient Coders
- Professional Fee Coders
- CDI Staff
- Students
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