LearnKey Training

Medical Coding
Medical Coding


Medical Coding

2 Sessions –
210 Hours of Interactive Training
Our Medical Coding course prepares students for both the international coding standard, International Classification of Disease (ICD-9), as well as the U.S. developed system, Current Procedural Terminology (CPT). In addition to developing the professional skills necessary for accurate medical coding, this course will help the student prepare to sit for the American Health Information Management Association’s (AHIMA) Certified Coding Associate (CCA) exam. The companion CertBlaster for this class contains in excess of 300 practice questions for the CCA exam. With more than 200 hours of interactive study, this class requires no other prerequisite than a GED level educational background and either a familiarity with medical terminology, or the successful completion of our Medical Terminology course.

Benefits

  • Learn both the international and the U.S. coding systems.
  • Learn to properly record all aspects of a doctor-patient relationship.
  • Develop the professional skills for accurate medical coding.

    • About The Author
    This training program was produced by LearnKey and content partner DTI. DTI maintains relationships with an impressive list of publishers with content covering a wide variety of subject matter areas. DTI also has relationships with a host of subject matter experts who are distinguished authors, trainers, consultants and educators.

    Session 1

    Section A: Foundations of Medical Coding Systems
    · Objective
    · Introduction
    · An Overview to the Health Care Profession
    · A Historical Perspective
    · The Advent of Bio-medical Systems
    · Inflation in "Specialized Clinics"
    · Technology and the Patient Care
    · An Attempt at Systematization
    · Beneficiaries of the System
    · Universal Involvement of Computers
    · Recent Evolution of Coding – The Early Years
    · Evolution of Coding – The Last Two Decades

    Section B: Defining the Codes
    · Objective
    · Defining the Codes
    · Type of Codes
    · Level I and Level II Codes
    · Level III Code
    · Comparing Components of HCPCS Coding System
    · How Different Code Systems Relate to One Another
    · What is ICD Coding?
    · Where is ICD Coding Used?
    · What is CPT?
    · What is HCPCS?
    · Where is HCPCS Coding Used?
    · Levels of Code
    · Coding Manual Sections
    · Examples of Modifiers
    · How is HCPCS Used?
    · Codes Which Are Currently in Use
    · Use of Software for Coding
    · Controls Related to Payments
    · Editorial Notations
    · Examples of Coding Information

    Section C: The Professional Coder
    · Objective
    · What Does the Coder Do?
    · Typical Background of Coders
    · Medical Coding Certification Programs
    · American Health Information Management Association
    · The Coder's Responsibility
    · Get it Right the First Time
    · Ethical Standards for Coding
    · Understand What You Code
    · The Physician's Responsibility
    · Medical Necessity

    Section D: International Classification of Diseases
    · Objective
    · International Classification of Diseases (ICD)
    · One-Step Coding System
    · Alphanumeric Coding System
    · Easy Coder
    · Primary vs. Principal Diagnoses
    · Principal vs. Secondary Procedures
    · Scenario
    · Commonly Used Symbols
    · Zero and Underline
    · Key Word Search
    · Anatomical Site Search
    · Menus Sign (#) and Bold
    · Menus Sign (#) and Bold – Further Explained
    · Multiple Coding Conventions
    · Code Reminder Box and E-Codes
    · Avoiding Common Errors
    · Mastering V-Codes
    · Some Examples
    · How Volume 3 (ICD) is Different

    Section E: General Coding Guidelines
    · Objective
    · General Coding Guidelines
    · The Two-Volume System
    · The Coding Levels
    · "Unspecified" Codes
    · Directions for "Unspecified" Codes
    · Combination Codes
    · Directions for Combination Codes
    · Multiple Coding of Diagnoses
    · Simple Coding Rules
    · Important Exception
    · Late Effect or "The Sequel"
    · Late Effects of Cerebrovascular Disease
    · Uncertain Diagnoses
    · Impending or Threatened Condition
    · Selection of Principal Diagnosis
    · Special Cases
    · Outpatient and Physician Office Coding

    Section F: Evolution of the Current Procedural Terminology
    · Objective
    · Evolution of the Current Procedural Terminology
    · The Types of Service and the Number Series
    · The Variables that Affect Payment
    · A Practical Scenario
    · Importance of Correct Coding

    Section G: CPT Coding Book Guidelines
    · Objective
    · CPT Coding Book Guidelines
    · How the Book is Organized
    · The Numeric Sequence
    · Understanding the Categories

    Section H: Category II, III and Appendices
    · Objective
    · Category II, III and Appendices
    · Category II Codes
    · Category III Codes
    · The Appendices

    Section I: Mastering the Modifiers, Sections and Symbols
    · Objective
    · Mastering the Modifiers, Sections and Symbols
    · CPT Level I Modifiers
    · HCPCS – Level II Modifiers
    · CPT Book Structure
    · CPT Symbols
    · Procedures
    · The Unlisted Procedures

    Section J: Evaluation and Management Codes (E/M) · Objective
    · Introduction
    · Coding Procedure
    · Key Components
    · Factor Analysis
    · Working Examples
    · Time Component
    · Role
    · Putting it All Together
    · Summary

    Section K: E/M Descriptors
    · Objective
    · Understanding the Descriptors
    · Office Call
    · Hospital Inpatient Services
    · Subsequent Hospital Care
    · Hospital Discharge Day Management
    · Consultations – Codes 99241 – 99275
    · Four Categories of Consulting Service
    · Nursing Facility Care
    · Subsequent Nursing Facility Care
    · Domiciliary Services - Codes 99321 to 99323
    · E/M Codes Summary

    Section L: Coding and the Law
    · Objective
    · Introduction
    · The Kennedy-Kassebaum Act
    · The Current Penalties
    · An Overview
    · What Went Wrong?
    · What Should a Coder Do?

     



    Medical Coding continued

    · Health Insurance Portability and Accountability Act (HIPPA) – Private Information Security
    · HIPPA Act Explained
    · Basics of HIPPA for Physicians
    · The Act from a Physician's View
    · Understanding Title II
    · Rules and Regulations Covered in the Act
    · Security Rules and Regulations
    · HIPAA History and Enactment HIPAA
    · An Overview
    · Administrative Section
    · Its History and Enactment
    · The K-2 Act
    · HIPAA Transaction Standards
    · Standard Code Sets
    · Privacy Standards
    · The Rule
    · Entities Covered
    · Implementing the Standards
    · Benefits of HIPAA
    · Hands-on Coding Labs


    Session 2

    Section A: Introduction
    · Objective
    · Pri
    · Providers Hospital
    · Applied Coding

    Section B: Reports
    · Objective
    · Reports
    · Introduction Text
    · Rationale
    · Case in Point

    Section C: Superbills
    · Objective
    · Superbills
    · Emergency Room
    · IMS
    · Coding Labs
    · Orthopedic Superbill
    · Instructions for This Set of Coding Labs
    · Pediatric Superbill
    · Instructions for This Set of Coding Labs
    · Supplies

    Section D: Coding by Specialty
    · Objective
    · Evaluation and Management
    · Evaluation and Management Labs
    · Anesthesia
    · The CPT Codebook
    · Importance of the Codebooks
    · Coding By Specialty
    · Anesthesia
    · Basic Steps for Specialty Coding
    · An Example
    · Integumentary System
    · Musculoskeletal System
    · Respiratory System
    · Cardiovascular System
    · Digestive System
    · Urinary System
    · Male/Female Genital Systems and Maternity
    · Endocrine System
    · Nervous System
    · Eyes, Ocular Adnexa
    · Auditory System
    · Radiology
    · CPT Code
    · Pathology and Laboratory

    Section E: Medicine Coding
    · Objective
    · MedAnim
    · Introduction
    · Medicine Codes vs. E/M Codes
    · Appendix
    · CMS Responsibilities
    · What are Program Instructions?
    · HIPAA – An Overview
    · CMS Policy