ICD-10-CM Coding Principles for
Third-Party Reimbursement in Indian Country

The 2015 deadline for ICD-10 compliance has passed - have you successfully transitioned? These important coding changes affect all payers, providers and vendors. Coding operations, software systems, reporting, administration and registration are all impacted. Whether you're still in the process of transitioning or have already transitioned and would like to strengthen your ICD-10 knowledge, this class will make sure you're up to speed on ICD-10 and its implementation.

Accurately collecting and coding health care data has never been more important than it is today. The ability to properly code a physician's diagnoses and procedures is critical to receiving proper reimbursement and avoiding backlogs. Proper coding is also a key component of successful data collection for the electronic health record.

In this comprehensive class, you'll learn the basics of ICD-10-CM coding and participate in hands-on coding exercises designed to reinforce each lesson and help you gain confidence in your coding.


T O P I C S   I N C L U D E
Introduction to ICD-10-CM
  • What’s new in ICD-10-CM?
  • Steps and rules to follow for coding of diagnoses
  • Basic characteristics, conventions, symbols, and principles of classification system
Supplementary Classification: V Codes
  • Appropriate use for V Codes
  • Main terms
  • Categories
Late Effects
  • Definition of late effects
  • Passage of time and residual effects
  • Coding of late effects
Signs, Symptoms and Ill-Defined Conditions
  • Categories
  • Common signs and symptoms
Infectious and Parasitic Diseases
  • Lab tests used in diagnosing and treating infectious diseases
  • Microorganisms that cause infections
  • Combining codes and multiple coding
  • Common infectious diseases
  • Late effects of infectious and parasitic diseases
  • Behavior of the neoplasm
  • Morphology codes
  • Coding and sequencing of complications
  • The involved anatomical site
  • Classification of malignant neoplasms
  • Determination of primary site
  • Coding of contiguous sites
  • Classification of secondary sites
Endocrine, Nutritional and Metabolic Diseases and Immunity Disorders
  • Diabetes:
    • Complications and manifestations
    • Acute metabolic complications
    • Late effect complications
  • Hypoglycemia
  • Thyroid disorders
  • Cystic Fibrosis
  • Metabolic disorders
Mental Disorders
  • Multiple coding of mental disorders
  • Inclusion and exclusion notes for mental disorders
  • Psychoses/neuroses
  • Dementia
  • Alcohol/drug dependence and abuse
  • Schizophrenic disorders
  • Affective disorders
  • Developmental disorders
Understanding and Coding for Other Diseases
  • Nervous system
  • Blood and blood-forming organs
  • Circulatory system
  • Respiratory system
  • Digestive system
  • Genitourinary system
  • Skin and subcutaneous tissue
  • Musculoskeletal and connective tissue
Complications of Pregnancy, Childbirth and the Puerperium
  • Ectopic pregnancy
  • Abortion
  • Pregnancy
  • Obstetrical and non-obstetrical complications
  • Other indications for care in pregnancy, labor and delivery
Congenital Anomalies and Certain Conditions Originating in the Perinatal Period
  • Congenital anomalies
  • Conditions originating in the perinatal period
  • Respiratory conditions of a fetus and newborn
  • Infections
  • V Codes
Injuries, Poisonings and Adverse Effects
  • Main terms for injuries
  • Category 948 - classifying burns according to the extent of body surface involved
  • Rule of nines in estimating the extent of body surface involved in burns
  • Assigning E codes to injuries, poisonings and adverse effects
  • Differentiating between poisoning and adverse effects
Complications of Surgical and Medical Care
  • Determining complications of surgical and medical care
  • Postoperative conditions
Overview of Reimbursement and Coding Systems
  • Correct coding procedures
  • Medicare
  • Other third-party payers
  • Future of coding systems
  • Challenges of compliance
  • Ethical coding

*Topics subject to change.

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