Medical Coding

Provides an introduction to hospital diagnosis coding concepts, nomenclature, and ICD-10-CM classification systems. It includes discussion of inpatient reimbursement systems including prospective payment, managed care, and other third-party payers. An introduction to basic current hospital diagnosis coding systems principles in assigning valid diagnostic codes is presented. Official Inpatient Coding Guidelines developed by the American Hospital Association are utilized for accurate coding assignment of diagnoses.

Provides an introduction to current hospital procedure coding systems principles in assigning valid ICD-10-PCS procedure codes, expanding on and further applying concepts learned in Introduction to Hospital Diagnosis Coding. Official Inpatient Coding Guidelines developed by the American Hospital Association are utilized for accurate selection of principal diagnosis and procedure and determining other diagnoses or procedures that will be coded.

Provides more complex cases using medical record reports. Students must read and interpret data utilizing prior learned skills. The 3M computerized encoding and grouping system will be employed to provide experience in utilizing technology to select codes and to calculate DRG payments for prospective payment systems. The student will expand on and apply the principles of reimbursement and coding derived from Introduction to Hospital Diagnosis Coding and Introduction to Hospital Procedure Coding at an advanced level. The student will use the AHA Official Inpatient Coding Guidelines to accurately identify and sequence the principal diagnosis and procedure. Coding discussions will include determining which diagnoses or procedures should be included as secondary.

Presents hospital ambulatory coding using CPT coding systems for procedures and ICD-10-CM coding system for diagnoses. Ambulatory reimbursement and payment systems are presented including prospective payment system and regulatory compliance issues. The course will include an introduction to ambulatory coding and applying the principles to medical record documentation. The 3M computerized encoding and grouping system will be employed to provide experience in utilizing technology to select codes and to calculate payments for prospective payment systems.