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Medical Coding and Billing 10
ICD-10-CM is an advanced version of the diagnostic system developed by the World Health Organization, ICD-10. It has been modified to better suit U.S. healthcare standards with meticulous detail for morbidity classification and diagnostics specificity.
Included In This Course
Included In This Course
1 Hr 9 Min
26 On-demand Videos
Closed Captions
21 Topics
44 Prep Questions
Certificate of Completion
Course Description
About Medical Billing and Medical Coders
ICD-10-CM is a detailed diagnostic and morbidity classification system, developed by the World Health Organization, specifically tailored to meet the requirements of American health care. This system goes beyond its predecessor ICD-10 with an increased level of detail that provides greater diagnostics specificity necessary for proper medical coding in our nation.
Not only does the system provide procedural terminology, titles and language that accurately reflect current medical services in America, but it also consists of 68,000 diagnosis codes. Therefore, this training course is crucial for medical coders and administrators to comply with revised standards. Moreover, transitioning to ICD-10 is essential for many reasons – one being its widespread acceptance within the US healthcare industry. Due to its outdatedness, ICD-9-CM does not permit for equitable claims payments. With the same code assigned to significantly different procedures and limited coding options, DRGs cannot be accurately determined either. As a result, it is impossible for healthcare professionals to assess quality of care using this classification system.
Accurately assessing the efficacy of new treatments and medical conditions is difficult when there are not exact coding methods. Our primary focus should be to bolster our capacity for gauging healthcare services delivered to those in need, supporting clinical judgement, documenting public health developments, studying medicine and its effects on people’s lives, recognizing fraudulence or misuse of funds; all while restructuring payment systems so that costs remain reasonable.
About our Course for coding specialists
When you’re ready to start your journey in the medical coding and billing profession, deciding which training program best suits your needs is essential. That’s why ITU’s online training program is the ideal option for those looking for comprehensive training on demand.
As a Medical Coder, you can work in almost any medical setting imaginable – clinics, hospitals, doctor’s offices and beyond.
Key Term Knowledge Base: Key Terms Related to Medical Coding and Billing
Understanding key terms in medical coding and billing is essential for professionals in this field to ensure accurate and efficient healthcare administration.
| Term | Definition |
|---|---|
| Medical Coding | The process of converting healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. |
| Medical Billing | The process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. |
| ICD-10 | The 10th revision of the International Classification of Diseases, a medical classification list by the World Health Organization (WHO). |
| CPT Codes | Current Procedural Terminology codes, used to describe medical, surgical, and diagnostic services and procedures. |
| HCPCS | Healthcare Common Procedure Coding System, a set of health care procedure codes based on the American Medical Association’s CPT codes. |
| EHR | Electronic Health Records, digital versions of patients’ paper charts. |
| HIPAA | Health Insurance Portability and Accountability Act, U.S. legislation that provides data privacy and security provisions for safeguarding medical information. |
| CMS-1500 | The standard paper claim form used by healthcare providers to bill Medicare carriers and medical equipment suppliers. |
| Co-Pay | A payment made by a beneficiary in addition to that made by an insurer. |
| Deductible | The amount paid out of pocket by the policyholder before an insurance provider will pay any expenses. |
| Explanation of Benefits (EOB) | A statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. |
| Payer | The entity (insurance company or government program) that pays for the healthcare services. |
| Provider | A healthcare individual or institution that provides medical services. |
| Revenue Cycle Management | The financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. |
| Denial Management | The process of investigating and resolving why an insurance carrier denied a claim payment. |
| Compliance | Adhering to regulations and standards in medical coding and billing practices. |
| Audit | A review of billing records and coding accuracy. |
| Modifier | A code used to indicate that a service or procedure has been altered by some specific circumstance. |
| Pre-authorization | A requirement that a health care provider obtain approval from a health plan to qualify for payment coverage. |
| Charge Capture | The process of collecting all services, procedures, and supplies provided during patient care. |
These key terms are fundamental for anyone involved in or studying medical coding and billing, ensuring accurate healthcare administration and compliance with industry standards.
Frequently Asked Questions About Medical Coding and Billing 10
What is the Medical Coding and Billing 10 course?
The Medical Coding and Billing 10 course is an advanced training program that deals with ICD-10-CM, a diagnostic and morbidity classification system developed by the World Health Organization and tailored to meet the requirements of American health care. The course provides greater diagnostic specificity necessary for proper medical coding in the United States and is crucial for medical coders and administrators to comply with revised standards.
What is the difference between a medical biller and a medical coder?
Medical coders translate patient care into current procedural terminology (CPT) codes. Their primary responsibility is to ensure that the medical services provided are accurately coded. On the other hand, medical billers are responsible for creating a claim based on the codes a medical coder provides. Both roles are essential in the healthcare industry.
What are the requirements for a career in medical billing and coding?
Entry-level positions typically require the completion of a certificate or an associate degree program in medical billing and coding. This course provides the training necessary to meet these requirements and prepares you for a career in the medical billing and coding profession.
How can I access the Medical Coding and Billing 10 course?
You can get access to this training and over 2,500 hours of on-demand content with ITU Online’s All Access Monthly Subscription. You can start with a 7-day free trial with no obligation and can cancel anytime.
Is a career in medical billing and coding a good choice?
Yes, a career in medical billing and coding is considered a good choice. U.S. News and World Report ranked medical records technician (professionals that perform medical billing, medical coding or both) as #9 on its list of “25 Best Jobs that Don’t Require a College Degree,” #12 in “Best Health Care Support Jobs” and on the “The 100 Best Jobs” list.
Why should I choose the Medical Coding and Billing 10 course?
The course provides an advanced understanding of the ICD-10-CM system, which is widely accepted within the US healthcare industry. The training is crucial for professionals to comply with revised standards and for healthcare services to be accurately assessed and documented. Moreover, it’s an essential step for transitioning to ICD-10, a requirement for many due to the outdatedness of ICD-9-CM, which does not permit for equitable claims payments.
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Upon completion of your training, you’ll receive a personalized certificate of completion to help validate to others your new skills.
Course Outline
Medical Coding and Billing ICD 10 Course Content
Module 1: Certain Infectious and Parasitic Diseases
Intro
Certain Infectious And Parasitic Diseases
Module 2: Neoplasm
Neoplasm
Module 3: Diseases of the Blood and Blood Forming Organs
Diseases Of The Blood And Blood Forming Organs
Module 4: Endocrine, Nutritional and Metabolic Diseases
Endocrine Nutritional And Metabolic Diseases
Module 5: Mental Disorders
Mental Disorders
Module 6: Diseases of the Nervous System
Disesases Of The Nervous System
Module 7: Diseases of the Eye and Adnexa
Diseases Of The Eye And Adnexa
Module 8: Diseases of the Ear and Mastoid Process
Diseases Of The Ear And Mastoid
Module 9: Diseases of the Circulatory System
Diseases Of The Circulatory System
Module 10: Diseases of the Respiratory System
Diseases Of The Respiratory System
Module 11: Diseases of the Digestive System
Diseases Of The Digestive System
Specific Coding Exercises
Module 12: Diseases of the Skin and Subcutaneous Tissue
Diseases Of The Skin And Subcutaneous Tissue
Module 13: Diseases of the Musculoskeletal System and Connective Tissue
Diseases Of The Musculoskeletal System And Connective Tissue
Module 14: Diseases of the Genitourinary System
Diseases Of The Genitourinary System
Module 15: Pregnancy, Childbirth, and the Puerperium
Pregnancy Childbirth And The Puerperium
Module 16: Newborn (Perinatal) Guidelines
Newborn Perinatal Guidelines
Module 17: Congenital Malformations, Deformations and Chromosomal Abnormalities
Congenital Malformations Deformations And Chromosomal Abnormalities
Module 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
Symptoms Signs And Abnormal Clinical And Laboratory Findings
Module 19: Injury, Poisoning and Certain Other Consequences of the External Causes
Injury Poisoning And Certain Other Consequences Of The External Causes
Specific Coding Questions
Module 20: External Causes of Morbidity
External Causes Of Morbidity
Module 21: Factors Influencing Health Status
Factors Influencing Health Status
Case Study 1 And 2
Outro
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Medical Coding and Billing 10
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