Medical Coding And Billing 10 - ITU Online

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

Total Hours
1 Training Hours
Medical Coding and Billing 10
26 On-demand Videos
Closed Caption

Closed Captions

Course Topics
21  Topics
Prep Questions
44 Prep Questions
Medical Coding and Billing 10

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.

TermDefinition
Medical CodingThe process of converting healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
Medical BillingThe 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-10The 10th revision of the International Classification of Diseases, a medical classification list by the World Health Organization (WHO).
CPT CodesCurrent Procedural Terminology codes, used to describe medical, surgical, and diagnostic services and procedures.
HCPCSHealthcare Common Procedure Coding System, a set of health care procedure codes based on the American Medical Association’s CPT codes.
EHRElectronic Health Records, digital versions of patients’ paper charts.
HIPAAHealth Insurance Portability and Accountability Act, U.S. legislation that provides data privacy and security provisions for safeguarding medical information.
CMS-1500The standard paper claim form used by healthcare providers to bill Medicare carriers and medical equipment suppliers.
Co-PayA payment made by a beneficiary in addition to that made by an insurer.
DeductibleThe 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.
PayerThe entity (insurance company or government program) that pays for the healthcare services.
ProviderA healthcare individual or institution that provides medical services.
Revenue Cycle ManagementThe 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 ManagementThe process of investigating and resolving why an insurance carrier denied a claim payment.
ComplianceAdhering to regulations and standards in medical coding and billing practices.
AuditA review of billing records and coding accuracy.
ModifierA code used to indicate that a service or procedure has been altered by some specific circumstance.
Pre-authorizationA requirement that a health care provider obtain approval from a health plan to qualify for payment coverage.
Charge CaptureThe 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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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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  1. Smooth delivery and easy access to LMS. Good to see that the LMS offers progress tracking. Would be great if badges were offered on completion of courses to share via Credly to future employers.

Medical Coding and Billing 10
 

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Medical Coding and Billing 10

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