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Medical Coding And Billing Certification Bundle

The International Classification of Diseases (ICD) is the go-to system for categorizing diseases and medical diagnosis around the globe. The U.S. National Center for Health Statistics (NCHS) has taken this diagnostic tool a step further: ICD-9-CM stands as an adapted version of ICD-9 which allows physicians to assign codes based on inpatient, outpatient, or office visits.

Included In This Course

Included In This Course

Total Hours
33  Training Hours
Medical Coding And Billing Certification Bundle
187 On-demand Videos
Closed Caption

Closed Captions

Course Topics
41  Topics
Prep Questions
143 Prep Questions
Medical Coding And Billing Certification Bundle

Certificate of Completion

Course Description

The ICD is currently the most widely used statistical classification system for diseases in the world. ICD-9-CM is an adaption created by the U.S. National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9, but provides for additional morbidity detail. ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10, which consist of a diagnostics classification system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostics specificity in the United States. It also provides code titles and language that compliment accepted clinical practice in the US. The system consist of more than 68,000 diagnosis codes. This course provides the training necessary for medical administrative professionals to comply with the updated standards. The transition to ICD-10 is necessary for many reasons. Payors cannot pay claims fairly using ICD-9-CM since the classification system does not accurately reflect current technology and medical treatment. Significantly different procedures are assigned to a single ICD-9-CM procedure code. Limitations in the coding system translate directly into limitations in the diagnosis-related groups (DRG). The healthcare industry cannot accurately measure quality of care using ICD-9-CM. It is difficult to evaluate the outcome of new procedures and emerging health care conditions when there are not precise codes. Most importantly, we have a mission to improve our ability to measure health care services provided to our patients, enhance clinical decision-making, track public health issues, conduct medical research, identify fraud and abuse and design our payment systems to ensure services are appropriately paid.

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Course Outline

ICD 10 & 11 Medical Coding and Billing Course Content

Module 1: Anatomy

  •    Module 1 Workbook

  •    1.1 Introduction

  •    1.2 Human Body

  •    1.3 Skin

  •    1.4 Bones, Muscles and Joints

  •    1.5 Heart and Blood Vessels

  •    1.6 Lungs

  •    1.7 Stomach, Intestines and Colon

  •    1.8 Kidney, Bladder, Prostate and More

  •    1.9 Uterus, Ovaries and Female Parts

  •    1.10 Eye

  •    1.11 Glands

  •    1.12 Ear, Nose and Throat

  •    1.13 Blood

  •    1.14 Immune

  •    1.15 Brain and Spinal Cord

Module 2: Diagnosis Coding

  •    Module 2 Workbook

  •    2.1 Overview of ICD

  •    2.2 Outpatient Guidelines

  •    2.3 Infectious and Parasitic

  •    2.4 Neoplasms

  •    2.5 Diseases of the Blood and Blood Organs

  •    2.6 Endocrine, Nutritional and Metabolic Diseases

  •    2.7 Mental and Behaviroal Health

  •    2.8 Pregnancy, Childbirth and the Puerperium

  •    2.9 Conditions Originating in Perinatal Period

  •    2.10 Symptoms, Signs and Abnormal Clinical and Laboratory Findings

  •    2.11 Injury, Poisoning and Certain Other External Causes

  •    2.12 Diseases of the Skin and Subcutaneous Tissue

  •    2.13 External Causes of Morbidity

  •    2.14 Factors Influencing Health

  •    2.15 Circulatory System

  •    2.16 Eye

  •    2.17 Respiratory

  •    2.18 Digestive

Module 3: Procedure Coding

  •    Module 3 Workbook

  •    3.1 Evaluation and Management part 1

  •    3.1 Evaluation and Management part 2

  •    3.1 Evaluation and Management part 3

  •    3.1 Evaluation and Management part 4

  •    3.2 Anesthesia

  •    3.3 Modifiers

  •    3.4 Surgery part 1

  •    3.4 Surgery part 2

  •    3.4 Surgery part 3

  •    3.5 Radiology

  •    3.6 Pathology

  •    3.7 OB/GYN

  •    3.8 Physical Medicine part 1

  •    3.8 Physical Medicine part 2

  •    3.9 HCPCS

  •    3.10 Diving Into Coding part 1

  •    3.10 Diving Into Coding part 2

  •    3.10 Diving Into Coding part 3

  •    3.11 NCCI, MUE and GME

  •    3.12 CAT Codes

Module 4: Billing Guidelines and Practices

  •    Module 4 Workbook

  •    4.1 HIPAA, Compliance and Reimbursement part 1

  •    4.1 HIPAA, Compliance and Reimbursement part 2

  •    4.1 HIPAA, Compliance and Reimbursement part 3

  •    4.1 HIPAA, Compliance and Reimbursement part 4

  •    4.2 The Next Steps

Medical Coding and Billing ICD-9 Course Content

Lesson 3 - Medical Terminology

  •    Medical Terminology

Lesson 2 - Anatomy Physiology

  •    Anatomy

  •    Anatomic Organ Systems

Lesson 4 - Introduction to ICD-9-cm

  •    Introduction To ICD-9-Part 1

  •    Introduction To ICD-9-Part 2

  •    Introduction To ICD-9-Part 3

  •    Introduction To ICD-9-Part 4

  •    Introduction To ICD-9-Part 5

  •    Introduction To ICD-9-Part 6

  •    Introduction To ICD-9-Part 7

  •    Diagnostic Procedures

  •    Coding And Reporting Guidelines-Part 1

  •    Coding And Reporting Guidelines-Part 2

  •    Coding And Reporting Guidelines-Part 3

Lesson 5 - Application of ICD-9-cm (Ch 1-9)

  •    Application Of ICD-9-CM

  •    Caution

  •    Neoplasms

  •    Other Metabolic And Immunity Disorders Section

  •    Hypertensive Heart And Chronic Kidney Disease

Lesson 7 - Introduction to ICD-10-CM

  •    Overview Of ICD-10-CM

Lesson 1 - Introduction to CPT and HCPCS

  •    Introduction To CPT And Level II National Codes-HCPCS

  •    CMS-1500 Form

  •    Categorized By

  •    Category I Codes

  •    Format

Lesson 2 - Evaluation and Management (E/M)

  •    Evaluation And Management-Part 1

  •    Evaluation And Management-Part 2

  •    Nature Of Evaluation And Management Services

  •    Example Of HPI

  •    Review Of Systems

  •    E And M Documentation Guidelines

  •    E And M Exam-Part 1

  •    E And M Exam-Part 2

  •    Exam

  •    Medical Decision Making

  •    Number Of Diagnoses Or Treatment Options

  •    Amount And Or Complexity Of Data Reviewed

  •    Nature Of Presenting Problem

  •    E And M Documentation-Level Based On TIme

  •    Hospital E And M Codes

  •    Subsequent Visits

  •    InitialInpatient Services

  •    ProlongedServices

  •    Modifiers

Lesson 3 - Surgery, Integumentary system, Anesthesia & Modifiers

  •    Anesthesia

  •    Physical Status Modifiers

  •    Medicare Policy

  •    Surgical Guidelines

  •    58 Staged Or Related Procedure

  •    Modifier 52-Reduced Services

  •    Ancillary Modifiers

  •    Integumentary System

  •    Morphology

  •    Integumentary-Nails

  •    Integumentary-Introduction

  •    Clinical Scenario

  •    Mohs Micrographic Surgury

Lesson 4 - Musculoskeletal

  •    Musculoskeletal System

  •    Rheumatism

  •    Endoscopy And Arthroscopy

Lesson 5 - Respiratory and Cardio

  •    Respiratory System

  •    Endoscopy

  •    Mediastinum And Diaphragm

  •    Circulatory Systems

  •    Associated Diagnosis

  •    Pacemaker Or Pacing Cardioverter-Defibrillator

  •    CABG

  •    Bypass Grafts

  •    Selective Catheterization

  •    Endovascular Revascularization

  •    Coronary Therapeutic Services And Procedures

  •    Intracardiac Electrophysiological Procedures And Studies

Lesson 6 - Female Genital System, Maternity Care and General Surgery

  •    Hemic And Lymphatic Systems

  •    Female Genitourinary And Maternity Care

  •    Ultrasound

  •    Male Genitourinary

  •    Bladder

  •    Eyes

  •    Ears

  •    Digestive System Terms

  •    Digestive Procedures

  •    Endocrine And Nervous System

  •    Nervous System-Part 1

  •    Nervous System-Part 2

  •    Nervous System-Part 3

Lesson 9 - Medicine

  •    Medicine

  •    Chemotherapy

  •    Category III Codes

  •    Conclusion

Lesson 1 - Introduction to Reimbursement

  •    Intro

  •    Medicare-PartB

  •    Fraud And Abuse

Lesson 7 - Radiology

  •    Radiology

  •    Modifiers

  •    Diagnostic Ultrasound

  •    Radiation Treatment Management

Lesson 8 - Pathology

  •    Regulatory Terms

  •    Urinalysis

Lesson 6 - Application of ICD-9-cm (Ch 10-19)

  •    Diseases Of The Genitourinary System

  •    Diabetes Mellitus In Pregnancy

  •    Diseases Of Musculoskeletal SystemAnd Connective Tissue

  •    Burns

  •    Adverse Effects Poisoning And Toxic Effects

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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Your Training Instructor

Wendy Bell

Wendy Bell


Wendy Wendy is a certified coder with accreditation through AAPC. She has worded in healthcare for twenty plus years and has worked in multiple specialties such as Radiology, family practice, chiropractic, OB/ Gyn, Orthopedics and more. She has been an active member of her local AAPC chapter and served as Vice President and Member Education roles. Wendy not only educates; she continues to in the field daily as a consultant to help providers find cash flow problems and get them resolved quickly.

Personally, she lives in Naples, Maine during the summer months and Florida in the winter, giving her the best of both worlds. She has two grown daughters and a sweet granddaughter. In her free time she enjoys camping, travel and a giant Patriots fan .

Medical Coding And Billing Certification Bundle



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