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ICD-10 CM/PCS Training

  • ICD-10 CM
  • ICD-10 PCS
  • GEM
  • 5010
  • DRG-I10 PCS Mapping
  • HIPAA
  • HL7, CDA

Email: Info@medesun.com

 

ICD10 Trainer

Trainer: Dr. M. Santosh Kumar Guptha
CPC, CPC-H, CPC-P, CHA, CMBS, CMRS, CHL7, CPMB
AHIMA Certified ICD-10 Trainer

Procedures That Take Out or Eliminate All or a Portion of a Body Part

• Excision—Root Operation B
• Resection—Root Operation T
• Detachment – Root Operation 6
• Destruction—Root Operation 5
• Extraction—Root Operation D

Procedures That Take Out Solids/Fluids/Gases from a Body Part

• Drainage—Root Operation 9
• Extirpation—Root Operation C
• Fragmentation—Root Operation F

Procedures Involving Cutting or Separation Only

• Division—Root Operation 8
• Release—Root Operation N

Procedures That Put In/Put Back or Move Some/All of a Body Part

• Transplantation—Root Operation Y
• Reattachment—Root Operation M
• Transfer—Root Operation X
• Reposition—Root Operation S

Procedures That Alter the Diameter/Route of a Tubular Body Part

• Restriction—Root Operation V
• Occlusion—Root Operation L
• Dilation—Root Operation 7
• Bypass—Root Operation 1
• Procedures That Always Involve a Device
• Insertion—Root Operation H
• Replacement—Root Operation R
• Supplement—Root Operation U
• Change—Root Operation 2
• Removal—Root Operation P

Implementing revised HIPAA standards and ICD-10 codes could potentially have the largest operational and technological impacts on the health care industry since Y2K.

ICD 10 CM/PCS Training

This online medical coding program will teach students how to prepare for and implement the massive changes to the existing coding system.

Objectives:

Upon successful completion of this program, students will be able to:

  • Describe major objectives that guided the development of ICD-10 PCS/CM
  • Structural changes to coding, terminology, and functionality between ICD10 and ICD9
  • GEM Files Usage
  • Understand the HIPAA 5010
  • Develop plan for addressing the impacts of ICD10 and preparing for the changes, including staff training needs.
  • Identify strategies for Implementation, including:
  • Coding/billing
  • Quality Assurance
  • Utilization Review
  • Compliance Staff
  • Information Systems
  • Outside Vendors
  • Prepare plan for Process, Policy, and Procedural re-engineering and documentation
  • Identify IT (software) upgrades required and develop plan for same.
  • Structural changes to coding, terminology and functionality in ICD-10 versus ICD-9.

*** Special Training for IT/Software Vendors

Prerequisites

Knowledge of medical terminology as well as some understanding of accounts receivable management, coding, billing, revenue cycles and reimbursement is recommended, but not required.

The intended audience for this program is anyone in the healthcare industry who needs (or wants) to know what changes are in store for ICD and the impacts to providers of care and healthcare facilities.

Version 5010 (Health Care Transactions)

The updated version of the health care transactions standard would replace Version 4010/4010A1. The new version, Version 5010, includes structural, front matter, technical, and data content improvements. Because the updated versions are more specific in requiring the data that is needed, collected, and transmitted in a transaction, their adoption would reduce ambiguities. Version 5010 also would address a variety of currently unmet business needs, including, for example, providing on institutional claims an indicator for conditions that were “present on admission.” Version 5010 would also accommodate the use of the International Classification of Diseases, Tenth Revision (ICD-10) code sets, which are not supported by Version 4010/4010A1.