Medical Coding and Billing Training

ICD-10 Medesun Healthcare Solutions, an ISO Certified Company offering ICD-10 Training. First training program that provides complete knowledge required for the ICD-10 Implementation.
Training is approved for 6 CUEs by PMBA (Professional Medical Billers Association) and AMBA (American Medical Billing Association).
Training is focused on ICD-10 Code Set training and HIPAA 5010.
1. ICD-10-CM
2. ICD-10-PCS
3. HIPAA 5010
4. GEMs
5. HL7 Version 2.6
6. Hundreds of questions and answers with rationales.
It is a comprehensive, instructor-facilitated course which includes complete code set training. Course is accessible until December 31, 2013 and includes all updates through that period. This is a self-paced training, so you can finish training at your own pace without having to lose your work hours or pay. Course prepares the students to pass any ICD-10 coding certification as it is comprehensive and includes updates. The course is affordable for students. Medesun Healthcare Solutions’ mission is to make ICD-10 Implementation easy and make it fail-proof transition. Key to successful transition is early preparation.
The comprehensive ICD-10 with HIPAA 5010 is currently $699 as one-time payment. There are also interest-free payment plans available, including one that will let you get started with just $199 down payment.
To help unemployed coders and billers, Medesun is offering a special price of just $99 down payment. The entire course is online, so students make their own study schedules and finish training at their own pace. ICD10 training
Remember change is a process, and not an event. So it requires adequate preparation over a period of time. Start your training now to become a successful ICD-10 professional.

With an astute foresight of challenges and impact of ICD-10 transition, ICD-10 Coders Academy was started by a group of enterprising ICD-10 experts to enable companies and individuals to face challenges brought on by ICD-10 implementation and prepare them for smooth and seamless transition from ICD-9 to ICD-10.

Poised to be the best resource for information on ICD-10 implementation, ICD-10 Coders Academy’s team of doctors, certified coders and billers, and software professionals along with the advisory board is committed to playing a key role in creating awareness about ICD-10 implementation. Our advisory board, comprising of experienced and knowledgeable professionals from healthcare and healthcare IT industry, is one of the best resources for successful implementation of ICD-10.

Our vision is to make ICD-10 Coders Academy, the best organization in the field of ICD-10 implementation and enable all stakeholders to get a qualitative edge in implementation of ICD-10.

ICD10 Coders Academy offering three types of certification

1. ICD-10 Analyst for the novice coders and billers
2. ICD-10 Consultant Professional for the Certified Coders and Billers
3. ICD-10 Consultant Technical for the software programmers, EMR trainers and consultants

For a limited period, ICD-10 coders academy is offering standard membership at no cost. Visit http://www.icd10codersacademy.com and become member.

Members can access the ICD-10 forum and knowledge base. For limited period of time, members also can access ICD-10 Mapper.

ICD-10 Coders Academy has developed a comprehensive ICD-10 coding tool, ICD-10 MadeEasy for the physician and hospital coding.
ICD10 Certification
ICD10 training

ICD-10 Coders Academy, an ISO 9001:2008 Certified Organization has launched the ICD-10 Auto PCS Coder for fail-proof ICD-10 Implementation. It is now offering the PCS tool SDK (software development kit) free of cost for the hospitals.

ICD-10 codes must be used on all HIPAA transactions including outpatient claims with dates of service and inpatient claims with dates of discharge on and after October 1, 2013. Failure to do so can result in your claims and other transactions being rejected, and you will need to resubmit them with the ICD-10 codes.
ICD-10-PCS is replacement for the ICD-9-CM.

ICD-10-PCS coding is little tricky, as the ICD-10-PCS coders should have strong Anatomy and Physiology knowledge and understanding of various clinical and surgical procedures.

ICD-10-PCS codes are 7 digits, providing tremendous amounts of specificity. It uses seven characters, alpha or numeric, excluding the letters I and O to avoid confusion. Each of the seven characters of an ICD-10-PCS code has a standard meaning within each section, but may have a different meaning across sections.

Auto ICD-10-PCS Coder is an excellent tool for the hospital coders and billers to learn ICD-10-PCS Coding, features of which include auto generation of PCS code and prompts for the root operation and approaches.

Working Members of ICD-10 Coders Academy can access this tool at no additional cost. Please visit http://www.icd10codersacademy.com for Auto ICD-10-PCS demo. ICD-10 Training and free membership.
ICD10 Certification
ICD10 training

. How to do EM coding perfectly?
E/M coding is the process by which physician-patient encounters are assigned five digit CPT codes for the purpose of billing medical claim. CPT (current procedural terminology) codes are the numeric codes which are submitted to insurers for payment. Every billable procedure has its own individual CPT code.
For accurate & error free E/M coding, read the medical record with full attention towards the following.
• Establish first the place of service. Since it defines the correct category from where we have to use the code e.g. Office, Inpatient, Observation etc.
• Check for the age of the patient (required for critical care coding)
• Decide the sub category for E/M coding whether the patient is new or established.
• Check the number of key components required for coding in the sub category selected.
• If codes are not based on key components check for contributory factors like counseling (time spent), Coordination of care (time spent), nature of presenting problem, or time (critical care face to face time).
2. How to indentify new patient versus established patient?
According to CPT a new patient is one who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice, within the past three years.
An established patient is one who has received professional services from the physician, or another physician of the same specialty who belongs to the same group practice within the past three years.

Group practice means a group of providers in a facility or clinic operating under the same tax ID.
3. E/M coding HPI calculation
For decision regarding the level of history component, individual elements (location, duration, severity, quality, timing, context, modifying factors & associated signs & symptoms) for history of present illness are to be counted accurately.
• If only three elements of history are present in the history then it is considered as brief history.
• History with more than three elements is considered as Extended HPI

4. Importance of ROS in E/M coding
ROS is an inventory of body systems done by physician during the process of recording the HPI. It helps define the problem, differential diagnosis, or identify needed testing etc. Importance of ROS can’t be ignored since it is also one factor which decides the level of history. It is not necessarily done by the physician. It can be recorded by other staff of physician’s office or by patient themselves on ROS questionnaire. However, the physician must review the information and comment on pertinent findings in the body of the note.

Note: The above information is for study purpose, the author doesn’t guarantee the validity and authentication of the subject, please refer to CPT Coding Guidelines
CPT is the registered Trademark of the American Medical Association.

info@medesun.com

Author: Dr Yaseen, MD, CPC

Faculty Medical Coding

http://www.medicalcodingexperts.com

BURNS  ICD CODING  :- [940-949]

BURNS:- A burn is a type of  injury that may be caused by heat, cold, electricity, chemicals, light, radiation or friction. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. Muscle, bone, blood vessel, dermal and epidermal tissue can all be damaged with subsequent pain due to profound injury to nerves. Depending on the location affected and the degree of severity. The specific code assignment will depend

on the site and depth of the burn.

 CODING GUIDELINES FOR BURNS: –   Skin is made up of 3 layers.

 1^st Epidermis [outer most layer] – 1^st degree burn.

 2^nd Dermis [leather and thick layer] – 2^nd degree burn.

 3^rd Subcutaneous [fat/ full thickness] – 3^rd degree burn,

Here all layers of skin burn.

 First code the highest degree burn that is 3rd degree burn, then 2^nd degree burn precedence over 1^st degree burn.

 EXTENT OF BURN:-

 Code 948 classifies burns according to the extent of body surface involved.

 4^th digit indicates the total % of the body surface.

 5^th digit indicates % of 3^rd degree burns.

 Category 948 can be assigned as primary diagnosis when the site is mentioned, if the site is not mentioned, assign as secondary diagnosis.

 If the location is not mentioned, code the extent of the burn 948 series, if the location is mentioned code degree of burn and extent.

 Example:-

◦948.3 1      4^th digit   30°- 39°   The total body burn area

                    5^th digit 10°- 19°  The third degree burn.

 948.6 6    4^th digit 60°- 69°  The total body burn area.

                 5^th digit 60°-69°   The third degree burn.

 BURNS EXAMPLES:-

 1.  2^nd degree burn on the toes

 Code: 945.21

 2.  3^rd degree burn of the lower leg

 Code: 945.34

 3.  Sun burn of the face

 Code: 692.71

 1^st degree burn face and eyes

 Code: 941.12

 1^st degree burn 9%, 2^nd degree burn 18%m 3^rd degree burn 36%

 Code: 948.63 [extent codes only because it’s not mentioning any site of the organ]

 2^nd degree burn 30% and 3^rd degree burn 10%

 Code: 948.41

 3^rd degree burn of the thigh with 18%

 Code:       945.36   [3^rd degree burn of the thigh]

 948.11    [extent code]

 1^st degree burn foot 10%, 2^nd degree burn knee 10%, 3^rd degree burn wrist 10%

 Code:       944.37 [3^rd degree burn wrist]

                 945.25 [2^nd degree burn knee]

                 945.12 [1^st degree burn foot]

 Extent Code: 948.31

 3^rd degree burn of the leg and 2^nd degree burn of the forearm.

 Code: 945.30 [3rd degree burn leg]

943.21 [2nd degree burn forearm]

 There is no extent code because the percentage of the burn is not mentioned.

 10. Patient presented to the Emergency Department [ED] with the 3^rd degree burn palm 5%, 2^nd degree burn face 5%, and 1st degree burn foot 10%. Patient is also complaint of dehydration. Patient has allergy to penicillin.

 Code:       944.35 [3^rd degree burn palm]

                 941.20 [2^nd degree burn face]

                 945.12 [1^st degree burn foot]

 Extent Code: 948.20

 Dehydration ICD Coding:  276.51

 Allergy to penicillin: V14.0

 11.3^rd degree burn elbow 9%, 2^nd degree burn ankle 6%, 2^nd degree burn face 3%, 3^rd degree burn knee 6%, 2^nd degree burn on multiple side of the lower limb [leg] with loss of body[sever burn] due to 3^rd degree burn.

 Code: 943.32 [3^rd degree burn elbow]

                 945.23 [2^nd degree burn ankle]

                 941.20 [2^nd degree burn face]

                 945.35 [3^rd degree burn knee]

                 945.29 [2^nd degree burn lower limb-leg]

 Extent Code: 948.21

 Loss of body: 945.50

 http://www.medicalcodingexperts.com

Medical Coding of Burns

BURNS:- A burn is a type of  injury that may be caused by heat, cold, electricity, chemicals, light, radiation or friction. Burns can be highly variable in terms of the tissue affected, the severity, and resultant complications. Muscle, bone, blood vessel, dermal and epidermal tissue can all be damaged with subsequent pain due to profound injury to nerves. Depending on the location affected and the degree of severity. The specific code assignment will depend

on the site and depth of the burn.

 CODING GUIDELINES FOR BURNS: –   Skin is made up of 3 layers.

 1^st Epidermis [outer most layer] – 1^st degree burn.

 2^nd Dermis [leather and thick layer] – 2^nd degree burn.

 3^rd Subcutaneous [fat/ full thickness] – 3^rd degree burn,

Here all layers of skin burn.

 First code the highest degree burn that is 3rd degree burn, then 2^nd degree burn precedence over 1^st degree burn.

medical billing training

EXTENT OF BURN:-

 Code 948 classifies burns according to the extent of body surface involved.

 4^th digit indicates the total % of the body surface.

 5^th digit indicates % of 3^rd degree burns.

 Category 948 can be assigned as primary diagnosis when the site is mentioned, if the site is not mentioned, assign as secondary diagnosis.

If the location is not mentioned, code the extent of the burn 948 series, if the location is mentioned code degree of burn and extent.

Example:-

948.3 1            4^th digit   30°- 39°   The total body burn area

                         5^th digit 10°- 19°  The third degree burn.

 948.6 6           4^th digit 60°- 69°  The total body burn area.

                        5^th digit 60°-69°   The third degree burn.

 BURNS EXAMPLES:-

 2^nd degree burn on the toes

 Code: 945.21

 3^rd degree burn of the lower leg

 Code: 945.34

 Sun burn of the face

 Code: 692.71

 1^st degree burn face and eyes

 Code: 941.12

 1^st degree burn 9%, 2^nd degree burn 18%m 3^rd degree burn 36%

 Code: 948.63 [extent codes only because it’s not mentioning any site of the organ]

 2^nd degree burn 30% and 3^rd degree burn 10%

 Code: 948.41

 3^rd degree burn of the thigh with 18%

 Code:             945.36   [3^rd degree burn of the thigh]

 948.11          [extent code]

 1^st degree burn foot 10%, 2^nd degree burn knee 10%, 3^rd degree burn wrist 10%

 Code: 944.37 [3^rd degree burn wrist]

                        945.25 [2^nd degree burn knee]

                         945.12 [1^st degree burn foot]

 Extent Code: 948.31

 3^rd degree burn of the leg and 2^nd degree burn of the forearm.

 Code: 945.30 [3rd degree burn leg]

943.21 [2nd degree burn forearm]

 There is no extent code because the percentage of the burn is not mentioned.

 10. Patient presented to the Emergency Department [ED] with the 3^rd degree burn palm 5%, 2^nd degree burn face 5%, and 1st degree burn foot 10%. Patient is also complaint of dehydration. Patient has allergy to penicillin.

 Code:             944.35 [3^rd degree burn palm]

                         941.20 [2^nd degree burn face]

                         945.12 [1^st degree burn foot]

 Extent Code: 948.20

 Dehydration ICD Coding:  276.51

 Allergy to penicillin: V14.0

 3^rd degree burn elbow 9%, 2^nd degree burn ankle 6%, 2^nd degree burn face 3%, 3^rd degree burn knee 6%, 2^nd degree burn on multiple side of the lower limb [leg] with loss of body[sever burn] due to 3^rd degree burn.

 Code: 943.32 [3^rd degree burn elbow]

                         945.23 [2^nd degree burn ankle]

                         941.20 [2^nd degree burn face]

                         945.35 [3^rd degree burn knee]

                         945.29 [2^nd degree burn lower limb-leg]

 Extent Code: 948.21

 Loss of body: 945.50

 Dr Guptha, CPC,CPC-H,CPC-P,CHA,CMBS,CMRS,CHL7

http://www.medicalcodingexperts.com

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