This course provides information on the conditions, diseases, code structure, and ICD-10-CM chapter-specific guidelines pertaining to family practice, pediatric, and internal medicine services. These conditions are found throughout various chapters. Documentation related to risk adjustment is also discussed.
Before beginning this course, you should have access to the most recent version of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification). Refer to the Resources section to find and download the necessary documents.
The codes and information in this course receive a comprehensive review annually and are updated as needed.
The goal of this course is to explain the conditions, codes, and ICD-10-CM guidelines for family practice, pediatric, and internal medicine services.
This course provides information on the conditions, diseases, code structure, and ICD-10-CM chapter-specific guidelines pertaining to family practice, pediatric, and internal medicine services. These conditions are found throughout various chapters. Documentation related to risk adjustment is also discussed. Before beginning this course, you should have access to the most recent version of ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification). Refer to the Resources section to find and download the necessary documents. The codes and information in this course receive a comprehensive review annually and are updated as needed. The goal of this course is to explain the conditions, codes, and ICD-10-CM guidelines for family practice, pediatric, and internal medicine services.
“This program has been approved for 1.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
This activity is approved for 1.5000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
Background: Family Practice, Pediatric, Internal Medicine Services
Overview: Family Practice, Pediatric, Internal Medicine Coding
Section 3: Family Practice, Pediatric, and IM Diagnoses
Infectious Diseases
Coding: Infectious Diseases
Otitis, Pharyngitis, and Sinusitis
Coding: Otitis, Pharyngitis, and Sinusitis
Urinary Tract Infections and Incontinence
Coding: UTI and Incontinence
Review
Section 4: Disorders, Anemias, and Reactions
Pediatric Congenital Anomalies
Mental, Behavioral, and Neurodevelopmental Disorders
Coding: Mental and Behavioral Disorders
Substance Abuse
Allergies
Coding: Allergies
Anemia, Vitamin Deficiencies, and Malnutrition
Coding: Anemia, Vitamin Deficiencies, and Malnutrition
Review
Section 5: Diabetes and Thyroid Disorders
Diabetes and Thyroid Disorders
Coding: Diabetes and Thyroid Disorders
Review
Section 6: Obesity and Headaches
Obesity
Coding: Obesity and BMI
Headache and Chronic Fatigue
Coding: Headache and Chronic Fatigue
Review
Section 7: Osteoporosis, Sleep Apnea, and Poisoning
Osteoporosis and Pathological Fractures
Coding: Osteoporosis and Pathological Fracture
Chronic Obstructive Pulmonary Disease (COPD) and Sleep Apnea
Coding: Chronic Obstructive Pulmonary Disease (COPD) and Sleep Apnea
Poisoning vs. Adverse Effect
Table of Drugs and Chemicals
Coding: Poisoning and Adverse Effects
Review
Section 8: Chapter 21: Applicable Z Codes
Chapter 21: Applicable Z Codes
Z Codes for Family Practice, Pediatric, and IM Services
Review
Section 9: Risk Adjustment Coding and Documentation
Family Practice, Pediatric, Internal Medicine Services
HCCs for Family Practice, Pediatric, Internal Medicine
MEAT Documentation Required to Support HCC Coding
Proper HCC Documentation
Example: Impact of Documentation with MEAT on HCCs
Section 10: Conclusion
Course Summary
Course Contributor(s)
Resources
References
Subject Matter Expert: Cindy C. Smith, CPC, CPMASarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has clinical experience as an Emergency Medical Technician (EMT) and extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. Sarah has also authored several coding textbooks and instructional resources.
Cindy is a Resolute Coding Manager at a large integrated managed care consortium and also trains new coders in the nuances of coding. In addition to those duties, she serves as a subject matter expert on coding issues for the company's Compliance Department. She has extensive knowledge in Specialty Coding as well as Surgical Coding nuances. She spent over 10 years’ experience as a Physician Auditor Educator assisting Providers in understanding the documentation required for the services provided as well as the diagnosis codes. Additionally, she spent over 5 years as an HCC Auditor in the early years of the HCC inception. Cindy served as an AAPC Local Chapter President for two years in Jacksonville, Florida.
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