Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

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Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

Product Code: CIPV

The course goes beyond explaining basic coding guidelines. Through this intensive boot camp, payer industry professionals can become proficient in ICD-10-CM/PCS coding for hospital inpatient facility services and MS-DRG assignment.

Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

Course Overview

Looking for payer-specific resources? We have them!

Payer-specific inpatient coding training from HCPro, the most trusted name in coder education Inpatient coding is ever more complex—let our expert instructors make it simple with this payer-focused course

The Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition examines inpatient coding from the point of view of the payer sector. It provides up-to-date guidance on ICD-10-CM and ICD-10-PCS coding and equips payer professionals with the can’t-miss knowledge they need to identify overpayments or catch issues of fraudulent or abusive billing practices.

The course goes beyond explaining basic coding guidelines. Through this intensive boot camp, payer industry professionals can become proficient in ICD-10-CM/PCS coding for hospital inpatient facility services and MS-DRG assignment.

You will learn how to:

  • Apply inpatient coding guidelines in the review of claims submitted
  • Accurately assess assignment of ICD-10-CM/PCS codes and MS-DRGs
  • Address potential issues of fraud and abuse in the health plan

This course is custom designed for payer professionals who are concerned about fraud and abuse. It focuses on the rules so that payers can be certain they are paying appropriately.

We’re not like other coding classes. We have been teaching inpatient coding for more than 20 years! The Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition uses a proven method for teaching inpatient coding fundamentals:

  • Emphasis on hands-on exercises: Attendees review multiple inpatient case studies and operative reports based on real medical records, so they fully understand the impact of diagnosis/procedure code assignment on reimbursement.
  • Immediate feedback: Our instructors provide real-time feedback on the cases. Continuous interactions with instructors ensure attendees gain a complete understanding of code assignment.
  • Rules-based learning: Our instructors only use recognized source authorities, such as the Official Guidelines for Coding and Reporting and the AHA’s Coding Clinic for ICD-10-CM/PCS®, in course materials.
  • Experience: All of our instructors have at least 20 years of inpatient coding experience. They know exactly what coders need to learn and how to present complex coding topics in an easy-to-understand manner.

The Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition not only teaches you everything you need to know about inpatient coding, it also provides several professional benefits:

  • Enhance your career potential and growth—employers are looking for professionals with accurate inpatient coding skills
  • Take on more complex medical coding cases
  • Increase your professional credibility
  • Become a valuable resource to your organization
  • Get an opportunity to obtain much-needed continuing education credits

For employers:

Coding training is an important investment for your organization. Having highly qualified, certified coders on staff can:

  • Ensure accurate assessment of medical coding based on reputable source authorities such as the Official Guidelines for Coding and Reporting and the AHA's Coding Clinic
  • Ensure appropriate levels of reimbursement for services performed and coded properly
  • Increase employee confidence
  • Increase productivity
  • Avoid fraud and abuse in your health plan

Who should attend?

This course is useful for attendees who are looking to understand the ins and outs of the assignment and assessment of inpatient codes, including ICD-10-CM and ICD-10-PCS codes.

The Payer Edition boot camp examines inpatient coding from the point of view of the payer sector. It covers the most up-to-date guidance on ICD-10-CM and ICD-10-PCS coding.

See the HCPro difference for yourself!

  • Expertly designed course materials: Materials are developed by our instructors specifically for this intensive learning format.
  • Hands-on learning: Attendees complete a set of exercises/case studies after appropriate modules to ensure that they understand the concepts and know how to apply them to real-world situations.
  • Small class size: Class size is limited to ensure individual attention.
  • Nationally recognized educators: HCPro is the nation's premier organization offering boot camp training courses to healthcare coding professionals.


Looking to train your whole team? We can bring our expert instructors to you! Learn more here!

Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

Outline/Agenda

Module 1: Introduction to ICD-10-CM/Conventions

  • Code structure
  • Brackets
  • Default codes
  • NEC/NOS codes
  • Code first
  • Use additional code
  • Excludes1 and Excludes2 notes
  • Placeholders
  • Seventh characters
  • Laterality
  • The "dash" (-)


Module 2: Fundamentals of Diagnostic Coding for Inpatient Reporting

  • Selection of principal diagnosis
  • Additional/other diagnoses
  • Parts of the medical record


Module 3: Present on Admission Indicators/Hospital-Acquired Conditions

Module 4: Introduction to ICD-10-PCS and Medical-Surgical Character Selection

  • Basic character selection
  • General root operation selection and guidelines
  • Body part selection guidelines
  • Approach selection guidelines
  • Device selection guidelines
  • Qualifiers
  • Multiple procedures guidelines


Module 5: Fundamentals of Procedure Coding for Inpatient Reporting

  • Principal procedure selection


Module 6: MS-DRG Assignment (optional)

  • MS-DRG assignment in ICD-10-CM/PCS
  • Complications and comorbidities (CC) and major complications and comorbidities (MCC)


Module 7: ICD-10-CM/PCS Chapter-Specific Coding

  • Infectious and parasitic diseases
    • Sepsis
    • HIV
  • Neoplasms
    • Types of neoplasms
    • Complications of neoplasms and neoplasm treatment–related complications
    • Encounters for chemotherapy/radiation therapy
    • Surgical intervention for neoplasms
  • Endocrine, nutritional, and metabolic diseases
    • Diabetes mellitus
    • Obesity and BMI
  • Mental disorders
    • Substance use/abuse and dependence
    • Depression
  • Diseases of the nervous system
    • Cerebrovascular accidents (CVA)
    • Carotid endarterectomy
    • Spinal fusion
  • Diseases of the circulatory system
    • Hypertension and hypertensive-related conditions
    • Coronary artery disease and angina conditions
    • Acute myocardial infarction
    • Percutaneous transluminal coronary angioplasty (PTCA)
    • Cardiac catheterization
    • Pacemaker/defibrillator procedures
    • Coronary artery bypass grafting (CABG)
  • Diseases of the respiratory system
    • COPD
    • Pneumonia
    • Respiratory failure
  • Diseases of the digestive system
    • GI hemorrhages/inflammations
    • Endoscopic procedures (EGD and colonoscopy)
    • Hernia procedures
  • Diseases of skin and subcutaneous tissues
    • Debridement
  • Diseases of musculoskeletal system and connective tissue
    • Joint replacement
  • Pregnancy, childbirth, and the puerperium
    • Pregnancy conditions and complications
    • Delivery procedures
  • Newborns/congenital disorders
  • Injury, poisoning, and certain other consequences of external causes
    • Fracture coding
    • External causes
    • Fracture reduction
    • Burns
    • Poisonings, adverse effects, and underdosing


Course Agenda/Outline subject to change.

Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

Learning Objectives

At the conclusion of this educational activity, participants will be able to:

  • Apply fundamentals of diagnosis (ICD-10-CM) and procedural (ICD-10-PCS) code assignment and assessment for inpatient services by utilizing conventions, instructions, and sequencing guidelines from the Official Guidelines for Coding and Reporting
  • Relate interaction of diagnoses/procedures on reimbursement by assessing code accuracy
  • Review chapter-specific diagnoses/procedures for their clinical presentation and application to better understand code assignment
  • Recognize appropriate documentation and documenters within the inpatient medical record to support valid code assignment
  • Review appropriate coding resources such as the AHA’s Coding Clinic for ICD-10-CM/PCS as they apply to certain chapter-specific diagnoses/procedures

Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition

Questions/Answers

What is the focus of the Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition?
The Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition focuses on ICD-10-CM diagnosis and ICD-10-PCS procedure coding for inpatient hospital (i.e., facility) services. The course emphasizes inpatient coding guidelines, abstraction of inpatient medical records, and impacts on the payer industry.

Does HCPro offer any other versions of the course?
Yes. In addition to the Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition, we offer the Certified Coder Boot Camp®—Original—Payer Edition, an intensive course focusing on ICD-10-CM, CPT, and HCPCS Level II coding for professional services and hospital outpatient services.

What is the live virtual class format?
The live virtual boot camp is instructor-led education that can be accessed from the comfort of your home. Classes are led by our expert instructors, typically take place over the course of a week or two, and allow instructor/student interaction and engagement.

How long does the course last?
The live virtual course runs from 12:00 p.m. ET/9:00 a.m. PT until 4:30 p.m. ET/1:30 p.m. PT Monday–Friday for two weeks. Each day involves four hours of education plus one 30-minute break.

What computer setup do I need to attend the course?
This course will be hosted on the GoToMeeting® platform. You should have access to a computer that has a microphone and speakers to participate. There is also an option to dial in over a phone line if you need to connect on your phone. You can read the full system requirements for GoToMeeting by visiting https://support.goto.com/meeting/help/system-requirements-for-attendees-g2m010003. You can also test your system by visiting https://support.logmeininc.com/gotomeeting/get-ready.

Does HCPro offer the Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition as an on-site course?
In addition to our open registration courses, we also offer this boot camp as an on-site course (with a substantial discount) for organizations that have multiple employees who need inpatient coding training. For more information on hosting an on-site course, contact customer service at 800-650-6787 or PD-IS@SimplifyCompliance.com.

What if I need to cancel or transfer my registration?
Please click here to view our cancellation policy.

Who typically attends the Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition?

  • Coders
  • Auditors
  • Claims adjudicators
  • Benefit integrity/fraud and abuse staff
  • Directors and managers in the payer setting
  • Case managers
  • Quality assurance professionals
  • Physicians, NPs, PAs, and other clinicians
  • Compliance officers and auditors
  • Finance and reimbursement managers/staff
  • Healthcare consultants, CPAs, and lawyers
  • Health plan and insurance company personnel
  • Medicare intermediary personnel


What material does the course cover?
Click on the Course Outline tab for more information about the topics covered by the Certified Coder Boot Camp®—Inpatient Version—Payer Edition.

Does completion of the course lead to any formal certification?
We anticipate that many Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition course participants will, at some point, sit for a national certification exam, whether it be the Certified Inpatient Coder (CIC) exam through the AAPC or the Certified Coding Specialist (CCS) exam offered by the American Health Information Management Association. While the Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition should be helpful in preparing for these exams, CCS candidates should be aware that the exam also covers topics other than inpatient coding, notably outpatient CPT coding and Medicare reimbursement. Consequently, candidates will need additional training/preparation beyond the Certified Coder Boot Camp—Inpatient Version—Payer Edition. CCS candidates may also want to consider taking our Certified Coder Boot Camp (focused on CPT coding) and our Medicare Boot Camp—Hospital Version (focused on Medicare reimbursement for hospital services). The Medicare Boot Camp®—Hospital Version would also be helpful for those sitting for the CIC exam since it includes reimbursement-related questions beyond what is covered in the Certified Coder Boot Camp®—Inpatient Version.

How are the certification exams structured?
See https://www.aapc.com/certification/cic/#tab-1 (CIC exam) and http://ahima.org/certification/CCS (CCS exam).

How intense is the course compared to more traditional full-semester courses?
It is an understatement to say that the course is intense. We are covering a full semester of material in two weeks. Other than breaks, course participants are in class for four hours per day. Course participants should plan on devoting their full time and attention to the Boot Camp during the course.

Does the course require previous coding experience?
Because of the fast-paced nature of the course, it is highly recommended that Live Virtual Certified Coder Boot Camp® Inpatient Version—Payer Edition participants have at least one year of coding-related experience. While prior inpatient coding experience is helpful, this course is also designed for individuals with outpatient coding experience (such as CPCs or COCs) who are interested in enhancing their coding skills.

Also, if you do not already have a solid understanding of medical terminology, we strongly recommend that you complete a medical terminology self-study course prior to the start of the course. A good self-study program is Medical Terminology for Health Professions, 8th Edition, by Ann Ehrlich and Carol L. Schroeder (ISBN 1305634357). The book is available at www.amazon.com and may also be available from one of your local bookstores. Our students who do not have a strong background in medical terminology typically find this book extremely helpful.

How is the course taught?
The course is taught using a combination of lecture, class discussion, and abstracting case studies.

Does HCPro ever share contact information (e.g., name, address, phone number, email address, etc.) with other companies?
Historically, we have not shared contact information with anyone outside of our company. However, it is possible that at some point we might share contact information with other companies that offer products and services that we think would be of interest to our customers. If you would like us to keep your contact information confidential, please let us know so that we can flag your information in our customer database as “Do Not Share.”

How do I get more information?
Contact our sales team at 615-724-7200 or email PD-IS@SimplifyCompliance.com.