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The Medical Coding Guild
United States
Приєднався 2 тра 2020
Presenter: Medical coding enthusiast Anna O'dor CCS, CCC, CCVTC, CDEI, CPC, CPMA, CEMC, CIC, COC, CRC, CPB, AAPC Approved Instructor
Welcome to my medical coding channel!
I strive to provide medical coding and billing education for all core and other specialty coding credentials. Whether you are enrolled in a medical coding course, HIM program or learning medical coding on your own, these videos aim to help you understand medical coding concepts better.
You will find guidance here on CPT coding guidelines, modifiers, compliance and regulation - what is mainly profee coding oriented -, but inpatient coding, ICD-10-PCS, diagnosis coding and all outpatient facility coding associated topics are also addressed.
For free quizzes, medical coding study guide and online medical coding tutoring visit our website at www.thecodingguild.com
Welcome to my medical coding channel!
I strive to provide medical coding and billing education for all core and other specialty coding credentials. Whether you are enrolled in a medical coding course, HIM program or learning medical coding on your own, these videos aim to help you understand medical coding concepts better.
You will find guidance here on CPT coding guidelines, modifiers, compliance and regulation - what is mainly profee coding oriented -, but inpatient coding, ICD-10-PCS, diagnosis coding and all outpatient facility coding associated topics are also addressed.
For free quizzes, medical coding study guide and online medical coding tutoring visit our website at www.thecodingguild.com
2024 ICD-10-CM changes Part 2 - Diagnosis code changes
2024 ICD-10-CM changes review Part 2 where we have a look at new and updated diagnosis codes for commonly coded conditions. This is not the full list of changes, we continue in Part 3 with the rest of the changes.
00:27 - Hypertension
01:37 - Coronary artery disease
02:49 - Parkinson's disease
04:22 - Migraine coding
05:09 - Epilepsy
05:50 - Osteoporosis
06:36 - Signs and symptoms
08:59 - Sickle Cell Disease
10:48 - Appendicitis
11:33 - Covid-19 screening
Medical coding study tips:
ua-cam.com/video/4d0nIB4gKbo/v-deo.html
CPT tabbing tips:
ua-cam.com/video/zhk2hEK00bI/v-deo.html
ICD-10-CM tabbing tips:
ua-cam.com/video/pvfgiMrlXfs/v-deo.html
More coding help at:
www.thecodingguild.com
#cpmaexamprep #icd10cm #medicalcodingupdates
© 2023 The Coding Guild Ltd. Co. All rights reserved.
***** DISCLAIMER *****
AMA disclaimer
CPT® copyright 2023 American Medical Association. All rights reserved.
CPT® is a registered trademark of the American Medical Association.
All CPT® codes presented in the video are used under the Fair Use provision of copyright law, for educational purposes.
Legal disclaimer
Names, places, dates of birth and other personally identifiable information used in the video are entirely fictitious. No identification with actual persons (living or deceased), places, buildings, and products is intended or should be inferred. Any resemblance to actual persons living or dead, businesses, events, or locales is purely coincidental.
The author doesn't accept responsibility or liability for any adverse outcome originating from using the contents of this video. While due effort was taken, inaccuracies and errors might occur and be present. The content is provided ‘as-is’, without warranty. The author does not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause.
All revenue cycle related decisions must be based on individual payer policies and financial and / or legal counsel, as necessary. Following advice in this video does not guarantee payment of services, avoidance of audits, passing grades on board or other exams or passing pre-employment tests.
The aim of this video is to educate HIM professionals on the application of medical coding and billing rules and guidelines. The described scenarios are fictional, so are all 'treatments' outlined in the examples. The creator of this video is not licensed to practice medicine in any capacity and thus does not advise, endorse or otherwise recommend any treatment modality, drug or dosage for any disease or conditions mentioned in the content. The example scenarios are not intended to be interpreted as, or substitute medical advice or medical education. Seek medical counsel from a legally authorized healthcare practitioner for any and all questions regarding your, or others' medical care or medical training.
Medical coding certifications affected: this topic is to be expected on the:
CCS-P exam
CPB exam
CPC exam
CPMA exam
CCS-P exam
CEDC exam
CEMC exam
AAPC specialty credential exam
00:27 - Hypertension
01:37 - Coronary artery disease
02:49 - Parkinson's disease
04:22 - Migraine coding
05:09 - Epilepsy
05:50 - Osteoporosis
06:36 - Signs and symptoms
08:59 - Sickle Cell Disease
10:48 - Appendicitis
11:33 - Covid-19 screening
Medical coding study tips:
ua-cam.com/video/4d0nIB4gKbo/v-deo.html
CPT tabbing tips:
ua-cam.com/video/zhk2hEK00bI/v-deo.html
ICD-10-CM tabbing tips:
ua-cam.com/video/pvfgiMrlXfs/v-deo.html
More coding help at:
www.thecodingguild.com
#cpmaexamprep #icd10cm #medicalcodingupdates
© 2023 The Coding Guild Ltd. Co. All rights reserved.
***** DISCLAIMER *****
AMA disclaimer
CPT® copyright 2023 American Medical Association. All rights reserved.
CPT® is a registered trademark of the American Medical Association.
All CPT® codes presented in the video are used under the Fair Use provision of copyright law, for educational purposes.
Legal disclaimer
Names, places, dates of birth and other personally identifiable information used in the video are entirely fictitious. No identification with actual persons (living or deceased), places, buildings, and products is intended or should be inferred. Any resemblance to actual persons living or dead, businesses, events, or locales is purely coincidental.
The author doesn't accept responsibility or liability for any adverse outcome originating from using the contents of this video. While due effort was taken, inaccuracies and errors might occur and be present. The content is provided ‘as-is’, without warranty. The author does not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause.
All revenue cycle related decisions must be based on individual payer policies and financial and / or legal counsel, as necessary. Following advice in this video does not guarantee payment of services, avoidance of audits, passing grades on board or other exams or passing pre-employment tests.
The aim of this video is to educate HIM professionals on the application of medical coding and billing rules and guidelines. The described scenarios are fictional, so are all 'treatments' outlined in the examples. The creator of this video is not licensed to practice medicine in any capacity and thus does not advise, endorse or otherwise recommend any treatment modality, drug or dosage for any disease or conditions mentioned in the content. The example scenarios are not intended to be interpreted as, or substitute medical advice or medical education. Seek medical counsel from a legally authorized healthcare practitioner for any and all questions regarding your, or others' medical care or medical training.
Medical coding certifications affected: this topic is to be expected on the:
CCS-P exam
CPB exam
CPC exam
CPMA exam
CCS-P exam
CEDC exam
CEMC exam
AAPC specialty credential exam
Переглядів: 985
Відео
2024 ICD-10-CM updates Part 1 - Index and Tabular changes
Переглядів 1 тис.10 місяців тому
2024 ICD-10-CM changes review. Part 1, where we have a look at the extensive changes made to the Index and Tabular. Many important modifications to keep in mind, don't miss out on this info!! Medical coding study tips: ua-cam.com/video/4d0nIB4gKbo/v-deo.html CPT tabbing tips: ua-cam.com/video/zhk2hEK00bI/v-deo.html ICD-10-CM tabbing tips: ua-cam.com/video/pvfgiMrlXfs/v-deo.html More coding help...
NEW 2023 E/M updates - AMA Technical corrections 03/01/23
Переглядів 1,5 тис.Рік тому
The new 2023 Evaluation and Management coding guidelines were updated by the AMA in February and March. In this video we have a look at how the 2023 E/M coding rules changed after the AMA technical corrections. Medical coding study tips: ua-cam.com/video/4d0nIB4gKbo/v-deo.html CPT tabbing tips: ua-cam.com/video/zhk2hEK00bI/v-deo.html ICD-10-CM tabbing tips: ua-cam.com/video/pvfgiMrlXfs/v-deo.ht...
Difference between CPT and PCS coding
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What is CPT coding? What does PCS mean in coding? In this episode we review the Procedural Coding System vs. CPT codes to see what they are like and what you can expect when transitioning from inpatient to outpatient coding, or vica versa. More coding help at: www.thecodingguild.com CPC vs. CCS credential review: ua-cam.com/video/VIGVrVdc3Nc/v-deo.html CIC vs. CCS credential review (inpatient c...
Which certification is harder, CIC or CCS?
Переглядів 2,9 тис.Рік тому
Which certification is better CIC or CCS? Inpatient coding certifications from AAPC and AHIMA are similar, but with several differences. Which one should you choose and why? Is the CCS harder, than the CIC or the other way around? More coding help at: www.thecodingguild.com POA basics (whate are present on admission indicators and who needs them): ua-cam.com/video/jklTbuV2adw/v-deo.html POA ind...
CCS exam breakdown and rules - what to expect?
Переглядів 5 тис.2 роки тому
CCS exam breakdown and rules aka what to expect while taking this inpatient coding exam? Can you take brakes? Are the questions multiple choice? What does the exam look like? So many questions, so little time! More coding help at: www.thecodingguild.com POA basics (whate are present on admission indicators and who needs them): ua-cam.com/video/jklTbuV2adw/v-deo.html POA indicators Y and N: ua-c...
Difference between CPC and CCS certification - which is better?
Переглядів 9 тис.2 роки тому
Which is harder CCS or CPC? Is CCS better than the CPC? The difference between CPC and CCS certifications is big, so let's see what they each cover. More coding help at: www.thecodingguild.com/freebies CPT tabbing tips: ua-cam.com/video/zhk2hEK00bI/v-deo.html ICD-10-CM tabbing tips: ua-cam.com/video/pvfgiMrlXfs/v-deo.html Easier and quicker E/M coding; how to use the tables on the front of the ...
2 E/M on same day (Medicare) - E/M coding guidelines 2023
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How to code 2 E/M visits on the same day for Medicare? With the 2023 E/M changes, the AMA now allows coding 2 E/M services separately, but Medicare does not!! In this episode we review the rule of 2 E/M visit coding for Medicare and the hierarchy of services. More coding help at: www.thecodingguild.com/freebies CPT tabbing tips: ua-cam.com/video/zhk2hEK00bI/v-deo.html ICD-10-CM tabbing tips: ua...
Modifier 93 audio only modifier in telehealth coding & Appendix T
Переглядів 1,4 тис.2 роки тому
Modifier 93 audio only modifier is a 2022 CPT update. This new modifier is for telehealth coding, for audio only visits. Modifier 93 vs 95 comparison and brief review on what we know at this point. More coding help at: www.thecodingguild.com/freebies Official AMA notice of modifier 93 and Appendix T: www.ama-assn.org/practice-management/cpt/cpt-appendix-t-and-modifier-93-audio-only-medical-serv...
Tabbing the CPT book - how to tab medical coding books
Переглядів 6 тис.2 роки тому
Tabbing the CPT book aka how to tab medical coding books? Having reviewed the ICD-10-PCS and ICD-10-CM book tabbing methods, we move on to CPT for some ideas and recommendations. Remember, there is no 1 correct way of doing this, so don't be afraid to check several resources and create your own style! :) More coding help at: www.thecodingguild.com ICD-10-CM book tabbing: ua-cam.com/video/pvfgiM...
Have had enough? Medical coding growth opportunities!
Переглядів 8322 роки тому
If you are tired of medical coding, discover these medical coding growth opportunities! They are the next step in medical coding. They can help you stay challanged, be better off and happier. Go on your HIM journey today! 00:00 I am tired of medical coding. What else can I do? 01:03 Giving up on coding 01:17 Step up in medical coding / Change specialties in medical coding 02:30 Health Informati...
How to tab the ICD 10 CM book - medical coding tabbing system
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How to tab the ICD 10 CM book - medical coding tabbing system
CDEO vs. CDEI Clinical Documentation Improvement specialist training
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CDEO vs. CDEI Clinical Documentation Improvement specialist training
CPT 2022 updates - new Appendix besides Appendix R!
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CPT 2022 updates - new Appendix besides Appendix R!
Modifier 27 - Evaluation and Management coding for facilities - CPT modifiers
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Modifier 27 - Evaluation and Management coding for facilities - CPT modifiers
NEW CPT Appendix R - CPT 2022 changes - E/M and Medicine codes
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NEW CPT Appendix R - CPT 2022 changes - E/M and Medicine codes
CCVTC vs CCC credential from AAPC - what is the difference?
Переглядів 5132 роки тому
CCVTC vs CCC credential from AAPC - what is the difference?
E&M coding explained - E/M modifier 25 with example for beginners
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E&M coding explained - E/M modifier 25 with example for beginners
Cardiology coding exam - AAPC specialty medical coding exam review
Переглядів 1,6 тис.2 роки тому
Cardiology coding exam - AAPC specialty medical coding exam review
How to study medical coding successfully? | 5 medical coding study tips
Переглядів 4,4 тис.2 роки тому
How to study medical coding successfully? | 5 medical coding study tips
Free CDEI course information @ #FREEAAPC AAPC exam prep
Переглядів 1,1 тис.2 роки тому
Free CDEI course information @ #FREEAAPC AAPC exam prep
NEW AAPC credential - CDEI for inpatient coding & CDI #FREEAAPC
Переглядів 1,5 тис.3 роки тому
NEW AAPC credential - CDEI for inpatient coding & CDI #FREEAAPC
CCVTC study guide & exam review - AAPC specialty credential
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CCVTC study guide & exam review - AAPC specialty credential
Complications of surgery ICD-10-CM guidelines for inpatient
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Complications of surgery ICD-10-CM guidelines for inpatient
Coding cancelled procedures ICD 10 CM - inpatient coding guidelines
Переглядів 9533 роки тому
Coding cancelled procedures ICD 10 CM - inpatient coding guidelines
How to sequence diagnosis codes for inpatient coding?
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How to sequence diagnosis codes for inpatient coding?
Principal diagnosis - ICD 10 CM coding for inpatient Section II C
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Principal diagnosis - ICD 10 CM coding for inpatient Section II C
Interrelated conditions as principal diagnosis - inpatient coding guidelines ICD 10 CM
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Interrelated conditions as principal diagnosis - inpatient coding guidelines ICD 10 CM
Since I have no experience in inpatient coding while studying the CIC study guide, will help me understand and maybe later on pass the CCS?
Hi Valerie! Yes, absolutely! Half of the CCS is Inpatient coding afterall. Any and all reading about IP topics, revenue cycle and coding will help you pass the CCS. It is not enough on its own, but will help. When do you plan on taking the exam? The CIC or the CCS?
@@TheMedicalCodingGuild I’m not in a rush…. Maybe 6 months from now. But I want to take the CCS, but use CIC study guides with AHIMA CCS Exam Prep. Just to give me a butter understanding….
@@valeriehenderson5093 One thing though: don't forget that the CCS also includes outpatient facility coding. That would be the COC from AAPC. Inpatient coding is just half of the credential! I wish you the best of luck for when you do take the exam!!
@@TheMedicalCodingGuild Thank you so much for your response. I’ll definitely stay in touch!!!! I really appreciate it!!!
hi i have question please, is it possible to be an drg auditor without any coding licence? and also if we are handling drg's does it mean we are not going to change tor do hard coding?
Hi mariecarljasa! DRG auditors usually need to hold the CCS certification from AHIMA and have several years experience in IP coding and or DRG validation. It sounds like you might already have that. Whether you change to coding or not depends on your organization. Can you talk to your manager and express interest in hands-on IP coding?
Thank you so much for this information.
Hi Meetjesusatthewell! Of course! I know many people have this dilemma. Which credential do you think will be best for you?
Hi! I am a quality assurance specialist working for a behavioral health agency for 4.6 years. I review patient demographical data along with reviewing and correcting medical claims (fixing billing and coding errors). Also, I have knowledge with working with a revenue cycle for submitting claims. I am very interested in obtaining a certification to expand my knowledge. Which credential should I pursue, a CPC or the CCS? My goal is to become a clinical auditor or anything related with reviewing patient documents. Thank you!
Hi Lizbeth! The decision depends on whether you want to review documentation for physician billing purposes or for the facility. Which one are you doing currently? CMS-1500 or UB-04?
@@TheMedicalCodingGuild It would be reviewing documentation for the facility. The form I am most familiar with is the CMS-1500
@@LizbethGarcia-yv9qb I see. So as of right now you are more familiar with Profee coding and billing. That would equate to the CPC [AAPC] or the CCS-P [AHIMA] credentials. The auditor credential after these would be the CPMA [AAPC]. An other good option would be to do a CDI credential like the CDEI, CDEO, CDIP or the CCDS or CCDS-O. I know... that was a lot, my apologies! These latter ones are documentation improvement credentials; CDI is a sort of auditing where you review the notes for medical necessity, formal requirements, clinical indicators etc. You wouldn't be dealing with codes per se. If you are trying to get into the facility side (claim form UB-04), then the CCS would be best or COC + CIC if you prefer AAPC. (I would go with the CCS as that one is the gold standard for facility coding.) Long story short: if you want to have an easier time at the beginning of your coding journey, stick to profee coding because you already know it: CPC or CCS-P, followed by CPMA for auditing. If you are brave enough and have time to learn something new, do the CCS + maybe a CDI credential for auditing. What do you think?
@@TheMedicalCodingGuild Both options are great! I think my other question would be which route would open more doors to be likely employed? I am leaning more to take the CPC or CSS-P route with a CPMA credential.
@@LizbethGarcia-yv9qb Yes, that makes sense. So about doors... don't forget that the CPC will have the scarlet letter -A (apprentice) attached to it until you get rid of it. Just that 1 letter will throw your resume out in 99% of your applications. Just for that reason alone I would go with the CCS-P. Or, I would do the CPC coursework but then NOT take the exam but go for the CPMA immediately. The CPMA is not dependent on having a CPC, we just usually start there. I would do this because of the letter -A. But you know, maybe I am silly here. Would your current experience qualify for removing the -A?
This is great. Thank you for not "dumbing down" the information. You're the only coding channel that doesn't speak to us like children.
Hi Abby! Thank you for the feedback! I am happy to hear that you liked the style of the video. I am really trying to keep them professional and to the point. No fluff, no flower language. Are you getting ready for an exam or exploring coding as your next possible profession? :)
Great tutorial on DRG coding. I am just getting into this now and your explanation exceeded my expectation. Thank you so much. Could you recommend an online site where I can learn and become a certified DRG coder? I am an RN who does medical reviews and very interested in this specialty.
Hi there! Thank you for the positive feedback! :) Happy if the video helped! What you want to look for is inpatient coding. IP coders deal with DRGs. Credentials CCS and CIC. (I have a comparison video for these 2 if you are seeking more info on them.) But as an RN, I would go for inpatient Clinical Documentation Improvement (CDI). Very highly paid for RNs and you will be able to use your medical knowledge + DRGs. In coding you will have to 'shed' your RN-ness and can't interpret the note. Not sure you would enjoy that that much. What do you think? Would CDI sound good?
Oh, I didn't recommend sites: for IP coding AHIMA is the way to go. CCS credential. Yes, it does have outpatient coding included, but this is the gold standard for inpatient coding. AAPC's CIC is only inpatient related, but employers are not seeking it that much. Again, please see the comparison video for futher info.
Thanks for a wonderful video. I just took and passed the CCS, I was burnt out at the end and only had 5 minutes to finish a medical scenario. They really don't give enough time.
Hi Olivia! Congratulations on passing your CCS!! Most definitely not an easy exam! Did you have prior facility coding experience before taking it? Not as if that would have helped with the time... they are very stingy with that! I can only imagine how much worse it will get once test takers have to also think about IT questions for domain 5. :/ (Oh and thank you very much for checking out the video, I hope it helped!)
I completed a AAS in medical coding through a community college, that included a practicum that allows you to work with active coders. I think that really helped. Besides that I don’t really have experience, I’m now looking for a job in coding. I think experience would have really helped. I was surprised that there weren’t any questions about calculating reimbursement. It was mostly ICD-10-CM and CPT. Oh well, what matters is that I passed and don’t plan on ever letting this lapse. I don’t want to take that again.
@@hotroses3 I hear you!! I will keep my CCS till the day I die. Maybe even after that. :D Congratulations on passing without 'real' experience! That is most definitely something! Not having many resimbursement questions is strange indeed, but I am happy that was the case for you. It was never really fair to ask people to assign DRGs without giving them resources. Even with experience one cannot remember them all?! Now what is strange though that you didn't mention many PCS questions... I would have expected that. Did you feel that the level of the questions was on par with the study guide, harder, easier...? I know it is subjective but what was your impression? Also, are you looking for OP or IP opportunities? (I want to recommend companies, if you accept.)
@@TheMedicalCodingGuild I think the AHIMA study guide was extremely helpful, the medical coding scenarios looked the same so I wasn't surprised about them when they showed up, I just ran out of time. I used both the 12th and 13th study guide and they were exactly the same so you don't need both. I thought the newest version would have more information but they were the same. The 14th version would definitely be different though because it should have the 5th domain they are testing for. I did used the code in the book, which gave access to practice tests and that really helped to not make me so nervous when looking at the questions. Overall, I think the questions on the exam were harder, but reasonable. I'm looking to work anywhere, I think doing both OP an IP will give more opportunities in the future. I just need experience, so recommendations would be helpful. Thanks
@@OMB88 Thank you for that feedback! Yes, the study guides are always the same. I think they republish the same thing just to be able to invalidate the scrathy codes in them... If you are interested both in IP and OP opportunities, try Gebbs, Lexicode, Kiwi-Tek or Comforce Health. You can also look at CorroHealth and any healthcare system near you. I noticed that many are hiring where I live and they are having a hard time due to demanding on-site work. That could be a great foot in the door opportunity! (If you are able and willing to go, that is.) Best of luck!!
I’m a great coder who isn’t a strong test taker. Any tips on that?
Hi Raven! How are you not strong? Anxiety? Does your brain shut down and you forget even your own name due to the stress? Or do you feel that your technical test taking skill are lacking? Like time management, wrong elimination technique etc.?
Great explanation. Thank you!
Thank you pajm926! Let me know if you have questons!
Excellent
Thank you again. :) You are too kind!!
I struggle with PCS, do you have any tips?
Hi kristyhunter1981! Have you seen the root operations video? If the choice of root operations is the problem, it might help. If not, please tell me more about what the main issue is. Also, check out the PCS coding book tabbing review. It is from 2022 but the book hasn't changed and I share extra tips and relevant information on how to go about accurately and effectively coding PCS.
@@TheMedicalCodingGuild it is definitely the root operation selection. I feel I struggle to figure out the “purpose” of what the physician is doing. I will lo ate the video and take some notes. Thank you for responding.
@@kristyhunter1981 Yes, it is definitely tough sometimes to figure out what the provider is doing and why. The method described in the roots video helps 90% of the time. The remaining 10% will be cases where Coding Clinic advice overwrites common sense and the root isn't what it seems to be. What helped me a lot with PCS coding was NOT using the index. I mention this in the tabbing video and how to use this method. (Sorry for referring you to other videos but it is easier than retyping everything I am saying there.). Please have a look at those and other videos from other creators, as needed, and feel free to ask more questions. I will respond as fast as I am able.
@@TheMedicalCodingGuild I am going to check them out! Thank you so much and I will utilize your advice.
Just found your page and this was the BEST explanation of principal diagnosis I have heard. Thank you so much!
Hi Miablackwell1155! Thank you for the kind feedback! :) You are very welcome! Please let me know if you have further questions! Are you getting ready for an exam or did you watch the video for real life coding?
I am studying for the CCS. I currently have my CPC and COC. I'm hoping to nail down inpatient. Your videos are so helpful!
@@miablackwell1155 Awesome! The CCS will definitely open more doors for you, especially for facility coding (both OP and IP). Inpatient coding is scarier looking than it actually is. :) Just make sure you read the notes VERY CLOSELY and apply critical thinking while coding. 'Is this dx serious enough for admission? Did this happen during hospitalization? Did the surgeon really do a replacement or are they just using the 'wrong' word for a transfer?' etc. You got this!!
@@TheMedicalCodingGuild Thank you!!!
Very informative and easily understandable, Thanks for your support.
Hi @ashokyandrapati! Thank you for checking it out! :) Let me know if you have questions!
Hi , am a cpc Certified and working as senior coder in india. I want improve my career as well as salary. So i decided to do inpatient coding. But am confused whether i take cic or ccs.. Could you please suggest?
Hi Sharathkumarr3606! If you want to do IP coding, the CCS is the better credential. More established and sought after than the CIC. Pays more too. Unfortunately the CCS means that you will have to pay an AHIMA recertification fee besides the AAPC yearly membership, but it is worth it! The CCS will earn you more than most AAPC credentials do.
@@TheMedicalCodingGuild Thank you
Thank you so much.
Hi Jessica! Thank you for checking it out! :) Any questions / concerns?
@@TheMedicalCodingGuild I will watch all your videos of MS-DRGS and I will get to you. Thank you.
@@jessicacolon1376 Sounds good!
Genius!
Hi Trionmay! Just experience. I hold... 11 credentials at this point? I kow their tricks. ;) Which credential are you going for?
How to answer exam’s questions about MS-DRG without access to those codes ?
Hi Jessica! Please see my other video titled 'CCS exam questions'. I give some tips and tricks on DRGs and what to remember for them. The exam won't have very many DRG questions, and whatever they do have will be obvious. Like mechanical ventilation for over 96 hours pushing the DRG up and stuff like that. Don't worry about them too much. The bulk of the exam is CPT and dx coding + compliance.
@@TheMedicalCodingGuild Thank you so much for your help.
thank you thank you thank you thank you thank you thank you thank you thank you
Happy happy happy happy happy to help help help help help help! :) Which credential do you think you will go for?
Hello! Medical school drop out here. I had to because of disability, but my brain still works. I am set to begin my cpc training in November, but I am thinking to drag the ICD-10-PCS along with that with the hope of setting myself up for the CCS after passing the CPC; what do you think?
Hi Olawaleoluyemisi3452! Excellent plan! Get ready with both CPC and PCS, then you only need to add the facility coding guidelines and will be set to take the CCS. They question is whether you still want the CPC... If you want to do profee, you need the CPC, if not, save time and money and do just the CCS. What direction do you think you would like to go in the future? Facility coding and CDI or profee side?
@@TheMedicalCodingGuild Looking into CDI, but I have no idea what profee is. My ultimate goal is see if I can build this into a business.
@@olawaleoluyemisi3452 Most definitely! There are so many aspects here that could become a business. Profee coding simply means coding for professional services, everything a physician provides - as opposed to services a facility would provide (building, technician, drugs and supplies, OR etc.)
@@TheMedicalCodingGuild Thank you!
Can I ask you about becoming instructor.via Aapc. Are you independent or you pay annual fee to AAPC, please guide. Or do you think it's just best to get the instructor lic.
Hi ananm5677! I believe we have already connected via FB, but just in case: if you want to use AAPC's material to teach, you do have to pay the annual licensing fee and some extra per student for using the online portal they provide. You can only purchase the license as an approved instructor, so if this is the route you would like to take, first attain the instructor credential. What you can also do is to become an instructor and create your own material to teach. In that case you don't owe AAPC money, but look out for royalty payments to the AMA for using CPT codes. Which credential would you like to teach?
I really appreciate your insight - excellent presentation!!
Hi Julian! Thank you very much! Trying to give back to the community. Are you getting ready for an exam or just brushing up on rules for a new role? ;)
This was very helpful !Thankyou
Thank you for checking it out! Let me know if you have questions! :)
Another great video of latest changes. Thank you for the great presentation.
Hi Foamy1267890! Nice to see you again! Part 3 is still coming with the rest of the changes so stay tuned!
Another useful video! Thank you Anna.
You are always so kind! Thank you!
Great tips. Some of these advices ate great for any kind of studying. Will keep your suggestions in mind!
Yes, I believe these tips can be used for more than just coding. Best of luck on your exam!
This is very useful information. Cant wait for the next part. Thank you.
Hi Foamy1267890! I am happy if it helped! The next part will be out today. Don't forget to subscribe and turn on notifications to be alerted to new videos!
Hello🙂 and thank you.
Hi DG-ln9qj! Thank you for checking it out! Part 2 will be published tomorrow morning!
Thank you very much!
Hi backtobabylon! Always happy to help!!
Hi mam I have 5 years experience in ipdrg and ccs certification iam going come to us on dependent how can I found medical coding job in us please help me Thanks in Advance
Hi katkurivennela2463! The easiest way to find a suitable position is to look on indeed.com and be on LinkedIn. :)
May i know what means by profee ? How all these cpt procedures are carried out in outpatient facilities without admitting to hospital ? And also difference between E&M IP and Ipdrg ?
Hi Keshav6564! Let's go in order: 1- Profee is professional fee coding. Coding done to bill for the physician's or other human being's services. F.e. a bill for performing the surgery or performing an X-ray review. A human does that and will bill for that. Its opposite is facility coding where you are billing for the facility's services. F.e. the operating room where the surgery was performed or the X-ray machine on which the images were taken for the human to read. Coding happens with CPT or PCS codes, depending on whether it is an outpatient or inpatient facility charge. 2. Many procedures are done on an outpatient basis. Only very seriouy or risky procedures need to be done as an inpatient for patient safety reasons. Think of a skin biopsy or fracture care without fixation. These can be safely performed in an office environment and don't need the patient to be admitted. 3. E/M is Evaluation and Management coding. It charges for the mental effort the provider exerts while assessing the patient. IP is inpatient coding, usually understood as inpatient facility coding. This is done with PCS codes and gets the facility paid for the overhead. IP-DRGs are either MS-DRG or APR-DRGs for most payers. These are payment systems that categorize patients into payment brackets based on their diseases, treatment, age, sex etc. Any more questions? :)
Do you think this information still applies for thr 2023 exams?
Hi Mckaylatoth5740! Yes, these still apply except for the highlighting function. I believe that was taken away for this year. Best of luck on your exam!!
Hi is Cpc certification accepted in UK?
Hi Keerthinarsing! I believe that the CPC is for USA only because the UK helathcare system doesn't use the codes we do. You could take the CPC in the UK and work for an American company that offshores its work maybe? Although it is also true that offshoring goes to India and the Middle East rather than Western Europe, so not sure if having the CPC would be beneficial to you. :/ The answer doesn't apply if you are a US citizen on a military base. In that case the CPC will be just fine.
@@TheMedicalCodingGuild thank you so much for the info..
Iam a beginner who is doing basic medical coding training (bmct) from a life science background. Would u suggest me cpc or ccs after this ?
Hi James! If you are familiar with basic coding, the CPC is the right credential for you. The CCS is way more involved than the CPC and much harder to pass. It brings in a ton of revenue cycle and compliance topics on top of complex coding. Don't get me wrong, it is totally doable but maybe not with basic coding background. Start with the CPC and take the CCS in 2 years or so after that.
I am fresher to this field..which certification is better and effective to enter this field cpc or cic or ccs?
Hi Dhanyarajaguru126! The best to enter the field is probably the CRC. Risk Adjustment is easier, as you are only dealing with 1 code set, and those jobs give more chances to new coders. Other than that, the CPC is the usual entry level credential. The CIC is not very much sought after at this time and the CCS is brutal hard for a brand new coder. Totally doable with a little experience though. :) Do you think Risk Adjustment could be something of interest to you?
Hii...I am fresher to this field which certification is better to starting my career Cpc or cic or ccs?
Hi Dhanyarajaguru126! I also responded on the other video, thank you for checking them out! In addition to what I said there: when it comes time to decide between the CIC and CCS, please really consider what the employers around you are asking for. In general CCS is the gold standard for facility coding and you will have an easier time getting a job with it. Also consider though that inpatient coding is rarely entry level. It is very hard to get into it, even with several years of other types of coding knowledge. I am not saying this to disencourage you, but I want to be honest.
Cases of maternity problem like premature rupture of memberane which is medical then we made cs so it is surgical so , any case can be a combind DRG
Hi Ahmedaburady9288! Sure, as patient needs change, the DRG might change as well. They might arrive with a simple medical need but then need surgery and become a surgical DRG. The video looks at the very end of the process, when the patient has already left and we have all information necessary in order to assign the appropriate DRG. The point here is to see how the Grouper works. :)
And mam need simple English
Hi Sandy! Thank you for your feedback!
Mam need more scenarios
Hello again Sandy! :) I tried to make the video as short as it could be, but I understand the need for more examples. Will try to focus on this more in the future. Thank you for your comment!
😊 thank you
Hi Carolyn! Thank you for checking it out! :) I hope some of the tips will help you in your studies!!
Hi i completed my cpc certification. Which is next course helps for my work life balance
Hi Parimalaparimala8718! Not sure what you are asking. Next best credential is probably the CRC if you would like to get a job easier (risk adjustment is easier to get into). There are lot of part time options as well for work-life balance. :)
I need this ppt where I can download
Hi Thugulagam8585! The videos and presentations are copyrighted property. They cannot be downloaded or privately used without express permission from The Coding Guild. Thank you for your understanding!
2 years later and this is still very helpful.... thank you!!
Hi Krashclifton! It's been 2 years already?! Oh my! Thankfully the basic idea of PCS tabbing doesn't change with the passage of time. :) Hope you will do great on the exam!
The examples made all the difference. Thanks!
Hi Dg7438! Happy to hear they helped! Best of luck on your exam!!
@@TheMedicalCodingGuildThanks! I'm already a certified coder, but just freshening up my skills for an upcoming position. It's been a while
@@dg7438 Oh I am sorry. I hope the new position will work out!! First IP coding role? :)
@@TheMedicalCodingGuild Thank you. I did in the past but quit, took long break (decade), and now returning :) Risk Adjustment, but I'm studying for my CCS right now. I'm CPC-A atm.
@@dg7438 Got it! Have you had a look at the CRC for Risk Adjustment?
what does the Pre-MDC stand for?
Hi there! :) Pre-MDC stands for Pre-Major Diagnostic Category. Inpatients are categorized into Major Diagnostic Categories as one of the first steps of DRG assignment. BUT! For some patients this step doesn't happen as they qualify for a Pre-MDC assignment. So they don't enter the funnel of DRG assignment the traditional way.
This video helps answer my question about CDI vs. garden-variety coding. Thanks, Anna! :)
Garden variety coding! LOL! :D After the CCS you will be best off with an AHIMA or ACDIS credential for CDI. AAPC's credentials are not well known yet. I took the CDEI only to help them test the beta exam, but for real CDI work I wouldn't yet recommend it. Maybe when it is more sought after in a couple years.
Have you ever done CDI work Anna? Do you know why it pays so much more than coding? Like, is it all that different from coding - or is it just a career for kickass coders who specialize in optimization and know the system rules inside and out?
I have taken part in smaller CDI projects, but never done it full time. It pays so much more because besides coding and payment rules one also needs to know pathophysiology, compliance, pharmacology and tons of other stuff. This is why companies prefer hiring RN's and physicians to do it. And they demand higher salaries. CDI is different from coding, but it is fun. You have to keep an eye out for formalities and consistent documentation. Is everything noted, as it should be? Is everything signed? Are all diagnoses medically substantiated? Any treatment ordered without the corresponding diagnosis in the chart? (F.e. steroid cream without no apparent skin issue or chest X-ray on a patient with a broken leg etc.)
@@TheMedicalCodingGuild Yeah, nurses seem to be good at self-advocating for that $$$ LOL
Brilliant way to look at two potential PDXs @ 10:08 , by asking the question, "Would each of these Dx's separately warrant an admission?"
IP coding is hard because so much will depend on the documentation. You just have to use good judgement in deciding what is going on and why the patient is there. Try to look at it from the insurer's perspective. They love to say: I am not paying for this?! This should have / could have been OP! So yeah, try to put the patient's conditions on trial: would you REALLY need this level of care? What do you have to show for yourself? (treatment, diagnostics, nursing etc.)
@ 8:58, you describe applying the guideline for choosing between HF and Myocarditis as PDX, and you say that HF is chosen because Myocarditis "was only found later as a side note" - but doesn't that meet the definition of PDX, since it was found after study? PS - you are awesome :)
Hi Andrew! The Pdx is always what necessitated the admission. Elderly patient is admitted with complicated UTI, then 2 days later myocarditis is found and treated. Pdx is the UTI because that's what they were admitted for. Now, in the video I am trying to discuss a situation where 2 conditions could both be Pdx. Depending on the situation either the CHF exacerbation or the myocarditis could be Pdx if we have reason to believe that the CHF exacerbation was caused by the myocarditis. Or if it us hard to tell what exactly the patient was admitted for. Looking back at it, my example wasn't the best. Please just remember that guideline that sometimes we can choose either or, depending on documentation and final DRG. In real life you will always choose the PDx in this situation that gives you the better DRG.
Anna rocks. Comments get your video up in the algorithm, right? :)
Rock*rock*rock!! I don't know what comments do anymore to be honest. YT keeps changing. Regardless, your feedback is always valuable to me and I highly appreciate it!!
Hello! Can i do CPC and then go for CCC?
Hi Mrunalinijadhav7443! Yes, you can do that. Or you can do the CCC and then the CPC or just one or the other. These credentials are independent of each other. Best of luck!!
@@TheMedicalCodingGuild Thank you 😊
Hi , Is CCC for inpatient or outpatient coding ?