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Medical Coding and Billing 9

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103 Course Videos
12 Hours
23 Test Questions

Course Description

Medical Coding and Billing (ICD-9)

Medical coding and billing using ICD-9 (International Classification of Diseases, 9th Revision) was a foundational system widely used in healthcare before the transition to ICD-10. It played a crucial role in documenting medical diagnoses, procedures, and services for insurance reimbursement, healthcare analytics, and administrative purposes.

Key Features of ICD-9:

  • Classification System: Used numeric codes ranging from three to five digits to classify diseases, injuries, and other health conditions.
  • Basic Detail: Provided a general framework for coding medical conditions, offering less specificity compared to later revisions like ICD-10.
  • Historical Significance: Served as the standard for medical coding and billing for several decades, supporting healthcare documentation and financial transactions.

Importance in Healthcare:

  • Documentation: Facilitated the systematic recording of patient diagnoses and procedures, ensuring accurate medical records and continuity of care.
  • Reimbursement: Supported insurance reimbursement processes by providing standardized codes for healthcare services rendered.
  • Data Analysis: Enabled basic healthcare analytics, such as tracking disease prevalence, treatment outcomes, and resource utilization.
  • Legacy: Despite its transition to ICD-10, ICD-9 codes continue to play a role in historical data analysis and research within healthcare systems.

ICD-9 laid the groundwork for medical coding and billing practices, providing a structured approach to classifying and documenting healthcare services. Its successor, ICD-10, introduced greater specificity and detail, reflecting advancements in medical knowledge and healthcare practices.


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Step-by-Step Courses List

Chapter One:

Lesson 1 – Introduction to CPT and HCPCS

  • Introduction To CPT And Level II National Codes-HCPCS
Chapter Two:

Lesson 1 – Introduction to Reimbursement

  • Intro
Chapter Three:

Lesson 1 – Introduction to CPT and HCPCS

  • CMS-1500 Form
Chapter Four:

Lesson 1 – Introduction to Reimbursement

  • Medicare-PartB
Chapter Five:

Lesson 1 – Introduction to CPT and HCPCS

  • Categorized By
Chapter Six:

Lesson 1 – Introduction to Reimbursement

  • Fraud And Abuse
Chapter Seven:

Lesson 1 – Introduction to CPT and HCPCS

  • Category I Codes
  • Format
Chapter Eight:

Lesson 2 – Anatomy Physiology

  • Anatomy
Chapter Nine:

Lesson 2 – Evaluation and Management (E/M)

  • Evaluation And Management-Part 1
Chapter Ten:

Lesson 2 – Anatomy Physiology

  • Anatomic Organ Systems
Chapter Eleven:

Lesson 2 – Evaluation and Management (E/M)

  • Evaluation And Management-Part 2
  • Nature Of Evaluation And Management Services
  • Example Of HPI
  • Review Of Systems
  • E And M Documentation Guidelines
  • E And M Exam-Part 1
  • E And M Exam-Part 2
  • Exam
  • Medical Decision Making
  • Number Of Diagnoses Or Treatment Options
  • Amount And Or Complexity Of Data Reviewed
  • Nature Of Presenting Problem
  • E And M Documentation-Level Based On TIme
  • Hospital E And M Codes
  • Subsequent Visits
  • InitialInpatient Services
  • ProlongedServices
  • Modifiers
Chapter Twelve:

Lesson 3 – Medical Terminology

  • Medical Terminology
Chapter Thirteen:

Lesson 3 – Surgery, Integumentary system, Anesthesia & Modifiers

  • Anesthesia
  • Physical Status Modifiers
  • Medicare Policy
  • Surgical Guidelines
  • 58 Staged Or Related Procedure
  • Modifier 52-Reduced Services
  • Ancillary Modifiers
  • Integumentary System
  • Morphology
  • Integumentary-Nails
  • Integumentary-Introduction
  • Clinical Scenario
  • Mohs Micrographic Surgury
Chapter Fourteen:

Lesson 4 – Introduction to ICD-9-cm

  • Introduction To ICD-9-Part 1
Chapter Fifteen:

Lesson 4 – Musculoskeletal

  • Musculoskeletal System
Chapter Sixteen:

Lesson 4 – Introduction to ICD-9-cm

  • Introduction To ICD-9-Part 2
Chapter Seventeen:

Lesson 4 – Musculoskeletal

  • Rheumatism
Chapter Eighteen:

Lesson 4 – Introduction to ICD-9-cm

  • Introduction To ICD-9-Part 3
Chapter Ninteen:

Lesson 4 – Musculoskeletal

  • Endoscopy And Arthroscopy
Chapter Twenty:

Lesson 4 – Introduction to ICD-9-cm

  • Introduction To ICD-9-Part 4
  • Introduction To ICD-9-Part 5
  • Introduction To ICD-9-Part 6
  • Introduction To ICD-9-Part 7
  • Diagnostic Procedures
  • Coding And Reporting Guidelines-Part 1
  • Coding And Reporting Guidelines-Part 2
  • Coding And Reporting Guidelines-Part 3
Chapter Twenty One:

Lesson 5 – Application of ICD-9-cm (Ch 1-9)

  • Application Of ICD-9-CM

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The ICD, currently the most widely used statistical classification system for diseases in the world, was adopted by the U.S. into the ICD-9-CM National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9 but provides additional morbidity detail. ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10, which consists of a diagnostics classification system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostics specificity in the United States. It also provides code titles and language that complement accepted clinical practice in the US. The system consists of more than 68,000 diagnosis codes. This course provides the training necessary for medical administrative professionals to comply with the updated standards. The transition to ICD-10 is necessary for many reasons. Payors cannot pay claims fairly using ICD-9-CM since the classification system does not accurately reflect current technology and medical treatment. A single ICD-9-CM procedure code assigns significantly different procedures. Limitations in the coding system translate directly into limitations in the diagnosis-related groups (DRG). The healthcare industry cannot accurately measure the quality of care using ICD-9-CM. It is difficult to evaluate the outcome of new procedures and emerging healthcare conditions when there are no precise codes. Most importantly, we have a mission to improve our ability to measure health care services provided to our patients, enhance clinical decision-making, track public health issues, conduct medical research, identify fraud and abuse, and design our payment systems to ensure services are appropriately paid. Talk to a Career Coach! Train & Earn with Guaranteed Career Coaching Success!
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Description

Medical Coding and Billing (ICD-9)

Medical coding and billing using ICD-9 (International Classification of Diseases, 9th Revision) was a foundational system widely used in healthcare before the transition to ICD-10. It played a crucial role in documenting medical diagnoses, procedures, and services for insurance reimbursement, healthcare analytics, and administrative purposes.

Key Features of ICD-9:

  • Classification System: Used numeric codes ranging from three to five digits to classify diseases, injuries, and other health conditions.
  • Basic Detail: Provided a general framework for coding medical conditions, offering less specificity compared to later revisions like ICD-10.
  • Historical Significance: Served as the standard for medical coding and billing for several decades, supporting healthcare documentation and financial transactions.

Importance in Healthcare:

  • Documentation: Facilitated the systematic recording of patient diagnoses and procedures, ensuring accurate medical records and continuity of care.
  • Reimbursement: Supported insurance reimbursement processes by providing standardized codes for healthcare services rendered.
  • Data Analysis: Enabled basic healthcare analytics, such as tracking disease prevalence, treatment outcomes, and resource utilization.
  • Legacy: Despite its transition to ICD-10, ICD-9 codes continue to play a role in historical data analysis and research within healthcare systems.

ICD-9 laid the groundwork for medical coding and billing practices, providing a structured approach to classifying and documenting healthcare services. Its successor, ICD-10, introduced greater specificity and detail, reflecting advancements in medical knowledge and healthcare practices.


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7 reviews for Medical Coding and Billing 9

  1. Angela R –

    Medical Coding and Billing 9 was a fantastic step in my healthcare career journey. The course content was easy to follow, and I loved the real-life scenarios that helped connect theory to practice

  2. Rahul M –

    Great course to build a solid understanding of ICD-9 and early billing systems. It helped me understand the evolution to ICD-10 and appreciate the fundamentals. Highly recommended for learners brushing up on legacy systems

  3. Tanya W –

    Clear and concise explanations! This course helped me grasp the key concepts of medical coding using older standards. It’s a good historical base for those transitioning to ICD-10/11

  4. Mohamed K –

    Some parts felt outdated, but I understand it’s meant for learning the ICD-9 system. The instructor did a great job explaining coding accuracy and early billing challenges

  5. Samantha L –

    Even though ICD-9 is no longer used in most places, this course helped me understand its structure, which improved my comprehension of newer systems. Very useful for exam prep and historical context

  6. Brian T –

    This course gave me a strong historical understanding of how coding systems have evolved. It’s especially helpful for those working with legacy data or older insurance systems

  7. Neha S –

    Even though ICD-9 is outdated, this course helped me build a solid base before transitioning to ICD-10. It was well explained with examples and useful summaries at the end of each module

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