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Medical Coding and Billing (ICD-10 and ICD 11)

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58 Course Videos
20 Hours
76 Test Questions

Course Description

Medical Coding and Billing (ICD-10 and ICD-11)

Medical coding and billing are integral components of healthcare administration, involving the transformation of medical diagnoses, procedures, and services into universally recognized alphanumeric codes. These codes are essential for accurately documenting patient encounters, facilitating insurance reimbursement, conducting healthcare analytics, and ensuring compliance with regulatory standards.

Key Features and Differences:

  • ICD-10 (International Classification of Diseases, 10th Revision):
    • Detail-Oriented: Offers a comprehensive and detailed classification system with codes ranging from three to seven characters.
    • Specificity: Allows for precise coding of diagnoses and procedures, enhancing accuracy in medical records and billing processes.
    • Global Standard: Widely adopted internationally, ICD-10 supports standardized healthcare data collection, research, and epidemiological studies.
    • Complexity: Requires thorough training and expertise due to its extensive code set and specificity, covering a wide range of medical conditions and scenarios.
  • ICD-11 (International Classification of Diseases, 11th Revision):
    • Enhanced Classification: Improves upon ICD-10 with updated terminology and structure, categorizing diseases based on etiology, anatomy, and severity.
    • Integration: Designed for seamless integration with electronic health records (EHRs) and modern healthcare information systems, promoting interoperability and data exchange.
    • Simplified Coding: Aims to streamline the coding process with clearer guidelines and a user-friendly interface, reducing coding errors and administrative burden.
    • Continued Global Use: Serves as a global standard for disease classification, ensuring consistency and comparability across healthcare systems worldwide.

Importance in Healthcare:

  • Financial Reimbursement: Ensures accurate billing and reimbursement for healthcare services provided, supporting financial stability for healthcare providers and facilities.
  • Clinical Documentation: Facilitates comprehensive documentation of patient diagnoses and treatments, aiding in clinical decision-making and continuity of care.
  • Healthcare Analytics: Enables data-driven insights into population health, disease patterns, treatment outcomes, and healthcare resource utilization.
  • Regulatory Compliance: Helps healthcare organizations comply with insurance requirements, government regulations, and quality reporting standards.

Medical coding and billing, supported by ICD-10 and ICD-11, are crucial for effective healthcare management, operational efficiency, and quality patient care, serving as foundational elements in the healthcare revenue cycle and health information management.


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Step-by-Step Courses List

Chapter One:

Module 1: Anatomy

  1. Introduction
  2. Human Body
  3. Skin
  4. Bones, Muscles and Joints
  5. Heart and Blood Vessels
  6. Lungs
  7. Stomach, Intestines and Colon
  8. Kidney, Bladder, Prostate and More
  9. Uterus, Ovaries and Female Parts
  10. Eye
  11. Glands
  12. Ear, Nose and Throat
  13. Blood
  14. Immune
  15. Brain and Spinal Cord

Chapter Two:

Module 2: Diagnosis Coding

  1. Overview of ICD
  2. Outpatient Guidelines
  3. Infectious and Parasitic
  4. Neoplasms
  5. Diseases of the Blood and Blood Organs
  6. Endocrine, Nutritional and Metabolic Diseases
  7. Mental and Behaviroal Health
  8. Pregnancy, Childbirth and the Puerperium
  9. Conditions Originating in Perinatal Period
  10. Symptoms, Signs and Abnormal Clinical and Laboratory Findings
  11. Injury, Poisoning and Certain Other External Causes
  12. Diseases of the Skin and Subcutaneous Tissue
  13. External Causes of Morbidity
  14. Factors Influencing Health
  15. Circulatory System
  16. Eye
  17. Respiratory
  18. Digestive

Chapter Three:

Module 3: Procedure Coding

  1. Evaluation and Management part 1
  2. Evaluation and Management part 2
  3. Evaluation and Management part 3
  4. Evaluation and Management part 4
  5.  Anesthesia
  6.  Modifiers
  7. Surgery part 1
  8. Surgery part 2
  9. Surgery part 3
  10. Radiology
  11. Pathology
  12. OB/GYN
  13. Physical Medicine part 1
  14. Physical Medicine part 2
  15. HCPCS
  16. Diving Into Coding part 1
  17. Diving Into Coding part 2
  18. Diving Into Coding part 3
  19. NCCI, MUE and GME
  20. CAT Codes
Chapter Four:

Module 4: Billing Guidelines and Practices

  1. HIPPA, Compliance and Reimbursement part 1
  2. HIPPA, Compliance and Reimbursement part 2
  3. HIPPA, Compliance and Reimbursement part 3
  4. HIPPA, Compliance and Reimbursement part 4
  5. The Next Steps

Chapter Five:

 

Chapter Six:

 

Chapter Seven:

 

Chapter Eight:

 

Chapter Nine:

 

Chapter Ten:

 

Chapter Eleven:

 

Chapter Twelve:

 

Chapter Thirteen:

 

Chapter Fourteen:

 

Chapter Fifteen:

 

Chapter Sixteen:

 

Chapter Seventeen:

 

Chapter Eighteen:

 

Chapter Ninteen:

 

Chapter Twenty:

 

Chapter Twenty One:

 

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Frequently Asked Questions

Instructional methods, course requirements, and learning technologies can vary significantly from one online program to the next, but the vast bulk of them use a learning management system (LMS) to deliver lectures and materials, monitor student progress, assess comprehension, and accept student work. LMS providers design these platforms to accommodate a multitude of instructor needs and preferences.

Online education may seem relatively new, but years of research suggests it can be just as effective as traditional coursework, and often more so. According to a U.S. Department of Education analysis of more than 1,000 learning studies, online students tend to outperform classroom-based students across most disciplines and demographics. Another major review published the same year found that online students had the advantage 70 percent of the time, a gap authors projected would only widen as programs and technologies evolve.

All new learning innovations are met with some degree of scrutiny, but skepticism subsides as methods become more mainstream. Such is the case for online learning. Studies indicate employers who are familiar with online degrees tend to view them more favorably, and more employers are acquainted with them than ever before. The majority of colleges now offer online degrees, including most public, not-for-profit, and Ivy League universities. Online learning is also increasingly prevalent in the workplace as more companies invest in web-based employee training and development programs.

The concern that online students cheat more than traditional students is perhaps misplaced. When researchers at Marshall University conducted a study to measure the prevalence of cheating in online and classroom-based courses, they concluded, “Somewhat surprisingly, the results showed higher rates of academic dishonesty in live courses.” The authors suggest the social familiarity of students in a classroom setting may lessen their sense of moral obligation.

Choosing the right course takes time and careful research no matter how one intends to study. Learning styles, goals, and programs always vary, but students considering online courses must consider technical skills, ability to self-motivate, and other factors specific to the medium. Online course demos and trials can also be helpful.
Our platform is typically designed to be as user-friendly as possible: intuitive controls, clear instructions, and tutorials guide students through new tasks. However, students still need basic computer skills to access and navigate these programs. These skills include: using a keyboard and a mouse; running computer programs; using the Internet; sending and receiving email; using word processing programs; and using forums and other collaborative tools. Most online programs publish such requirements on their websites. If not, an admissions adviser can help.

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Description

Medical Coding and Billing (ICD-10 and ICD-11)

Medical coding and billing are integral components of healthcare administration, involving the transformation of medical diagnoses, procedures, and services into universally recognized alphanumeric codes. These codes are essential for accurately documenting patient encounters, facilitating insurance reimbursement, conducting healthcare analytics, and ensuring compliance with regulatory standards.

Key Features and Differences:

  • ICD-10 (International Classification of Diseases, 10th Revision):
    • Detail-Oriented: Offers a comprehensive and detailed classification system with codes ranging from three to seven characters.
    • Specificity: Allows for precise coding of diagnoses and procedures, enhancing accuracy in medical records and billing processes.
    • Global Standard: Widely adopted internationally, ICD-10 supports standardized healthcare data collection, research, and epidemiological studies.
    • Complexity: Requires thorough training and expertise due to its extensive code set and specificity, covering a wide range of medical conditions and scenarios.
  • ICD-11 (International Classification of Diseases, 11th Revision):
    • Enhanced Classification: Improves upon ICD-10 with updated terminology and structure, categorizing diseases based on etiology, anatomy, and severity.
    • Integration: Designed for seamless integration with electronic health records (EHRs) and modern healthcare information systems, promoting interoperability and data exchange.
    • Simplified Coding: Aims to streamline the coding process with clearer guidelines and a user-friendly interface, reducing coding errors and administrative burden.
    • Continued Global Use: Serves as a global standard for disease classification, ensuring consistency and comparability across healthcare systems worldwide.

Importance in Healthcare:

  • Financial Reimbursement: Ensures accurate billing and reimbursement for healthcare services provided, supporting financial stability for healthcare providers and facilities.
  • Clinical Documentation: Facilitates comprehensive documentation of patient diagnoses and treatments, aiding in clinical decision-making and continuity of care.
  • Healthcare Analytics: Enables data-driven insights into population health, disease patterns, treatment outcomes, and healthcare resource utilization.
  • Regulatory Compliance: Helps healthcare organizations comply with insurance requirements, government regulations, and quality reporting standards.

Medical coding and billing, supported by ICD-10 and ICD-11, are crucial for effective healthcare management, operational efficiency, and quality patient care, serving as foundational elements in the healthcare revenue cycle and health information management.


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8 reviews for Medical Coding and Billing (ICD-10 and ICD 11)

  1. Sophia R –

    This course was exactly what I needed to strengthen my understanding of both ICD-10 and ICD-11. The comparisons between the two versions were clearly explained, and the practice exercises were very helpful

  2. Marcus J –

    Well-structured and informative! The course dives into real-world coding scenarios and explains the billing workflow effectively. A great choice for anyone preparing for certification or a healthcare admin role

  3. Alicia M –

    The course covers a lot of ground in a short time. I loved how it broke down ICD-10 and transitioned smoothly into ICD-11. It’s perfect for someone entering the medical coding field

  4. David L –

    Informative but a bit fast-paced for beginners. Still, it’s a great overview of how ICD coding works in real healthcare settings. The billing examples were especially useful.

  5. Rina S –

    This course gave me a solid foundation in medical coding and billing. It’s up-to-date with ICD-11 content and even included tips for staying compliant and avoiding coding errors

  6. Karen B –

    Excellent training for both newcomers and experienced coders. I really appreciated the breakdowns of the coding structure and how to interpret complex diagnoses. The ICD-11 updates were spot on

  7. Anthony W –

    The instructor made technical topics feel approachable. I especially liked the comparison charts between ICD-10 and ICD-11—great for visual learners like me

  8. Jessica M –

    The course is solid, but I wish there were more interactive quizzes for ICD-11. That said, the billing process walkthrough was clear and practical

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