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Achievers Spot is a well-established Training, Placement and Certification center providing Intensive projector based classroom Training Achievers Spot is an ISO 9001:2015 Certified well-established Training, Placement and Certification centre providing Classroom and Online Medical Coding Training.New Batch starts from 02nd,04th,06th, 08th,09th,11th,13th,16th, 18th,20th,21st,23rd ,25th,27th,28th,29th AUGUST 2018 & 01st,03rd,05th,08th,10th,11th,15th, 17th,19th,22nd,24th,26th,29th SEPTEMBER 2018 & 01st OCTOBER 2018.

CIC Exam Training (Certified Inpatient Coder)– AAPC

  • Expertise in medical record review to abstract information required to support accurate inpatient coding
  • Expertise in assigning accurate ICD-10 medical codes for diagnoses and procedures performed in the inpatient setting
  • Superior knowledge of current rules, regulations, and issues regarding medical coding, compliance, and reimbursement under MS-DRG and IPPS systems
  • Strong ability to integrate coding and reimbursement rule changes in a timely manner to include updating the Charge Description Master (CDM), fee updates, and the Field Locators (FL) on the UB04
  • Solid understanding of anatomy, physiology, and medical terminology required to correctly code facility services and diagnoses
  • Understanding of outpatient reimbursement methodologies (OPPS)
Note: ICD-10-PCS and DRG code assignment (inpatient coding) are not tested during the COC exam.

The CIC Exam Pattern

  • 60 multiple choice questions and 10 inpatient cases fill in the blank (proctored)
  • 5 hours and 40 minutes to finish the exam
  • One free retake
  • $380 ($300 AAPC Students) - one free retake
  • Open code book (manuals)
  • The CIC examination consists of questions regarding the correct application of ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes used for coding and billing inpatient facility/hospital services to insurance companies.

Syllabus

    Medical Record and Healthcare Documentation Guidelines

  • 10 multiple choice questions
  • Recognize the limitations of EHR and how downtime is handled, Identify documentation deficiencies caused by copy/paste and use of templates, Understand HIPAA security and privacyUnderstand the reporting requirements under MDS, Demonstrate proper procedure for addendums and alterations to the medial record, Identify components of the medical record, Identify the length of time the provider has to document services, Understand the requirement for timely documentationRecognize and properly code for procedures performed at the bedside, Understand the reporting requirements under UHDDS, Understand Joint Commission (JC) requirements for documentation,

Medical Terminology, Anatomy and Pathophysiology

  • 5 multiple choice questions
  • Understand medical terminology and anatomy, Understand pathophysiology to capture correct codes and identify documentation deficiencies,Recognize medications and conditions/diagnoses they are used to treat

Inpatient Coding

  • 10 multiple choice questions
  • Identify benefits of Computer Assisted Coding (CAC), Explain what natural language processing is and which departments in the hospital use it, Apply Coding Clinic guidance to inpatient coding, Identify correct ICD-10-CM and ICD-10-PCS codes for cases done, Identify proper procedure to look up DRG (eg, book, grouper), Understand emerging roles for inpatient coders (DRG validator, auditor), Identify conditions POA and use of indicators,

Inpatient Payment Methodologies

  • 13 multiple choice questions
  • Recognize proper procedure for compliance with the 2 Midnight Rule and certification requirements, Understand different bill types, Identify information found in a charge master, List examples of auto population of services using a charge master, Explain requirements to maintain and monitor the chargemaster, Understand the role each department plays in chargemaster maintenance, Understand the 72 hour rule (24 hour for other types of inpatient services) and how services occurring prior to admit are reported, Identify different types of disposition and the impact on coding, Calculate base payments for DRGs, Identify elements needed to determine DRG assignment, Understand what is supported in the DRG (eg, services performed at another facility), Understand different types of DRGs (eg, APR-DRG), Understand Medicare Code Edits, Understand different inpatient types, Understand guidelines for selecting the principle diagnosis for different inpatient facilities, Explain impact of readmissions in a 30 day period, Explain when to rebill inpatient claim as an outpatient claim, Identify data submitted on a UB-04

Outpatient Payment Methodology

• 5 multiple choice questions • Identify differences between outpatient and inpatient payment methodologies, Explain coding requirements under OPPS: Pass through payments, Explain coding requirements under OPPS: APCs and Status Indicators

Regulatory and Payer Requirements

• 9 multiple choice questions • Review LCD/NCD and apply the policy to inpatient coding, Identify services covered by Medicare Parts A, B, C, D, Explain proper execution of the ABN and HINN, Review private payer policy and apply to inpatient payment, Identify precertification requirements

Compliance

• 8 multiple choice questions • Explain external payer audits process and responsibilities of hospital staff, Explain internal audits and how they relate to compliance plans, Know how to interact with auditors during an onsite audit, Identify audit targets on the OIG work plan, Explain the CERT audit process and requirements for response to a request for records, Understand the PEPPER report and how it is utilized., Identify examples of fraud and abuse, Explain the MAC audit process, Identify services approved for audit by the RAC auditors, Explain the Medicare appeal process and discuss requirements at each level, Explain the RAC audit process and requirements for response to a request for records,

Coding Cases

• 10 inpatient cases fill in the blank • Code the ICD-10-CM and ICD-10-PCS codes for 10 inpatient cases,

New Batch starts from 02nd,04th,06th, 08th,09th,11th,13th,16th, 18th,20th,21st,23rd ,25th,27th,28th,29th AUGUST 2018 & 01st,03rd,05th,08th,10th,11th,15th, 17th,19th,22nd,24th,26th,29th SEPTEMBER 2018 & 01st OCTOBER 2018.