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CureMD Training For Internal Medicine Part 1
The document is a guide presented by Dr. Evan Gwilliam on ICD-10 coding for internal medicine, covering fundamentals, conventions, guidelines, and code selection strategies. It emphasizes the need for accurate documentation, especially for conditions like hypertension, which has specific coding definitions and categories. The document additionally promotes specialty-specific ICD-10 resources and offers a discount for purchasing certain coding materials.
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CureMD Training For Internal Medicine Part 1
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- 2. ICD-10 Boot Camp Internal Medicine Specificguidelines and documentation tips 2 Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA Chief Product Officer
- 3. Dr. Evan Gwilliam •Education • Bachelor’s of Science, Accounting - Brigham Young University • Master’s of Business Administration - Broadview University • Doctor of Chiropractic, Valedictorian - Palmer College of Chiropractic • Certifications • Certified Professional Coder (CPC) - AAPC • Nationally Certified Insurance Coding Specialist (NCICS) - NCCT • Certified Chiropractic Professional Coder (CCPC) - AAPC • ChiroCode Certified Chiropractic Professional Coder (CCCPC) - ChiroCode • Certified Professional Coder – Instructor (CPC-I) - AAPC • Medical Compliance Specialist – Physician (MCS-P) - MCS • Certified Professional Medical Auditor (CPMA) – AAPC, NAMAS • Certified ICD-10 Trainer - AAPC 3
- 4. Overview • Part 1- ICD-10 fundamentals and navigation • Part 2 - Coding conventions and guidelines • Part 3 - ICD-10 code selection strategies • Part 4 - Documentation improvement ***Specialty specific training 4
- 5. Official ICD-10 Guidelines 1.Conventions (section I.A) 2. General Coding Guidelines (section I.B) 3. Chapter Specific Coding Guidelines (section I.C) 4. The Tabular List **takes precedence (in-column instructions) 5
- 6. Official ICD-10 Guidelines 1.Conventions (section I.A) 2. General Coding Guidelines (section I.B) 3. Chapter Specific Coding Guidelines (section I.C) 4. The Tabular List **takes precedence (in-column instructions) 6
- 7. Tabular list layout Chapter 21of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 7 Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
- 8. Hypertension • Formerly 401-in ICD-9-CM • Coding Guidelines can be checked at the following levels: 8 1. General guidelines 2. Chapter specific guidelines 3. Chapter heading 4. Block heading 5. Category heading 6. Subcategory heading
- 9. Hypertension • Definition change: oIn ICD-10, hypertension is defined as essential (primary). The concept of “benign or malignant” as it relates to hypertension no longer exists. • Document the following: o Type (e.g. essential, secondary, etc.) o Causal relationship (renal, pulmonary, etc.) • Categories for hypertensive diseases (I10-I15) o I10 Essential (primary hypertension) o I11 Hypertensive heart disease o I12 Hypertensive chronic kidney disease o I13 Hypertensive heart and chronic kidney disease o I15 Secondary hypertension 9
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- 22. 22 1. General guidelines 2.Chapterspecific guidelines 3. Chapter heading 4. Block heading 5. Category heading 6. Subcategory heading 1.General guidelines 2.Chapter specific guidelines 3.Chapter heading 4.Block heading 5.Category heading 6.Subcategory heading
- 23. Tabular list layout Chapter 21of them from A to Z (body system or condition) Block Ranges of categories (related conditions) Categories 3 characters (more specific condition) Subcategories 4th or 5th characters (etiology, location, etc.) Codes 6th or 7th characters (laterality, encounter, etc.) 23 Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.
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- 25. 25 1. General guidelines 2.Chapterspecific guidelines 3. Chapter heading 4. Block heading 5. Category heading 6. Subcategory heading 1.General guidelines 2.Chapter specific guidelines 3.Chapter heading 4.Block heading 5.Category heading 6.Subcategory heading
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- 27. 27 1. General guidelines 2.Chapterspecific guidelines 3. Chapter heading 4. Block heading 5. Category heading 6. Subcategory heading 1.General guidelines 2.Chapter specific guidelines 3.Chapter heading 4.Block heading 5.Category heading 6.Subcategory heading
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- 29. 34 specialty specific ICD-10books • More than 70 pages which teach • Conventions • Guidelines • Implementation steps • Documentation strategies • Provider Documentation Guides • Specialty specific • GEMs mapping • Alpha Index • Abridged Tabular List Use “CureMD20” to save $20 at InstaCode.com
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Editor's Notes
- #3 ICD-10 can be overwhelming, but, with some strategizing and planning it can be managed. In this presentation we will look at a few ICD-10 fundamentals, then familiarize ourselves with three methods for finding the right ICD-10 code. Each one is a different path, but all lead to the same destination: the right code.
- #30 The examples shown to you were from the InstaCode ICD-10 specialty books. There are 24 different specialties, each with their own customized ICD-10 guide and Tabular List. Come to our booth to see some examples and get a flyer. We have special pricing available for those who wish to order one today.