Certified Coding Specialist (CCS) Certification Course

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About Course

An overview of the CCS certification

Benefits and significance of CCS certification

The course’s intended audience
Requirements and prerequisites

Course Organisation:
A. Module 1: Medical Coding Fundamentals:

  • An overview of medical coding
  • Conventions and rules for medical coding
  • The 10th edition of the International Classification of Diseases, Clinical Modification, or ICD-10-CM
  • Coding using Current Procedural Terminology (CPT)
  • Level II coding for the Healthcare Common Procedure Coding System

B. Module 2: Complex Coding Ideas:

  • Recognising Diagnosis-Related Groups (DRGs)
  • Coding for inpatients and outpatients
  • Coding for Assessment and Management (E/M)
  • Modifiers and how they are used

C. Module 3: Ethics and Regulatory Compliance:

  • HIPAA (Health Insurance Portability and Accountability Act) regulations
  • Compliance with CMS (Centers for Medicare & Medicaid Services) guidelines
  • Ethical considerations in medical coding
  • Fraud and abuse prevention
  • Documentation requirements

D. Module 4: CCS Exam Preparation:

  • An outline of the format and organisation of the CCS test
  • Advice and techniques for getting ready for an exam
  • Mock tests and drills
  • Review of important subjects and ideas
  • Sources for additional research

Delivery Method for Course:

  • Video tutorials and online lectures
  • Interactive tests and homework
  • Peer cooperation discussion forums
  • Availability of course materials and resources
  • Instructor assistance and direction

Accreditation:

  • Information regarding the CCS certification test
  • Steps to register for the exam
  • The significance of ongoing education for certification maintenance
  • Testimonies from previous attendees

Teachers:

  • Profiles of the subject matter experts and course teachers
  • Background and credentials in medical coding
  • Details on who to contact with questions

Admission:

  • Procedure for registration and associated costs
  • Dates of forthcoming courses and enrollment deadlines
  • Financial aid and payment options (if available)

FAQs:

  • Responses to frequently asked concerns concerning the course
  • Technical specifications for course material access
  • Rules pertaining to withdrawals, refunds, and schedule adjustments
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Course Content

Domain 1 – Coding Knowledge and Skills (39-41%)
Tasks: 1. Assign diagnosis and procedure codes based on the provider’s documentation in the health record 2. Identify principal/first-listed diagnosis and procedure based on the respective guidelines 3. Apply coding conventions/guidelines and regulatory guidance 4. Attach CPT/HCPCS modifiers to outpatient procedures 5. Determine appropriate sequencing of diagnoses and procedure codes based on the case scenario 6. Apply present on admission (POA) guidelines 7. Demonstrate knowledge of coding edits (e.g., NCCI, Medical Necessity) 8. Demonstrate knowledge of reimbursement methodologies (e.g., DRG, APC) 9. Abstract applicable data from the health record 10. Identify major co-morbid conditions (MCC) and co-morbid conditions (CC)

  • Domain 1 – Coding Knowledge and Skills (39-41%)
  • Domain 1 – Coding Knowledge and Skills (39-41%)
  • CCS Mock test – 1

Domain 2 – Coding Documentation (18-22%)
Tasks: 1. Resolve conflicting documentation in the health record (e.g., admission type, laterality) 2. Ensure all required documentation for assigning a specified code is available within the body of the health record 3. Verify and validate documentation within the health record

Domain 3 – Provider Queries (9-11%)
Tasks: 1. Identify elements of an ethical compliant query 2. Determine if a provider query is compliant (e.g., non-leading, contains appropriate clinical indicators) 3. Analyze current documentation to identify query opportunities

Domain 4 – Regulatory Compliance (18-22%)
Tasks: 1. Ensure completeness and accuracy of health records 2. Understand payer-specific guidelines 3. Identify patient safety indicators (PSIs) and hospital-acquired conditions (HACs) based on the provider’s documentation 4. Ensure compliance with HIPAA guidelines 5. Ensure adherence to AHIMA Standards of Ethical Coding 6. Ensure compliance with the Uniform Hospital Discharge Data Set (UHDDS)

Domain 5 – Information Technologies (9-11%)
Tasks: 1. Distinguish various types of Electronic Health Records (EHR) 2. Demonstrate a basic understanding of encoding and grouper software 3. Exhibit an understanding of computer-assisted coding (CAC) software and its impact on coding 4. Ensure compliance with HITECH guidelines

Medical Scenarios
1. Inpatient (33.3%) 2. Outpatient (33.3%) 3. Emergency Department (33.3%)

CCS Mock tests
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