Module 1

Inpatient Coding Basics

Chart anatomy . Admission-discharge cycle . Inpatient vs outpatient rules .

Documentation types . UHDDS guidelines

Module 2

ICD-10-CM Diagnosis Coding

Principal diagnosis selection . MCC/CC identification . Complication & comorbidity

coding . POA indicators . Section II guidelines

ICD-10-PCS Procedure

Module 3

Coding

7-character code structure . Root operations . Body part & approach . Device &

qualifier . OR vs non-OR . PCS tables navigation

Module 4

DRG Grouping Logic

MS-DRG vs AP-DRG . MDC categories . MCC/CC impact on reimbursement . DRG

weight & geometric mean LOS . Grouper splits

Module 5

Chart Review & Physician

Query

Concurrent vs retrospective review . Physician query writing . Compliant query

formats . Documentation improvement strategies

Module 6

Revenue Cycle & Claims

Workflow

UB-04 claim form . Payer rules & contracts . Denial management . NCCI edits .

Revenue cycle overview . Coding-to-billing flow

Module 7

Quality Audit & Compliance

Internal coding audits . RAC & payer audits . Compliance program basics . Quality

scoring . Error trending . OIG guidelines

Live Chart Practice & Mock

Module 8

Coding

110 sample chart coding . 3M grouper practice . DRG assignment drills . Speed &

accuracy building . Final assessment

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