curemd training for internal medicine

ICD-10 Boot Camp

Internal Medicine Specific guidelines and

documentation tips

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Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA

Chief Product Officer

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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

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

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Official ICD-10 Guidelines1. 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)

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Official ICD-10 Guidelines1. 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)

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Tabular list layout

Chapter

21 of themfrom 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.)

Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.

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Hypertension• Formerly 401- in ICD-9-CM• Coding Guidelines can be checked at the

following levels:

1.General guidelines2.Chapter specific guidelines3.Chapter heading4.Block heading5.Category heading6.Subcategory heading

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Hypertension• Definition change:

o In 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 diseaseo I12 Hypertensive chronic kidney diseaseo I13 Hypertensive heart and chronic kidney diseaseo I15 Secondary hypertension

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1.General guidelines2.Chapter specific

guidelines3.Chapter heading4.Block heading5.Category heading6.Subcategory heading

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1. General guidelines

2.Chapter specific guidelines

3. Chapter heading4. Block heading5. Category heading6. Subcategory heading



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Tabular list layout

Chapter

21 of themfrom 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.)

Note: Codes may be complete with fewer than 6 characters. Some codes only have 3.

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34 specialty specific ICD-10 books• 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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curemd training for internal medicine

Documents