Maricopa Community Colleges  HSE203   20032-99999 
Official Course Description: MCCCD Approval: 11/26/02
HSE203 20032-99999 LEC 1 Credit(s) 1 Period(s)
Introduction to ICD-10CM
Introduction to medical service ICD-10CM diagnostic coding. History of ICD-9CM use and developmental changes to ICD-10CM. Translation of medical diagnoses into alphanumeric system for electronic or paper claim submission to insurers. Prerequisites: Medical terminology skills and previous experience with ICD- 9CM system.
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MCCCD Official Course Competencies:
 
HSE203   20032-99999 Introduction to ICD-10CM
1. Identify professional affiliations and certifications associated with diagnostic medical service coding. (I)
2. Describe the history of ICD-9CM and developmental change process to ICD-10CM. (II)
3. Define clinical modification and coding convention changes associated with compliant use of ICD-10CM coding. (II)
4. Discuss ICD-10CM code families and the implementation issues associated with this new system. (II)
5. Translate documentation related to patient's need for care into this alphanumeric system. (II)
6. Describe the processes for electronic claim submission and reimbursement and data storage for medical research purposes. (II)
7. Describe the responsibilities of medical office staff related to medical service ICD-10CM coding, support documentation and coding translation from ICD-9CM system. (III)
8. Discuss fraud and abuse issues related to the Health Insurance Portability and Accountability Act (HIPAA) of 1996. (III)
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MCCCD Official Course Outline:
 
HSE203   20032-99999 Introduction to ICD-10CM
    I. Medical Service Coding
        A. Professional affiliations
        B. Certifications
      II. History and Development of Medical Service Coding
          A. ICD-9CM and ICD-10CM Systems
            1. Terminology
            2. Conventions
          B. Implementation Issues
            1. Clinical modification and coding convention
            2. Code families
            3. Coding translation
            4. Insurance claims
            5. Data storage for medical research
        III. ICD-10CM Management
            A. Utilization Responsibilities
              1. Coding process
              2. Support documentation
                a. Compliant utilization
                b. Crosswalk from ICD-9CM
            B. Fraud and Abuse Issues
              1. Major concerns
              2. HIPAA violations/penalties
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