CureMD Training For Internal Medicine

2. ICD-10 Boot CampInternal Medicine Specific guidelines and documentation tips 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

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

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)

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)

7. Tabular list layout 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: • General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading

9. Hypertension • Definition change: • 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: • Type (e.g. essential, secondary, etc.) • Causal relationship (renal, pulmonary, etc.) • Categories for hypertensive diseases (I10-I15) • I10 Essential (primary hypertension) • I11 Hypertensive heart disease • I12 Hypertensive chronic kidney disease • I13 Hypertensive heart and chronic kidney disease • I15 Secondary hypertension

10. General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading

22. General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading • General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading

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

25. General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading • General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading

27. General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading • General guidelines • Chapter specific guidelines • Chapter heading • Block heading • Category heading • Subcategory heading

29. 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