Course Code: REL-RCC-REV-CCI-A07
Hours: 0.5
Type: Online Course
Content Expiration Date: 12/31/2025
Learning Objectives:
Define screening and diagnostic services and how they differ in purpose.
Recall outpatient coding guidelines for screening and diagnostic services.
Identify valid source documents and demonstrate how to use medical record documentation to determine whether a service is diagnostic or screening in nature.
Assess how ICD-10-CM diagnosis coding supports medical necessity for screening and diagnostic services.
Identify examples of high-risk criteria and describe how they affect the coverage of outpatient screening services.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Definitions
Differentiating Between Screening and Diagnostic Services
CMS Definition of Diagnostic Services
Review
Section 3: Guidelines
ICD-10-CM Coding and Medical Necessity
Outpatient Coding Guidelines
Coding Guidelines for Screening Services
Coding Guidelines for Diagnostic Services
Coding Examples for Diagnostic Services
Review
Section 4: Documentation
Source Documents
Physician Orders
Other Sources of Documentation
How Documentation Supports Screening vs Diagnostic Reporting
Review
Relationship of High-Risk Criteria to the Coverage of Screening Exams
Frequency of Screening Exams
Review
Section 5: Conclusion
Course Summary
Course Contributors
Resources
References
Reviewer: Tamara Abraham, AS, BA, CPC-I, CGSC, CPC
Tamara has twenty-seven years of multi-specialized medical coding and Corporate Compliance experience. She is the founder of Abraham Medical Coach LLC, where she provides medical coding and healthcare compliance consulting services to healthcare organizations across the United States. In addition to consulting, Tamara prepares individuals to sit for their medical coding certification via her online course curriculum. She is an adjunct educator for a local community college based in Texas. Her area of instruction includes Introduction to Medical Law, Medical Terminology, ICD-10-CM and Procedural Coding. Tamara’s credentials include AAPC Approved Instructor, Certified General Surgery Coder and Certified Professional Coder with the Academy of Professional Coders Association (AAPC). She has authored three books specific to the medical coding industry.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
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To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.