Course Code: REL-PAC-0-ICDDRRHP
Hours: 1.25
Type: Online Course
Content Expiration Date: 12/31/2027
Learning Objectives:
Define the principal diagnosis and at least two types of codes that are prohibited as the principal diagnosis.
Recall at least three ways in which documentation can support hospice coverage.
Identify ICD-10-CM coding conventions, general coding guidelines, and chapter-specific coding guidelines.
Outline:
Section 1: ICD-10-CM Coding for Hospice
Introduction
Section 2: Introduction to ICD-10 Codes and Coding Guidelines
What Is an ICD-10 Code?
Review
Key Takeaways
Section 3: ICD-10-CM
ICD-10-CM Book, Coding Guidelines, and Conventions
ICD-10-CM Conventions
General Coding Guidelines
Chapter-Specific Guidelines
Review
Key Takeaways
Section 4: Hospice-Specific Diagnosis Coding Requirements
Case Studies
Debility, Adult Failure to Thrive, and Unspecified Dementia
Mental, Behavioral, and Neurodevelopmental Disorders
Case Study
Other Comorbidities and Diagnoses
Case Study
Use of “Z” Codes as the Principal Diagnosis
Review
Key Takeaways
Section 5: Supporting Hospice Coverage
Hospice Coverage
Supporting Terminal (End-Stage) Prognosis
Terminal Status LCD
Disease-Specific Guidelines
Review
Key Takeaways
Section 6: Conclusion
Course Summary
Course Contributors
Resources
References
Writer: Cate King, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I
Catrena "Cate" is the Curriculum Designer for Revenue Cycle and Coding at Relias. She holds a Juris Master with a concentration in Healthcare Regulations from Florida State University’s College of Law, and has over twenty years of revenue cycle management, coding, and compliance experience.
Subject Matter Expert: Ron Orth RN, CHC, CMAC
Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for the Acute and Post-acute Care verticals at Relias. Ron has also successfully completed the Infection Control Officer training through the AHCA.
Target Audience:
The target audience for this course is: Behavioral Health Counselors; Nursing Personnel; Social Workers; in the following settings: Skilled Nursing Facility.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
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.