These features address traditional well-known requirements for documentation principles while supporting expansive new technologies. Use of these features without appropriate management and guidelines, however, may create information integrity concerns such as invalid auto-population of data fields and manufactured documentation aimed to enhance expected reimbursement. Processes must be in place to ensure the documentation for the health information used in care, research, and health management is valid, accurate, complete, trustworthy, and timely. There are a number of existing rules and regulations on documentation principles and guidelines that primarily address documentation authorship principles, auditing, and forms development in a paper health record.
This examination represents high-level achievement and proficiency in inpatient and outpatient coding and associated concepts. The test covers 97 multiple choice questions and eight medical scenarios adding up to a four-hour rigorous examination.
Preparing for the examination while striving to balance work and family requires much energy. This move has led some potential test-takers to delay sitting for the exam.
However, with the exam still reflecting ICD-9 content until ICD has officially been implemented, coders have bought more unexpected time to take the exam.
Coding experts say that now is not the time for up-and-coming coders to hold back on becoming credentialed. ICD has created a high demand for credentialed coders, and the workforce needs individuals with the CCS credential more than ever.
While test-takers cannot control the ICD-9 or ICD factor of the examination, they can concentrate on overcoming 10 specific challenges of taking the exam. Follow these guidelines, and one can breathe a little easier before hitting the exam room.
Some Lack Outpatient Coding Experience Many inpatient coders feel very competent coding inpatient accounts and answering questions related to inpatient-related concepts. However, since these coders primarily code only inpatient accounts, many lack the coding knowledge and experience related to outpatient encounters.
To help combat this and get their coders the experience they need to sit for the CCS exam, some healthcare providers have offered to cross-train inpatient and outpatient coders. As a result, these coders have expanded their coding knowledge and skills, improved their versatility in being able to code more visit types, and have effectively prepared to pass Requirements for certification ccs p and examination national coding exam.
Ardent also provides cross-training opportunities for their inpatient coders to obtain outpatient coding knowledge and skills. Through the program, coders have the opportunity to complete outpatient coding education modules, pass a test, and then be promoted to Inpatient Coder II, which also modifies their job description and increases their salary.
This would easily present an opportunity for the coders to gain the hands-on practice they need to pass the CCS examination. Therefore, inpatient coders must use creativity to discover ways to obtain this experience.
There are some outpatient coders who have experience coding only ancillary visits, and lack the skills to code a variety of outpatient encounters including endoscopy and surgical procedures.
These coders will also need to practice coding the full spectrum of outpatient visits either by purchasing a resource or obtaining on-the-job training experience.
Sandy Smith, the health information technology program director at Tulsa Community College, has partnered with Kelli Horn, coding education manager at Ardent, to provide CCS examination preparation, study strategies, education on the non-coding portion of the exam, hands-on CPT and ICD coding, and a partial mock examination.
The benefit for an organization that has its coders participate in a review course is that it exposes the coders to inpatient and outpatient coding concepts and coding exercises, simulates the mock examination experience, creates a networking atmosphere with others who are also preparing to take their exam, and provides further education regarding the non-coding concepts on the examination.
However, many outpatient coders are lacking inpatient coding experience. Workplaces that provide on-the-job cross-training are the best option for coders preparing to take their exam.
Certified Coding Specialist (CCS®) Applicants outside the U.S. should visit the international exam tab.. CCSs are skilled in classifying medical data from patient records, generally in a hospital setting. GCS Prep Program. This self-guided GCS Prep Program is designed to give you the tools you need to pass the test, gain expertise, and elevate the profession — all while earning CEUs. The New York State Education Department is responsible for setting student learning expectations (standards) for what all students should know and be able to do as a result of skilled instruction.
However, if this option is not available, coders may need to take the initiative and purchase resources that contain sample inpatient coding exercises and work beginning, intermediate, and advanced exercises, along with case studies, to develop inpatient coding skills.
Furthermore, they will need to be prepared to code eight medical scenarios, which will include some inpatient cases. While many coders reference them, as needed, when they are coding their visits each day, some coders struggle at comprehending the material as a whole.
Things get especially tough for some when they are asked to recall and apply the material quickly on the CCS test, and many run out of time or barely have sufficient time to complete the exam. But this should not be a deterring factor in taking the exam, coding experts say.
Coders are expected to become familiar with these guidelines in their daily workplace coding duties, which should serve as extra motivation to become familiar with ICD at a higher level.
Coders should read through the guidelines at least once, but preferably twice, before taking the exam. Many had been coding for several years, however, they had not been exposed to many of the domains included in the examination.
Topics include reimbursement methodologies, documentation rules and regulations, abstracted data elements for database integrity and claims processing, using technology to ensure data collection, analysis, storage, reporting of information, and use in HIM work processes.
Privacy and security concerns, protection of data integrity, access and disclosure of personal health information, accuracy and completeness of the patient record, monitoring organization-wide compliance, and ethical coding standards are additional topics.
These sections comprise 11 percent of the overall score on the examination. Recommendations for overcoming this challenge include: Coders must code eight medical record cases, which includes inpatient and outpatient encounters. Even before the code set changes to ICD, many coders feel nervous about this section.
Since most coders have not had much exposure to hands-on ICD coding, this is the area that could potentially become the biggest obstacle once ICD is implemented.
For clarification, while there can be questions regarding ICD on the multiple choice section of the exam, there are no coding exercises that would involve ICD until that code set has officially been implemented.
There are several steps coders can take to face their fear of this exam portion. Practice, then practice, then practice some more.Certified Coding Specialist (CCS®) Candidates must meet one of the following eligibility requirements: By Credential: RHIA®, A certification examination is based on an explicit set of competencies.
These competencies were determined by job analysis surveys of hospital-based coders (for the CCS exam). Certified Professional Coder (CPC) is a highly trained certified medical coding professional.
Get CPC certification and become a certified coding specialist. AAPC helps you with CPC test FAQs, medical coding certification cost, CPC preparation tips and strategy, and double your chance of passing with CPC training.
The CCS examination for medical coding certification consists of multiple-choice and fill-in-the-blank questions that are based on medical terminology and coding examples and that include questions based on pharmacology (drugs and the conditions they’re prescribed to treat). Prerequisites and more If you want to take the CCS examination, .
How Can I Become a Certified Coding Specialist (CCS)? Find out more about the job skills and education requirements of a certified coding specialist by referencing the following table.
Degree Required: Exam and Class Facts Earning certification as a medical coder can give you a leg up when looking for a job in the. This is the ultimate guide of IRS TransactionCodes and Account Transcript Definitions.
The following programs are currently approved for initial and ongoing counselor preparation trainings for the ADACBGA.