CureMD Training For Internal Medicine

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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
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Dr. Evan Gwilliam

• Education
• Bachelors of Science, Accounting - Brigham Young
  University
• Masters 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

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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

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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)

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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)

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

• Formerly 401- in ICD-9-CM
• Coding Guidelines can be checked at the following
  levels

1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

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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

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1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

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1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

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Tabular list layout
Note Codes may be complete with fewer than 6
characters. Some codes only have 3.
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1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

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1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

1. General guidelines
2. Chapter specific guidelines
3. Chapter heading
4. Block heading
5. Category heading
6. Subcategory heading

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• 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

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