If you answer YES to any of these questions, then then the Exam Prep Kit is for you!
Do you have basic medical coding knowledge?
Do you struggle knowing which keywords to look for in a case?
Do you need to increase your speed while taking the certification exam?
Get ready for STANDING OVATION results on your medical coding exam!
Medical Coding Academy® (MCA®) breaks the mold with extraordinary innovation once again! Prepare to be captivated by this extraordinary step by step simplified medical coding exam prep kit already proven to raise the bar in the field. Delve into the alluring colorful world of medical coding and experience the invaluable teachings transported directly to you for an “at home” study adventure. Mrs. Delissa Ortega shares her most treasured “trade secrets” and takes a superhero approach in preparing you for the medical coding certification exam. The Go To Coders® Exam Prep Kit includes the following 4 learning products.
STEP 1
The Tabbing System
To get started you’ll first, for speedy navigation, start by strategically placing all 192 vibrant tabs on your (3) medical coding books.
STEP 2
The Color-Coding Chart
It’s time to mark up your books with the EXAM BLASTING color coding methods defined in this book. This is the part where you will prepare your CPT book in order to emphasize key words.
STEP 3
The (150) Study Cases
It’s now time to journey through 150 practice cases for skill set progression. Experience “edge of your seat” learning with vividly explained rationales that bring the medical coding guidelines to life.
STEP 4
The Mock Exam – IT’S SHOWTIME!
It’s now time to put your new skills to the test and dominate the experience. Prepare to “take bow” as you find yourself gliding through the cases with undeniable confidence!
Frequently purchased with this kit is the Go To Coders® Flipbooks!
Ready for the sit for the certification test? Test yourself by experiencing the “real-life simulation” of the actual certification test by challenging the Go To Coders® mock exam. The Go To Coders®mock exam was designed to simulate the coding concepts frequently required by the AAPC® and AHIMA®.
The comprehensive answer key rationales with detailed explanations of the medical coding guidelines will reveal which questions you missed and more importantly why you missed it. Hands down, you won’t be caught off guard on test day.
You get 10 times your money’s worth!
Detailed Answer Key Rationales with ICD-10 and CPT Guidelines – EXPLAINED
ICD-10 Guidelines – EXPLAINED
CPT Guidelines – EXPLAINED
Medical Terminology – (Most frequently seen on the test and in the real world)
Medical Abbreviations – (Most frequently seen on the test and in the real world)
Memorized Codes – (Most frequently seen on the test and in the real world)
Medications – (Most frequently seen on the test and in the real world)
Encoder – Abstracting the diagnosis and procedure.
Index – Learn how to code the diagnosis and procedure using the index
Official coding and guideline knowledge are required by AAPC® and AHIMA® in order to pass the certification test. This “to the point” and “no fluff” guide contains a unique comprehension of the ICD-10-CM and CPT Guidelines to include content knowledge such as:
Evaluation and Management Anesthesia Radiology Laboratory & Pathology Medicine
Detailed answer key rationales (located directly behind every single case) breaking down the official guidelines and emphasizing the key words to identify the correct answer – EXPLAINED
ICD-10 Guidelines – EXPLAINED
CPT Guidelines – EXPLAINED
Medical Terminology – (Most frequently seen on the test and in the real world)
Medical Abbreviations – (Most frequently seen on the test and in the real world)
Memorized Codes – (Most frequently seen on the test and in the real world)
Medications – (Most frequently seen on the test and in the real world)
Encoder – Abstracting the diagnosis and procedure. (BONUS)
Index – Learn how to code the diagnosis and procedure using the index (BONUS)
Test Taking Tips
Upon completing the study cases, continue the momentum by purchasing and taking the MOCK EXAM next. This is where you’ll put all your new skills to the test and experience a simulation experience of the real certification test.
Medical Coding Academy® presents the revolutionary 6-part flip book set offering 6 times the learning! Experience a fun, fast way to develop your medical coding skills! This portable multisensory flipbook set provide easy solutions to learners by providing the rigorous repetition they need to pass the national medical coding certification exams.
The vibrantly colored flip books go beyond memorization in that they also provide the core fundamentals needed to “hit the ground running”; as they prepare to take the certification exam and enter the dynamic industry of medical coding. Each set features two-sided cards that are designed to engage students in hands-on easy and straightforward learning. Feel free to use this 6-part series in a way that fits your style and time frame.
Divided into 6 levels, the Go To Coders® flipbook series features:
MEDICAL TERMINOLOGY – For Increased Comprehension of the medical language frequently seen on the certification exams and used in the real world. MODIFIERS – For Instant Recognition of the most frequently used modifiers seen on the certification exams and in the real world. MEMORIZED CODES – For Repetitive Fluency Drills on the most frequently seen codes on the certification exams and in the real world. MEDICAL ABBREVIATIONS – For Speedy Interpretation of documentation seen on the certification exams and in the real world. ICD-10 GUIDELINES – For Exam Blasting Results on difficult to interpret guidelines frequently seen on the certification exams and in the real world. MEDICATIONS – For quick study Interpretation of medications frequently seen on the certification exams and in the real world.
Testimonials: “They fit in my purse, tote them everywhere I go!” “These little gems was all I needed to round out my studies!” “I’m the envy of all with these little treasures!”
In this video, Mrs. Ortega journeys you through each and every E&M case. Watch, learn and master the skill as she simplifies E&M coding with her very unique approach to getting it done right the first time.
Instant Access Online Training. 30 Day Access. No refunds.
Now you can show off your skills by utilizing this Resume template kit specifically created for Go To Coders®!
Purchase your Resume USB wristlet today for $59.00!
“I am SO glad I bought this USB filled with resume samples, made specifically for the medical coder! My resume was all wrong but I wasn’t sure how to make it better, like what should I take out? What do I need to add to it? This showed me and now my revised resume is ready to send out to companies who are looking for coders.” -Sunny R.
A Compliance Officer is required to have a vast knowledge of government laws, regulations and guidelines since the Officer develops and monitors compliance departments, including internal compliance reviews, audits, and risk assessments.
This 1-day course is only taught at the Dallas headquarters and prepares students for the national board exam for CPCO® by learning the following:
Compliance
ICD-10-CM Guidelines
ICD-10-PCS Guidelines
Documentation
Risk Model Purpose
Pathophysiology
Risk Adjustment Models
Quality Care
*Non-refundable deposit will be applied towards the total cost.
Risk Adjusters assign the correct diagnosis (ICD-10-CM) codes. In this course, students will learn to identify and communicate documentation deficiencies to providers in order to improve accurate risk and audit adjustment coding.
HCC coding stands for Hierarchical condition category. It is a risk-adjustment model created by CMS in 2004. It was designed to estimate future health care costs for patients. Hierarchical condition category relies on ICD-10 coding to assign risk scores to patients. Each HCC is mapped to an ICD-10 code. Along with demographic factors (such as age and gender), insurance companies use HCC coding to assign patients a risk adjustment factor (RAF) score. Using algorithms, insurances use the patient’s RAF score to predict future costs. Hierarchical condition category coding helps communicate patient complexity and paint a picture of the whole patient. In addition to helping predict health care resource utilization, RAF scores are used to risk adjust quality and cost metrics. CMS calculates a risk score, or “risk adjustment factor” (RAF) score, for each individual beneficiary and provides this information to each payer quarterly. Deriving these scores from HCCs is relatively straightforward. Adding the weights together produces a risk score for that beneficiary. Accurate coding drives accurate risk adjustment, which will increasingly affect the providers’ bottom line. In this course, coders learn that risk adjustment greatly affects physicians’ reimbursement. Students will learn about HCCs and gain an understanding of how CMS uses them to calculate expenditure benchmarks are for providers to earn shared savings and avoid shared loss. This understanding will become increasingly relevant to the operational viability of independent practice owners and health systems as well. The ultimate goal is to improve patient outcomes at reduced costs and to make providers accountable for.
In addition, it is no longer enough to correctly code the patient’s diagnosis. The plan of care must support the diagnosis for each condition listed, and the condition must be reestablished, along with the appropriate care plan, each year. In other words, the previous coding resets to zero if not reestablished. It may seem that the coding for amputation would carry forward from year to year, but that is not the case. Each chronic medical problem must be coded and documented annually to be incorporated by CMS into an annual risk score recalculations.
The CMS-HCC risk-adjustment model was designed to most accurately predict spending at the group level, not the individual beneficiary level. Thus, the expenditure predicted for an individual beneficiary is likely to be less accurate than the expenditure predicted for a group of beneficiaries. It is more helpful, then, to look at risk scores at the practice level. To manage risk effectively, a practice should know its risk score for each insurer with which it has a value-based contract. If your practice doesn’t have this data, it is important for the coder to ask for it. For example, a patient with few serious health conditions could be expected to have average medical costs for a given time. However, a patient with multiple chronic conditions would be expected to have higher health care utilization and costs. See the below example:
Patient: John
A 68-year-old male patient is diagnosed with type 2 diabetes with no complications, hypertension, and a body mass index (BMI) of 37.2
E11.9 Type II Diabetes with no complications (RAF 0)
I10 Hypertension (RAF 0)
Z68.37 BMI 37.2 (RAF 0)
Total Risk: 0
Patient: Sue
A 66-year-old female patient is diagnosed with type 2 diabetes with no complications, hypertension, and a body mass index (BMI) of 37.2
I10- Hypertension RAF (0)
E11.42 Type II Diabetes with polyneuropathy (RAF 0.0368)
I 10 Hypertension (RAF 0)
Z68.37 BMI 37.2 (RAF 0)
E66.01 Morbid Obesity (RAF 0.365)
Total Risk: 1.1808
HCCs are derived from ICD-10 codes via retrospective review of claims data. ICD-10 codes are factored into the algorithm regardless of the site of service (inpatient or outpatient), provider type (physician or extender), or order of diagnosis (primary or secondary). An ICD-10 code maps to exactly one HCC, but not all ICD codes map to an HCC. The CMS-HCC model focuses on chronic health conditions likely to affect long-term health expenditures and purposefully excludes non-diagnostic diagnoses (e.g., a diagnosis of abdominal pain), clinically insignificant diagnoses (e.g., a sprain), or diagnoses that are definitively treated (e.g., acute appendicitis).
HCCs are called hierarchical because, for some disease states such as diabetes, multiple HCCs capture differing severity of illness. Within an HCC grouping, a patient is assigned only the HCC that corresponds to the most severe manifestation documented. For example, if review of a beneficiary’s claims data finds ICD codes mapping to both HCC 17, Diabetes with acute complications (e.g., ICD-10 code E0811), and HCC 19, Diabetes without complication (e.g., ICD-10 code E089), the model would assign only HCC 17, because it is the more severe manifestation of diabetes.
Most physicians are aware of the various risk models however, many physicians are unaware of how critical accurate coding is under these models to characterize risk, enhance shared savings, and provide patient-centered care. Insurance companies are increasingly paying physicians based on how their system performs in value-based care. Insurance plans have leveraged the HCC methodology with significant financial success. Due to differences in resource use between groups of Medicare beneficiaries and the inability of a single statistical model to predict expenses for all groups, CMS employs several different versions of the CMS-HCC model. Risk for the majority of Medicare beneficiaries is calculated using the “community” model.
The shift toward providing more specific and complete documentation of all medical problems on an annual basis is a challenge for many practices. This could be particularly problematic in the outpatient setting, which typically has less administrative infrastructure to support adequate coding. However, aligning current payment-focused billing and documentation practices with evolving risk-adjustment-focused coding practices will only become more important for all ambulatory settings in the future. Failing to adequately capture a patient’s risk through documentation and coding may lead to an inaccurately low level of attributed risk and eventually to reduced reimbursements.
The following subjects also taught in this CRC course:
Compliance
ICD-10-CM Guidelines
Risk Model Purpose
Documentation
Pathophysiology
Risk Adjustment Models
Quality Care
*Non-refundable deposit will be applied towards the total cost.
Medical Billers are vital to the financial success of a medical practice. This 1 Day Certificate & Exam Prep Course prepares medical billers with skills to maintain all aspects of the revenue cycle. Students will learn health payer regulations, private payer policies, payment postings, payment adjustments, claims adjudication and the appeals process.
These skills are crucial to the financial success of the professional services claims process.
Certified Medical Auditors utilize their knowledge of medical coding and documentation guidelines to improve the revenue cycle of medical practices. A medical auditing career includes working with medical records technology and health services administration. , applying your medical coding skills in a new realm. Taught in Dallas, this one-day course will help you pass the national board exam on the first try!
Outpatient Medical Coders are in high demand since physicians often leave their private practice to join hospital groups. Career opportunities are often found in Outpatient facilities such as Ambulatory Surgical Centers or hospital outpatient billing and coding departments. A COC® credential from AAPC or CCA® credential from AHIMA validates your knowledge as an Outpatient coder in addition to your CPT, ICD-10 and HCPCS Level II coding skills. This course will prepare you to pass the national board exam on the first try.
This 1-day course is only taught at the Dallas, TX headquarters location.
Become a certified medical coder by earning your Certified Professional Coder CPC® certification from AAPC or Certified Coding Specialty-Physician certification CCS-P® from AHIMA.
These are the most recognized medical coding certifications in the healthcare industry.
Over 105,000 certified professionals help maintain compliance and profitability within medical practices through accurate medical coding and documentation.
Take this 3-day course to prepare you to pass the board exam on the first try!
This course includes lessons on: – Payment Methodology – Compliance & Regulatory – CPT Guidelines (physician-based) – HCPCS Level II Guidelines (physician-based) – ICD-10-CM Coding Guidelines (physician-based) – Medical Terminology – Anatomy & Physiology – Modifiers
*Non-refundable deposit will be applied towards the total cost.
