Certified Inpatient Coders (CIC) Certification Course

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    CIC, or Certified Inpatient Coder, is the only qualification dedicated solely to inpatient hospital/facility coding. The CIC verifies expert knowledge and experience in extracting information from medical records for ICD-10-CM and ICD-10-PCS coding, as well as specific payment understanding in MS-DRGs and Inpatient Prospective Payment Systems (IPPS). As a learner you need to get answers for your questions such as what is CIC medical coding? How to get CIC certification? What is the course duration? What is CIC exam new pattern? How to prepare for final exam so on; we will be happy to answer all your questions and do the best career counseling, please reach out to Erendiz Academy for best guidance.

     

    Erendiz Academy and Certified Inpatient Coders Course:

     

    Our goal is to produce top quality coders to healthcare industry. Our trainers are subject matter experts having real working and teaching experience who will deliver theoretical and practical training to medical coders. Our training model will enable medical coders be ready for jobs immediately after training. Our program includes a comprehensive curriculum, tasks, and preparation for the CIC exam via a number of sample exams. Our approach has demonstrated effectiveness in passing certification exams.

     

    If your search is to find best medical coding institute near Hyderabad or PAN INDIA then reach-out to Erendiz Academy. Erendiz Academy takes responsibility for training and grooming you for the CIC final exam by providing you with top class training. We make certain that you obtain an effective and comprehensive education that covers all areas thoroughly.

     

    Enrolling in Erendiz Academy’s CIC Preparation Course is the finest option to prepare for the CIC exam. This training program will be best in the industry and any certified education provider’s preparatory courses, and we ensure that you obtain a full education on everything you will encounter on the certification exam. In fact, students who have received training from Erendiz Academy are twice as likely to pass the CIC exam.

     

    Obtaining a CIC credential indicates that you can:

     

    • Expertise in extracting required information from medical records to support precise inpatient coding
    • Expertise in assigning exact ICD-10 medical codes for diagnoses and procedures performed in the inpatient setting
    • Proficient knowledge of current rules, current regulations, and queries regarding medical coding, compliance, and reimbursement under MS-DRG and IPPS systems.
    • Proven ability to integrate coding and reimbursement rule changes in a timely manner, including updating the Charge Description Master (CDM), fee modifications, and the UB04 Field Locators (FL).
    • A thorough understanding of anatomy, physiology, and medical terminology is essential in order to appropriately categorize facility services and diagnoses.
    • Thorough knowledge of outpatient reimbursement techniques (OPPS)

     

    The New Structure of the CIC Exam:

     

    • 40 multiple-choice questions and 7 inpatient case fill-in-the-blank (proctored) questions
    • 4 hours to complete the exam
    • Open Code Books (manuals)
    • 70% passing score required

     

    Mode of Training

     

    • Online
    • Classroom

     

    This Certified Inpatient Coder exam contains of questions about the proper use of ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes for coding and billing inpatient facility/hospital services to all insurance companies.

     

    The CIC Exam Breakdown Structure

    Topics

    Areas

    Exam Questions

    Medical Record and Healthcare Documentation Guidelines
    • Recognize the limitations of EHR and how downtime is handled
    • Identify documentation deficiencies caused by copy/paste and use of templates
    • Understand HIPAA security and privacy
    • Understand the reporting requirements under MDS
    • Demonstrate proper procedure for addendums and alterations to the medial record
    • Identify components of the medical record
    • Identify the length of time the provider has to document services
    • Understand the requirement for timely documentation
    • Recognize and properly code for procedures performed at the bedside
    • Understand the reporting requirements under UHDDS
    • Understand Joint Commission (JC) requirements for documentation

    7 MCQ’s

    Medical Terminology, Anatomy and Pathophysiology
    • Understand medical terminology and anatomy
    • Understand pathophysiology to capture correct codes and identify documentation deficiencies
    • Recognize medications and conditions/diagnoses they are used to treat

    3 MCQ’s

    Inpatient Coding
    • Identify benefits of Computer Assisted Coding (CAC)
    • Explain what natural language processing is and which departments in the hospital use it
    • Apply Coding Clinic guidance to inpatient coding
    • Identify correct ICD-10-CM and ICD-10-PCS codes for cases done
    • Identify proper procedure to look up DRG (eg, book, grouper)
    • Understand emerging roles for inpatient coders (DRG validator, auditor)

    • Identify conditions POA and use of indicators

    7MCQ’s

    Inpatient Payment Methodologies
    • Recognize proper procedure for compliance with the 2 Midnight Rule and certification requirements
    • Understand different bill types
    • Identify information found in a charge master
    • List examples of auto population of services using a charge master
    • Explain requirements to maintain and monitor the charge master
    • Understand the role each department plays in charge master maintenance
    • Understand the 72 hour rule (24 hour for other types of inpatient services) and how services occurring prior to admit are reported
    • Identify different types of disposition and the impact on coding
    • Calculate base payments for DRGs
    • Identify elements needed to determine DRG assignment
    • Understand what is supported in the DRG (eg, services performed at another facility)
    • Understand different types of DRGs (eg, APR-DRG)
    • Understand Medicare Code Edits
    • Understand different inpatient types
    • Understand guidelines for selecting the principle diagnosis for different inpatient facilities
    • Explain impact of readmissions in a 30 day period
    • Explain when to rebill inpatient claim as an outpatient claim
    • Identify data submitted on a UB-04

    9MCQ’s

    Outpatient Payment Methodology
    • Identify differences between outpatient and inpatient payment methodologies
    • Explain coding requirements under OPPS: Pass through payments
    • Explain coding requirements under OPPS: APCs and Status Indicators

    3MCQ’s

    Regulatory and Payer Requirements
    • Review LCD/NCD and apply the policy to inpatient coding
    • Identify services covered by Medicare Parts A, B, C, D
    • Explain proper execution of the ABN and HINN
    • Review private payer policy and apply to inpatient payment
    • Identify precertification requirements

    6MCQ’s

    Compliance
    • Explain external payer audits process and responsibilities of hospital staff
    • Explain internal audits and how they relate to compliance plans
    • Know how to interact with auditors during an onsite audit
    • Identify audit targets on the OIG work plan
    • Explain the CERT audit process and requirements for response to a request for records
    • Understand the PEPPER report and how it is utilized.
    • Identify examples of fraud and abuse
    • Explain the MAC audit process
    • Identify services approved for audit by the RAC auditors
    • Explain the Medicare appeal process and discuss requirements at each level
    • Explain the RAC audit process and requirements for response to a request for records

    5 MCQ’s

    Coding Cases
    • Code the ICD-10-CM and ICD-10-PCS codes for 10 inpatient

    cases

    7 IP Cases

    Fill the blanks
     

    ||CIC Exam||Total 47Questions ||4Hours||Open Code book ||