Medical coders specialized in skilled nursing facility (SNF) coding are in high demand, and great increase is expected to continue through 2030 as the last of the baby boomers complete their seventh decade. If you’re a medical coder interested in long-term care or already work in a post-acute residential care setting, Erendiz Academy’s Skilled Nursing Facility Coding Course will equip you with the knowledge and skills you need to succeed.

This online/Classroom coding course will teach you about the Patient Driven Payment Model (PDPM), which is a case-mix classification system, used in long-term residential care settings that divides patients into case-mix components and case-mix groups and then uses the case-mix index (CMI) to calculate the PDPM per diem rate for Medicare reimbursement. In addition, you will study ICD-10-CM and E/M coding for SNF interactions, as well as applicable CPT® services and modifier usage. Students will get a firm grasp on SNF billing fundamentals, consolidated billing, and Medicare Part A.

Scope of Learning in SKF Coding Course:

• The Resident Assessment Instrument (RAI), the Minimum Data Set (MDS) 3.0, and the Care Area Assessment are all important components of the SNF Patient Driven Payment Model (CAA)
• Legislative, regulatory, and billing changes to Medicare Part A policy have an impact on clinical care in skilled nursing facilities.
• CPT® coding and the use of modifiers in skilled nursing facilities
• Guidelines for classification for skilled nursing institutions in terms of E/M
• Coding for skilled nursing institutions in ICD-10-CM
• Case studies for putting coding skills to use
• SNF coding final evaluation
  
  

Course Requirements:

• Completion of a medical coding certificate programme or one year of Profee-based coding experience is preferred.
• Relevant Materials
• ICD-10-CM code book AMA CPT® Professional Edition (publication year should match course year)
• Level II HCPCS code book (publication year should match course year)
• A computer with a high-speed internet connection, Adobe Flash Player, and Adobe Acrobat Reader are required.
  
  

Mode of Training

• Online
• Classroom