


Uppal (Main Branch), Dilsukhnagar , Warangal , Karimnagar




SURGERY
Operative procedure to treat diseases, injuries, or conditions.
- Types:
- General (abdomen, digestive system)
- Orthopedic (bones, joints, muscles)
- Neurosurgery (brain, spine, nerves)
- Cardiothoracic (heart, lungs)
- Plastic (cosmetic, reconstructive)
- Gynecological (female reproductive system)
- Minimally Invasive vs. Open Surgery – Laparoscopic/robotic vs. traditional methods.
- Preoperative Care – Medical evaluation and preparation.
- Procedure – Surgical operation by a specialist.
- Postoperative Care – Recovery, pain management, and monitoring.
- Risks – Infection, bleeding, anesthesia complications.
- Importance – Saves lives, improves health, and restores function.

Anesthesia
Induces loss of sensation or consciousness for pain-free procedures.
- Types:
- General – Deep sleep for major surgeries.
- Local – Numbs a small area.
- Regional – Blocks pain in a specific region (e.g., epidural).
- Sedation – Relaxes the patient while conscious.
- Administration – Given via injection, inhalation, or topical application.
- Pre-Care – Evaluation, fasting, and risk assessment.
- Monitoring – Vital signs and anesthesia depth are controlled.
- Recovery – Managed side effects like nausea and dizziness.
- Risks – Allergies, breathing issues, and rare anesthesia awareness.
- Importance – Ensures pain-free, safe medical procedures.

Evaluation/ Management(EM) ,Emergency Department (ED)
E/M services in ED involve assessing, diagnosing, and treating urgent cases.
What you’ll Learn ?
- CPT Codes (99281-99285) – Based on Medical Decision Making (MDM) or time spent.
- ED Visit Levels:
- 99281 – Minimal issue, no physician needed.
- 99282 – Low complexity.
- 99283 – Moderate complexity.
- 99284 – High complexity.
- 99285 – Life-threatening condition.
- All ED Visits Are New – No distinction between new and established patients.
- Key Factors – History, Examination, and MDM determine service level.
- Critical Care Codes (99291-99292) – For life-threatening cases needing intensive care.
- Medical Necessity – Proper documentation justifies service level.
- Modifiers – Modifier -25 for separate E/M services on the same day.

Inpatient Care (IP) , (DRG) Diagnosis-Related Group
Life Code Medical Coding Solutions – IPDRG Training on Live Charts
Why Choose Us?
- Interactive Learning – Real inpatient case studies.
- MS-DRG Expertise – Beyond basic DRG classification.
- Practical Training – Apply skills to real-world scenarios.
What You’ll Learn
- Inpatient Coding Guidelines
Medical - Terminology & Pharmacology
ICD-10-CM & ICD-10-PCS - EMR, HIPAA, and Compliance
UB-04 & POA Case Studies - Medical Billing Skills
Your Benefits
- Boost your career as an Inpatient Coder
- Master complex coding cases
- Enhance your professional credibility
- Gain expertise in MS-DRG assignmen

Hierarchical Condition Category (HCC) Coding
HCC coding is a risk-adjustment model used in healthcare to predict patient costs and ensure fair reimbursement. It categorizes diagnoses into disease groups and assigns a Risk Adjustment Factor (RAF)
Why is HCC Coding Important?
- Ensures accurate reimbursement for complex patient care.
- Encourages thorough documentation for better healthcare management.
How Does HCC Coding Work?
- Diagnosis Documentation – Physicians use ICD codes to capture patient conditions.
- ICD Code Mapping – Diagnoses are mapped to HCC categories based on severity.
- Risk Score Calculation – Each category has a weight, summed to determine the RAF score
Best Practices for HCC Coding
✔ Accurate documentation of all chronic conditions.
✔ Regular coding audits to prevent errors.
✔ Up-to-date ICD coding to align with regulations

Outpatient (OP)
Medical care where patients receive treatment and leave the same day—no overnight stay.
- Common Locations: Clinics, urgent care centers, outpatient surgery centers, diagnostic labs, and hospital outpatient departments.
Examples of Outpatient Services:
- Doctor consultations
- Lab tests & imaging (X-rays, MRIs, blood tests)
- Minor surgeries (e.g., cataract removal, colonoscopy)
- Physical therapy & rehabilitation
- Emergency department (ED) visits (if not admitted)
Advantages:
- Lower cost than inpatient care
- Faster recovery at home
- More convenience with same-day discharge
Billing & Coding: Uses CPT & HCPCS codes instead of DRG