Course Objective
This course introduces learners to IPDRG coding, where inpatient stays are grouped by diagnosis, procedures, patient age, and condition severity to ensure accurate hospital reimbursement, treatment monitoring, and effective care planning
Topics Covered
Module I –Introduction to inpatient coding (IPDRG
Module II – IPDRG Methodology
Module III – Difference between IP and OP coding
Module IV – Clinical Documentation Improvement (CDI)
Module V – Regulations (CMS, MAC, QIO) related to DRG
Module VI –ICD -10 CM AND ICD 10 PCS fundamentals
Module VII –ICD 10 cM coding guidelines
Module VIII – ICD 10 PCS structure and conventions
Module IX – Main term , sub terms ,notes , and modifiers
Module X – Principal diagnosis vs secondary diagnosis
Module XI –Complication and comorbidity coding
Module XII – DRG Validation and Audits
Module XIII – DRG Validation process
Module XIV – How drug impacts hospital payments
Module XV – Auditor’s role in drug reviews
Module XVI – Quality metrics related to dRG coding
Eligibility
Graduate in life science or a candidate with CPC certification