Inpatient Coding: Parts of the Inpatient Medical Record is part of HCPro’s Coding & Reimbursement Library. This course provides education on the documents included in a medical record. It provides guidance on appropriate locations to obtain code information and discusses the guidelines regarding assigning codes for diagnoses documented by other physicians participating in the patient’s care.
HCPro’s Coding & Reimbursement Library provides hands-on learning opportunities for every member of the coding staff, whether veteran coders or those looking to enhance their skills. There are courses in both inpatient and outpatient coding, as well as introductory course to help introduce basic coding concepts to non-coding professionals.
For a complete list of all of the programs in the library, please click this link.
After completing the course, you will be able to:
- Identify the key elements in a history and physical
- Explain the purpose of physician orders
- Identify the guidelines that pertain to medication orders
- Interpret physician progress notes
- Apply guidelines for diagnoses documented by other participating physicians
- Identify the purpose of a procedure/operative note
- Apply guidelines for reporting abnormal findings on ancillary services
- Identify the elements contained in a medication administration record (MAR)
- Explain the purpose of a discharge summary
- Decide on appropriate codes based on the discharge summary
Earn valuable Continuing Education Credits
This program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). This program has prior approval of the American Academy of Professional Coders for 1 Continuing Education Unit. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
Intended Audience
Professionals training to become inpatient coders, documentation specialists, and billing and finance staff.
Benefits of HCPro e-learning courses include:
- answers to tough questions about coding requirements
- case studies
- steps for solving coding challenges
- interactive test-your-knowledge practice questions throughout the course
- rationale for answers provided for all practice and final exam questions
- final exam and instant test score
- option of taking the exam again during password access
- certificate of completion student course history and documentation of training
- bookmark options
Computer Requirements
Windows 98 SE, 2000, XP
- Internet Explorer 5.0 or higher
- Mozilla Firefox 1.5
- Netscape Navigator 7.1
- AOL 9
Mac OS X 10.2, 10.3, 10.4
- Safari 1.1 or higher
- Mozilla Firefox 1.5
Linux
Solaris
Additional requirements
- Adobe’s Macromedia Flash Player 6.0.79 or higher
- Adobe’s Macromedia Flash Player 7 or higher
- Adobe Acrobat Reader 7.0 or higher
Online learners get 30-day access to the course materials. HCPro will e-mailed you a user name and password within one to three business days after we receive payment (credit card purchasers can gain access quickly—after we verify the credit card number).
If you have questions, e-mail Customer Service or call 877/727-1728.
Training more than 5 coders?
If you have 5 or more staff to train you are eligible for discounts and FREE trial access to any course. E-mail Dave Miller at davemiller@hcpro.com or call him toll-free at 888/209-6554 to learn more. Be sure to let Dave know your name, organization, address, and phone number (optional). Ask him about our multi-year or multi-library discount plans!
Save money when you purchase multiple copies! Ask your customer service representative about money-saving
discounts and bulk orders. Call toll free 800-650-6787 or e-mail
customerservice@hcpro.com.
