1 HCS-D Certification Outline Home Care Coding Specialist Diagnosis ( HCS-D ). This Outline is designed to provide representative examples of the issues covered on the HCS-D Certification examination. It is not inclusive of every issue addressed within the examination. Exam-takers must understand basic competencies, like the ones listed below. Important Note: The HCS-D Certification exam follows the OASIS-C. Guidance Manual instructions and Appendix D instructions for coding in M1024. OASIS, Coding, and relationship to PPS. Diagnosis-related forms - OASIS, POC, UB-04. Primary (M1020) and Other (M1022) diagnoses Payment diagnoses (M1024). Case-mix and case-mix diagnosis Sequencing of V and E codes Basic Coding Concepts Selecting principal and other (secondary) diagnoses Manifestation coding and conventions for identifying manifestation codes Coding conventions, such as essential modifiers, italics, NOS, NEC.
2 Appropriate use of V codes and E codes Sequencing, including application of coding conventions and critical thinking Assignment of comorbidities Coding symptoms Proximal vs. underlying conditions Integral conditions Copyright 2011 by BMSC 85. Application of Coding Concepts to Home Care Surgical aftercare, surgical wounds, and underlying conditions Complication codes vs. aftercare V codes vs. late effects Injury and trauma codes Combination coding and multiple coding for a single disease Poisoning and adverse effects CVAs Manifestations of diabetes and choosing the correct 5th digit Acute fracture coding traumatic and pathologic Neoplasms primary and secondary malignancies Medical terminology incorporated into scenarios Selecting the primary and other diagnoses from diagnostic statements Hypertensive heart disease and heart failure Anemia unspecified and when due to other factors Note on testing: A case-mix diagnosis list will not be provided to test- takers.
3 All major publishers include symbols within the code book indicating which codes are case-mix. This will be sufficient for the exam. 86 2012 Study Guide for HCS-D Certification Examinations