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Went to AAPC chapter mtg. Question re CPC-H vs CCS - MTLC


Posted: May 31, 2010

I had a great time as a guest at a local AAPC chapter meeting last week. The subject was Coding as a Career which was perfect for a first-timer!

I noticed that CPC has an "H" credential for hospital. How does that compare to the CCS credential which is for inpatient coding?

The main speaker who started out with AHIMA credential and has added AAPC said that CPC is becoming more popular. She is a department head and has hiring responsibility for a large hospital/clinic system. She said they would consider anyone credentialed, even those fresh out of school.

I will post more questions/info as I go through my notes.

PS. I have posted a few times on this forum recently - I had posted regarding the Advance article. I also asked a question regarding hours coders work and put my name as MT Looking into Coding, so I will call myself MTLC for short.  Not that anyone cares! I thought I would just say . . .

AAPC chapter meeting - Anonymous

[ In Reply To ..]
I'm glad you were able to attend the meeting. I'm a student, but I think that CPC-H and CCS are similar credentials, I know that they don't advise taking the CCS until you have worked for 3 years. I would appreciate hearing what you have to say!

Hi MTLC! I thought your message about the AAPC meeting was interesting - Linda Andrews

[ In Reply To ..]
I was particularly interested in what the main speaker said. Very interesting. Thanks for posting it!

CPC-H vs CCS - Redpen

[ In Reply To ..]

You said:  The main speaker who started out with AHIMA credential and has added AAPC said that CPC is becoming more popular. She is a department head and has hiring responsibility for a large hospital/clinic system. She said they would consider anyone credentialed, even those fresh out of school.


I'm glad she said that!  Really, most employers now do not quibble about whether one credential has more value than another.  Way back when there were only two credentials, you saw a lot of that, but there are more credentials now and so many people have multiple credentials that it looks really tacky when someone starts going on about how only one credential is "accepted" or "worthy."   You don't usually see people with multiple credentials doing this, either. 


One thing you might notice is that a coder often thinks that the FIRST credential they got is the hardest.  If it was an AHIMA credential, they think that AHIMA credential is the most difficult.  If it was an AAPC credential, they think that AAPC credential is the most difficult.  I think that the second test they took might have been easier, no matter which one it was, because the first-test fear is gone and the coder has more experience.  Sometimes, too, a coder will think whichever test suits their test-taking style better is easier.  If you're used to taking paper tests with the fill-in-the-circle answer sheets, but dislike computerized tests, you might think the AAPC exam is easier, and vice versa.


In general, if a person does not have the credential, it's best not to listen to their opinion of what you should do to get it, how difficult it is, what what the requirements are, what it means, or what you can do with it once you have it. 


Yes, as the speaker noted, the CPC is very popular . . . it's specifically tailored to the needs of the physician-services coder.  If you think about it, there are a lot more jobs available in that sector than in hospital coding.  Outpatient/physician-services coding hasn't been around as long as hospital inpatient-stay coding, and a lot of hospital coders aren't as familiar with it, so when you talk to hospital-based coders you can come away with the impression that hospital coding is the ONLY way to go.  It isn't, though.  There are loads of jobs outside of that. 


You asked:  I noticed that CPC has an "H" credential for hospital. How does that compare to the CCS credential which is for inpatient coding?


The CPC-H is focused on facility coding.  It is more outpatient based and revolves around physician-services coding.  The facility technical component that you mentioned in your other post comes into play here.  The facility needs to code and bill for outpatient services like x-rays, lab, and pathology, for operative procedures done on an outpatient basis.   


The CCS is focused on hospital inpatient coding.  Instead of each individual service being coded and billed by itself, an inpatient stay is coded as a unified whole, regardless of how long it is.  The exam does also cover the coding of some of the procedures done at hospitals (same as the CPC-H), but the traditional focus has been on inpatient coding itself.  


One important thing to note is that it is the only exam that covers inpatient coding in particular.  A coder who wishes to demonstrate proficiency in inpatient coding thus has only one choice, the CCS.  


How much experience you need before taking this seems to vary.  The "official" recommendation has gone from 2 to 3 years, but I've known a lot of people who passed it with little or no experience.  I think this has to do with the individual's preparedness, both in terms of the quality of the course they took, the degree to which they learned, and their background.  


   


 


 


 


 

Thanks for explaining CPC-H and CCS! - MTLC (SM)

[ In Reply To ..]

You wrote: The CPC-H is focused on facility coding. It is more outpatient based and revolves around physician-services coding. The facility technical component that you mentioned in your other post comes into play here. The facility needs to code and bill for outpatient services like x-rays, lab, and pathology, for operative procedures done on an outpatient basis.

The CCS is focused on hospital inpatient coding. Instead of each individual service being coded and billed by itself, an inpatient stay is coded as a unified whole, regardless of how long it is. end quote.

-- Now I find that even MORE encouraging because there were 40-50 people at that meeting and all of them working except for the 10 or so fresh out of school. Another department head in the audience also indicated they were looking for help. So, it looks like there is plenty of work for coding other than inpatient hospital in our area.

Now that I think about it, there are day-surgery centers and clinics and whatnot all over the place.

Maybe I oughta try to find an AHIMA chapter just to compare!

Also you mentioned about the testing: Yes I do see comments about how one was harder than the other; usually that CCS is harder.

There is a community college that offers a certificate program in coding, and that is where most of the recent CPCs had gone. It makes me wonder if they only teach the outpatient stuff. I guess I should find out. No one in the room had the CCS in addition to their CPC except the speaker.

My perspective as a student - Anonymous

[ In Reply To ..]
My coding program (distance learning) teaches inpatient and outpatient coding as well as the use of encoder software but I don't know how that compares to the community college program in your area. As far as CPC versus CCS, I don't know if having one or the other makes a difference in finding employment in a hospital, all of our local coders (outpatient and hospital) have CPC credentials and are doing well. The CPC exam is difficult; many people do not pass it on the first attempt regardless of the school they attended and I think comparing the difficulty level of exams is a moot point. You are correct that the majority of coding jobs will be found in oupatient settings. Some of the jobs you mentioned such as working in compliance and doing reviews are for people with a lot of coding experience. It is your time but personally I think you are spending too much time analyzing the fine points. Attending chapter meetings is a good way to network but getting into school will be your first step toward obtaining employment. Worrying about which certification exam is better is meaningless until you have graduated from a program and are eligible to take the test.
You got me! LOL! - MTLC
[ In Reply To ..]
You said I am analyzing the fine points. Yup! That's me - the Great Analyzer and Researcher! I will analyze something to death before embarking and/or buying. The problem is, I actually enjoy the process. Probably if I had started a course at the same time I started researching coding I would be one-third done by now - LOL!

However, I have not completely decided coding is the way I want to go, although I think I am getting close. Then I have a couple of bills to pay off before I take on something else.

It made me laugh that you picked up on a quirk of mine!
Good Points But I Disagree A Little - Now is the time to decide where to get the training. - SM
[ In Reply To ..]
I agree that there is a point where a person gets too analytical and needs to just get on with finding a course and getting started with it. However, you don't want to choose the wrong course and make a mistake that will mess up your future career. You don't want to choose a school that doesn't teach what you're going to find out was important. Now is the time to find out what makes you more marketable and then find a course that teaches it.

Worrying about which certification exam to take. - Redpen
[ In Reply To ..]
From my perspective, providing detail about "the fine points" isn't a waste of time. Everyone has a different style, you know. Some like to jump in right away, but others like to check around first to see where they'd most like to swim.

In other words, some people have more of a need than others to be sure they're making the right move. There is nothing wrong with this. They are just more plan-oriented and goal-directed.

It's actually a good thing, because if there is one predictor of success in coding, it is an inquisitive nature that won't rest until all the facts have been sorted out.

Good coders are research-oriented. They are people who enjoy finding answers. They are people who are driven by a need to know.

It's not necessary to be this way to work in coding, because there are coding jobs that don't require that kind of challenge.

Jobs in compliance and review aren't just for "people with a lot of coding experience." They're FOR YOU. You just need to WANT them and to make an effort to learn what you need to know to do the job. SEE the possibility NOW and structure your plans so that you GET THERE. If that's what you want, that is.

It is not necessary to graduate from any program to become eligible to take a coding certification exam. Best to be clear about that--you're eligible right now.



Eligible for exam without training? - Anonymous
[ In Reply To ..]
Good luck passing that coding certification exam without any classes, training or work experience outside of MT, might as well just throw $300 out the window.


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