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CCS (Customs & Trade Compliance Certifications) study plan

CCS · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Coding Knowledge and Skills

  • Map every ICD-10-CM chapter guideline and convention (Excludes1 vs Excludes2, laterality, 7th character, sequela) into a one-page-per-chapter reference sheet

  • Code 40 operative reports and inpatient scenarios from scratch, then audit each against the official guidelines and record the reason for every miss

  • Drill sequencing rules for principal diagnosis, principal procedure, and admission-vs-facility coding until you can state them without notes

  • Build a personal error log that classifies mistakes as guideline knowledge, look-up speed, or documentation interpretation

Your checkpoint

A 40-scenario coding practice set scored with a written error log showing error category and corrected rationale for each miss

Week 2

Coding Knowledge and Skills

  • Apply CPT Evaluation and Management 2021+ office/outpatient rules, including medical decision making and time-based selection, to 25 documented encounters

  • Code 25 surgical and procedural cases spanning integumentary, musculoskeletal, and digestive systems, verifying bundling edits and modifier use

  • Interpret NCCI edits, modifier 25, 59, and X{EPSU} in written rationales for each modifier decision

  • Rehearse outpatient facility vs physician coding differences on the same 10 cases to expose setting-specific rules

Your checkpoint

A 50-question mixed ICD-10-CM/CPT timed practice exam scored at 75% or better, with every missed item rewritten as a one-line rule

Week 3

Coding Knowledge and Skills & Data Content, Structure, and Standards

  • Code 20 inpatient cases end-to-end using MS-DRG logic, verifying CC/MCC impact and principal diagnosis selection

  • Explain the structure and purpose of the ICD-10-PCS axes (section, body system, root operation, body part, approach, device, qualifier) and build a root-operation quick-reference

  • Compare AHIMA and ACDIS ethical coding standards and identify how query practice differs between the two professional bodies

  • Describe the data elements and definitions in the legal health record and how documentation standards feed coded data

Your checkpoint

A one-page root-operation decision aid plus 20 inpatient cases coded with DRG assignment and a written CC/MCC justification

Week 4

Data Content, Structure, and Standards & Information Governance

  • Diagram the flow of data from source documentation through coding, abstraction, and reporting, naming each standard applied at each step

  • Explain the roles of HIPAA, the HITECH Act, and 42 CFR Part 2 in governing use and disclosure of coded data

  • Outline an information governance framework covering data stewardship, retention, and destruction schedules for a mid-size hospital

  • Distinguish data quality dimensions (accuracy, completeness, timeliness, consistency) and give a coding-specific example of each

Your checkpoint

A two-page data governance brief mapping each data standard and regulation to the coding workflow step it controls

Week 5

Revenue Cycle Management & Compliance and Regulatory

  • Trace a claim from charge capture through coding, claim scrub, payer adjudication, and remittance, identifying where coding errors create denials

  • Analyze 15 denial scenarios and write the corrective action and prevention control for each

  • Summarize the OIG compliance program seven elements and apply them to a coding audit plan

  • Explain the impact of value-based payment models and risk adjustment (HCC) on coding accuracy expectations

Your checkpoint

A denial root-cause analysis table covering 15 scenarios with prevention controls and a one-page coding audit plan aligned to OIG elements

Week 6

Compliance and Regulatory & Coding Knowledge and Skills

  • Audit 20 previously coded records against official guidelines, scoring accuracy and writing compliant physician queries for each discrepancy

  • Apply query best practices (clinical indicators, non-leading language, multiple-choice format) and rewrite five poorly worded queries

  • Review the False Claims Act, Anti-Kickback Statute, and Stark Law and explain how each shapes coding and billing conduct

  • Re-drill the two weakest ICD-10-CM and CPT topic areas identified in your error log from weeks 1-3

Your checkpoint

A 20-record mock audit with accuracy rate, query letters, and a remediation summary for the two weakest topics

Week 7

Data Analytics and Informatics & Leadership and Management & Health Law and Ethics

  • Compute and interpret core coding metrics: first-pass accuracy, query rate, DRG mismatch rate, and case mix index

  • Build a small dashboard or spreadsheet that visualizes those metrics from a sample dataset and state one action each metric would trigger

  • Draft a 10-minute briefing for a department manager on a coding quality issue, including recommendation and expected impact

  • Analyze two ethics scenarios involving pressure to upcode and describe the compliant response and escalation path

Your checkpoint

A metrics dashboard with sample data and a one-page executive briefing recommending one quality intervention

Week 8

Coding Knowledge and Skills & Compliance and Regulatory & Revenue Cycle Management

  • Complete two full-length timed practice exams under test conditions and score each by domain to expose residual gaps

  • Re-code every missed item from both exams and confirm understanding of the governing rule for each

  • Review condensed notes for domains 2, 3, 6, 7, and 8 in two spaced sessions to lock in retention

  • Finalize a one-page exam-day strategy covering time allocation, item-flagging, and guideline look-up priorities

Your checkpoint

Two completed full-length practice exams with domain-level score breakdown showing 80% or better overall and no domain below 70%

Milestones

Week 2: Score 75% or better on a 50-question timed mixed ICD-10-CM/CPT exam and show a written rule for every missed item

Week 4: Produce the data governance brief and explain, without notes, where each standard and regulation enters the coding workflow

Week 6: Complete a 20-record mock audit with a documented first-pass accuracy rate and compliant queries for every discrepancy

Week 8: Score 80% or better overall on two full-length practice exams with no domain below 70%