Long Term Acute Care Coding


Long Term Acute Care hospitals serve patients requiring complex medical management. Long Term Acute Care Coding provides a clear and straightforward approach to ICD-10 coding of diagnoses and procedures for conditions commonly seen in the LTAC / LTACH setting.

CEUs:     3 AHIMA      3 AAPC
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Building on the coder’s knowledge of ICD-10 coding, the Long Term Acute Care Coding course is organized into three concise lessons:

Lesson 1: Medical Conditions

LTAC disease process issues such as

  • hypertension,
  • congestive heart failure,
  • pneumonia,
  • respiratory failure,
  • sepsis and
  • encephalopathy.

Lesson 2: Injuries and Sequela of Diseases

LTAC issues such as

  • aftercare,
  • 7th character assignment,
  • ulcers, and
  • stroke with sequela.

Lesson 3: LTAC Procedure Coding

Procedures performed within the LTAC as well as those performed at an outside facility when the patient is absent from the LTAC fewer than three midnights.

  • Multimedia and interactive online course offering independent self-study.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available 24/7. Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Financing available through PayPal Credit.
  • Price listed is per person/per course. Group rates available upon request.

Long Term Acute Care Coding provides a clear and straightforward approach to ICD-10 coding of diagnoses and procedures for conditions commonly seen in the LTAC / LTACH setting.

Lesson 1: Medical Conditions

  • Identify the coding conventions, guidelines and Coding Clinic
    guidance that deal with common medical conditions in LTAC coding.
  • Demonstrate the role of the index entry “with” in LTAC coding.
  • Assign codes accurately to complex chronic conditions, applying a variety of different types of guidance.
  • Differentiate between the types of pneumonia seen in the LTAC setting and identify how the differences change the coding requirements.
  • Summarize and code the infection process from local infection to septic shock.

Lesson 2: Injuries and Sequela of Diseases

  • Assign 7th characters to various injury scenarios coded in the LTAC setting.
  • Identify when to assign aftercare codes.
  • Assign codes correctly to various types of traumatic and surgical wounds.
  • Describe the similarities and differences between coding non-pressure chronic ulcers and pressure ulcers.
  • Demonstrate the relationship between diabetes, osteomyelitis and pressure ulcers in code assignment.
  • Assign codes correctly for treatment of sequelae of cerebral infarcts and related conditions in the LTAC setting.

Lesson 3: LTAC Procedure Coding

  • Calculate hours of mechanical ventilation correctly to assure proper code assignment.
  • Differentiate between excisional and non-excisional debridement documentation.
  • Assign correct codes to central venous access device placement and removal.
  • Identify the coding options for feeding procedures, bronchoscopy and dialysis treatment.
  • Indicate when procedures performed at outside facilities require reporting.

Barry Libman, MS, RHIA, CDIP, CCS
Barry is recognized for his in-depth knowledge of coding and reimbursement issues for acute care hospitals. An area of particular interest and expertise is Long Term Acute Care (LTAC) coding.

Barry is the founder of both Barry Libman Inc., a company that provides coding, audit, and educational services to the HIM departments of healthcare institutions, as well as Libman Education, a leading provider of training for the health care workforce. Prior to forming these organizations, he held a number of positions in the health information management field, working for hospitals, insurers, consulting firms, and regulatory bodies.

Barry is often called upon to provide education and training on code updates and coding issues. He received the Professional Achievement Award from the Massachusetts Health Information Management Association (MaHIMA), served on the MaHIMA Board of Directors, and served as a representative to the House of Delegates held at the AHIMA national conference. He was formerly a member of the coding advisory board of Wolters Kluwer Law & Business. Barry is a graduate of Northeastern University and received a Masters in Healthcare Administration from Simmons College.


Christopher G. Richards, RHIA, CCS
Chris’s areas of expertise include health information administration, case management, quality improvement, hospital payment oversight, and documentation education initiatives. He has a comprehensive understanding of the Federal Medicare program rules and regulations, as well as extensive experience ensuring that clinical coding and DRG assignment result in accurate provider reimbursement.

Chris was honored with the 2009 Professional Achievement Award from the Massachusetts Health Information Management Association (MaHIMA) and was nominated for the 2009 Distinguished Member Award from AHIMA. He is four-time recipient of the QIO Peer Recognition Award for Outstanding Achievement. Chris served as Chairman and Staff Liaison to the Massachusetts Hospital Payment Monitoring Advisory Committee, Chairman of the DRG Advisory Subgroup of the Massachusetts Hospital Association, and Team Leader for Total Quality Management – Continuous Quality Improvement Initiatives at Masspro.

He joined Barry Libman Inc. as a Senior Associate in 2014 after 27 years with Masspro, the Massachusetts Quality Improvement Organization (QIO). Chris held a variety of positions at Masspro; most recently, DRG Specialist and Healthcare Quality Reporting Advisor for the Office of Medicare Operations. Chris is a member of the Wolters Kluwer’s MediRegs Product Advisory Board. A graduate of Hobart College, he received a postgraduate Bachelor of Science in Health Information Administration from Northeastern University.

“I tell everyone about Libman. I find that you have a very wide variety of choices in education that is actually needed and not so many things that aren’t really needed and can be mind boggling just trying to sift through it. Your website is well organized and everything offered is so well laid out and very informative as far as what you are getting, what I need and a very thorough write-up on everything offered. I’m so thrilled to have found your site!” — Sharon T

“I truly thank you Libman Group for your wonderful courses that have contributed to my success.” — Leslie Jay Corn, CCS, CPC, CCA/ER Coding Analyst/Boston Medical Center OR LogixHealth

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“Libman has exceeded my expectations so far in every way, with the content of courses, but the hands on with the instructors is one of the best and most genius things to offer! All other companies I’ve seen in my 12 years in this field do not offer this invaluable service with their education. Answers to questions on education content is something that was desperately needed, but to my knowledge, it was/is not offered anywhere else and this is what sets Libman apart from the rest. Also, your high quality education and very knowledgeable instructors.” — coding student

“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”

“I greatly appreciate this support and outstanding customer service!” — former student

“I attended the webinar last Thursday. Thank you so much for your time. It was an excellent webinar and very informative.” — Michele Veilleux, RHIT, CCS, CPC, on Barry Libman’s ICD-10 Coding Clinic Update webinar on 9/24/2015 for Wolters Kluwer

“Perfect! Finally an explanation in terminology my non coding manager can understand. I am validated!” — on Barry’s Libman’s Coding Clinic presentation

“Thanks for sharing! This was very informative!” — Jessica M. on Barry Libman’s Coding Clinic presentation

Required code books:

Recommended Resources:

  • Medical dictionary, any publisher
  • Anatomy and physiology reference
  • Merck Manual

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