Course Descriptions & Syllabi

Course Descriptions & Syllabi

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Note: some or all of the courses in the subjects marked as "Transfer" can be used towards a transfer degree: Associate of Science and Arts or Associate of Engineering Science at DACC. Transferability for specific institutions and majors varies. Consult a counselor for this information.

Areas of Study | Public Health Billing - 4 courses
PHMB100 ICD-10-CM Diagnosis Coding (Fall) – 4.0 hours
Course Description: This course introduces the theory, structure, and organization of the International Classification of Diseases (ICD-10-CM). Emphasis is placed on diagnosis coding and applying coding principles that adhere to the Official Guidelines for Coding and Reporting from the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS). The student will learn ICD-10-CM conventions for proper use of the classification system. The course will cover how to sequence diagnosis codes according to the Official Guidelines for Reporting. In order to support accurate data in public health registries the student will learn the importance of validating diagnosis code accuracy using clinical information found in the health record and how to resolve discrepancies between coded data and supporting documentation. Due to the focus of this certificate on outpatient settings this course does not cover ICD-10-PCS codes which are used to code inpatient hospital procedures. There are no prerequisites for this course. This course is available for web registration. The expanded version of objectives is available from the Health Information Technology director.
Notes

This course is available for web registration.

The HITT 106 ICD Coding course in the associate’s degree covers both ICD-10-CM and ICD-10-PCS with a focus on inpatient as well as outpatient coding rules. HITT 106 can replace PHMB 100 for associate students but PHMB 100 is not able to replace HITT 106. The PHMB 100 course focuses on ICD-10-CM only and coding in outpatient settings. [ C]

PHMB110 Coding Outpatient Procedures (Spring) – 4.0 hours
Course Description: The course introduces coding and reporting of outpatient procedures with a focus on procedures performed in the office setting. Students will learn to code office services and procedures using Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) manuals. Will define the legal and regulatory role of the Centers for Medicare and Medicaid Services (CMS) in relation to insurance claims and National Correct Coding Initiative (NCCI) edits. In order to support accurate data in public health registries the student will learn the importance of validating procedure code accuracy using clinical information found in the health record and how to resolve discrepancies between coded data and supporting documentation. There are no prerequisites for this course. This course is available for web registration. The expanded version of objectives is available from the Health Information Technology director.
Notes

This course is available for web registration.

The HITT 110 Coding in Ambulatory Care Settings course in the associate’s degree covers interpretation and coding of surgical procedures under anesthesia (heart catheterizations etc.) in addition to procedures performed in the office setting. HITT 110 can replace PHMB 110 for associate students but PHMB 110 is not able to replace HITT associate course. The PHMB 110 focuses on outpatient procedures performed in the office setting. [ C]

PHMB200 Billing Public Health Services and Procedures (Spring) – 3.0 hours
Course Description: This course develops the vital skills needed to set-up and maintain a medical billing department for small independent medical practices and public health departments. Will cover how to process provider credentialing, understand contracting between health care providers and health plans, and select a clearinghouse that fits the needs of the practice. Course will develop a general understanding of the billing process and important guidelines for public health departments to adhere to in order to properly bill for public health services.

Disclaimer: Funding for the materials in this course were made possible by funds received by Illinois Public Health Association (IPHA). The materials used in this course were developed by the Illinois Public Health Association (IPHA) as part of the Immunization Billing Project and HIV Category B Third Party Billing Project. Both of these projects were funded by grants from the Centers for Disease Control and Prevention (CDC) through the Illinois Department of Public Health (IDPH).

There are no prerequisites for this course. This course is available for web registration. The expanded version of objectives is available from the Health Information Technology director.

Notes [ C]

PHMB280 Medical Billing and Reimbursement Methods (Fall) – 4.0 hours
Course Description: This course will cover the tasks and responsibilities of a medical biller. Will define the legal and regulatory role of the Centers for Medicare and Medicaid Services (CMS) in relation to insurance claims and National Correct Coding Initiative (NCCI) edits. The student will learn to verify validity of health information for billing reports (charges, billing reports, and other data sources). Course will examine accounts receivable duties such as posting insurance and patient payments, validating UB-92 forms / HCFA 1500 forms, and how to process denied claims through appeals. Will examine how to verify national and local coverage determination policies to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, and Managed Care etc. Will examine healthcare’s complete revenue cycle to understand the impact medical billing has on reimbursement. There are no prerequisites for this course. This course is available for web registration. The expanded version of objectives is available from the Health Information Technology director.

Notes [ C]

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