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 | | HITT110 syllabus




COURSE NUMBER: HITT110
COURSE TITLE:Coding in Ambulatory Care Settings
DIVISION:Sciences
IAI CODE(S):
SEMESTER CREDIT HOURS:4
CONTACT HOURS:69
STUDENT ENGAGEMENT HOURS:180
DELIVERY MODE:In-Person

COURSE DESCRIPTION:
The course introduces coding and reporting diagnostic and therapeutic procedures in the ambulatory care setting.  Students will learn to read and interpret ambulatory health care documentation to code services and procedures using Current Procedural Terminology (CPT) nomenclature.  Students will code from workbooks, and non-acute care cases using CPT-4. Students will operate encoder and Ambulatory Payment Classification (APC) grouper software programs in the lab.

PREREQUISITES:
Completion of HITT101 with a grade of C or better.

NOTES: This course is not available for web registration.

STUDENT LEARNING OUTCOMES:
Upon completion of this course, students will be able to:
  1. Acquire professional entry level and proficiency in coding procedures.
  2. Explain the reason why specific codes are and are not used.
  3. Describe the development and purposes of Healthcare Common Procedure.
  4. Code using CPT.
    • Identify the different sections found in the CPT and Healthcare Common Procedure Coding System (HCPCS) manuals.
    • Identify and use the CPT coding conventions.
    • Identify the components on a record needed for accurate assignment of CPT codes.
  5. Demonstrate a working knowledge of coding rules, principles, and exceptions as applied to International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), CPT coding system, and HCPCS.
  6. Assign correct Ambulatory Payment Classification (APC) using the prospective payment system to optimal reimbursement.
  7. Abstract data from charts.
  8. Apply procedures coding using CPT/HCPCS/ICD-10-CM.
  9. Validate coding accuracy using clinical information found in the health record.
  10. Use and maintain electronic applications and work processes to support clinical classifications and coding.
  11. Adhere to current regulations and established guidelines in code assignment.
  12. Validate coding accuracy using clinical information found in the health record.
  13. Resolve discrepancies between coded data and supporting documentation.
  14. Abstract and maintain data for clinical indexes.
  15. Use specialized Health Information Management (HIM)  software to complete coding and APC assignment.

TOPICAL OUTLINE:
Current Procedural Terminology
  • Introduction CPT
  • Evaluation and management of E/M section
  • Anesthesia section and modifiers
  • Introduction to the surgery section and Integumentary system
  • Musculoskeletal system
  • Respiratory System
  • General Surgery I and II
  • Radiology
  • Pathology/laboratory
  • Medicine and Level II national code
  • DRG and APC using the prospective payment system to assure optimal reimbursement

TEXTBOOK / SPECIAL MATERIALS:
See bookstore website for current book(s) at https://www.dacc.edu/bookstore

EVALUATION:
A percentage system will be used to determine student's grades.  The point system will be based on workbook, course assignments, attendance, tests, quizzes and final examination.
Students will be required to complete coding assignments prior to group discussions on proper coding.

90 - 100 = A
80 - 89 = B
70 - 79 = C
60 - 69 = D
59 & below = F

NOTE: Must receive C to pass

LEARNING DOMAINS:
This course addresses the following domains of knowledge identified by the American Health Information Management Association as indicators of entry-level competency for Health Information Technology. See the student handbook for a complete list of domains and subdomains.

Domain I. Data Content, Structure & Standards
  Subdomain I.A. Classification Systems

  1. Apply diagnosis/procedure codes according to current guidelines
  2. Evaluate the accuracy of diagnostic and procedural coding
  3. Apply diagnostic and procedural groupings
  4. Evaluate the accuracy of diagnostic/procedural groupings
  Subdomain I.B. Health Record Content and Documentation
  1. Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status
  2. Verify the documentation in the health record is timely, complete, and accurate
  3. Identify a complete health record according to organizational policies, external regulations, and standards
  4. Differentiate the roles and responsibilities of various providers and disciplines to support documentation requirements throughout the continuum of healthcare
  Subdomain I.C. Data Governance
  1. Apply policies and procedures to ensure the accuracy and integrity of health data
  Subdomain I.D. Data Management
  1. n/a
  2. n/a
  Subdomain I.E. Secondary Data Sources
  1. n/a
  2. n/a

Domain II. Information Protection: Access, Disclosure, Archival, Privacy & Security
  Subdomain II.A. Health Law

  1. n/a
  2. n/a
  3. n/a
  Subdomain II.B. Data Privacy, Confidentiality & Security
  1. n/a
  2. n/a
  3. n/a
  Subdomain II.C. Release of Information
  1. n/a

Domain III. Informatics, Analytics and Data Use
  Subdomain III.A. Health Information Technologies

  1. Utilize software in the completion of HIM processes
  2. n/a
  Subdomain III.B. Information Management Strategic Planning
  1. n/a
  2. n/a
  Subdomain III.C. Analytics and Decision Support
  1. n/a
  2. n/a
  Subdomain III.D. Health Care Statistics
  1. n/a
  2. n/a
  Subdomain III.E. Research Methods
  1. n/a
  Subdomain III.F. Consumer Informatics
  1. n/a
  Subdomain III.G. Health Information Exchange
  1. n/a
  Subdomain III.H. Information Integrity and Data Quality
  1. n/a

Domain IV. Revenue Management
  Subdomain IV.A. Revenue Cycle and Reimbursement

  1. Apply policies and procedures for the use of data required in healthcare reimbursement
  2. Evaluate the revenue cycle management processes

Domain V. Compliance
  Subdomain V.A. Regulatory

  1. n/a
  2. n/a
  3. n/a
  Subdomain V.B. Coding
  1. Analyze current regulations and established guidelines in clinical classification systems
  2. Determine accuracy of computer assisted coding assignment and recommend corrective action
  Subdomain V.C. Fraud Surveillance
  1. n/a
  Subdomain V.D. Clinical Documentation Improvement
  1. Identify discrepancies between supporting documentation and coded data
  2. Develop appropriate physician queries to resolve data and coding discrepancies

Domain VI. Leadership
  Subdomain VI.A. Leadership Roles

  1. n/a
  2. n/a
  3. n/a
  Subdomain VI.B. Change Management
  1. n/a
  Subdomain VI.C. Work Design and Process Improvement
  1. n/a
  2. n/a
  3. n/a
  Subdomain VI.D. Human Resources Management
  1. n/a
  2. n/a
  3. n/a
  Subdomain VI.E. Training and Development
  1. n/a
  2. n/a
  Subdomain VI.F. Strategic and Organizational Management
  1. n/a
  2. n/a
  3. n/a
  4. n/a
  5. n/a
  Subdomain VI.G. Financial Management
  1. n/a
  2. n/a
  3. n/a
  Subdomain VI.H. Ethics
  1. Comply with ethical standards of practice
  2. n/a
  3. n/a
  4. n/a
  Subdomain VI.I. Project Management
  1. n/a
  Subdomain VI.J. Vendor/Contract Management
  1. n/a
  Subdomain VI.K. Enterprise Information Management
  1. n/a
STUDENT CONDUCT CODE:
Membership in the DACC community brings both rights and responsibility. As a student at DACC, you are expected to exhibit conduct compatible with the educational mission of the College. Academic dishonesty, including but not limited to, cheating and plagiarism, is not tolerated. A DACC student is also required to abide by the acceptable use policies of copyright and peer-to-peer file sharing. It is the student’s responsibility to become familiar with and adhere to the Student Code of Conduct as contained in the DACC Student Handbook. The Student Handbook is available in the Information Office in Vermilion Hall and online at: https://www.dacc.edu/student-handbook

DISABILITY SERVICES:
Any student who feels s/he may need an accommodation based on the impact of a disability should contact the Testing & Academic Services Center at 217-443-8708 (TTY 217-443-8701) or stop by Cannon Hall Room 103. Please speak with your instructor privately to discuss your specific accommodation needs in this course.

REVISION:
Spring 2019

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