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 | | PHMB110 syllabus




COURSE NUMBER: PHMB110
COURSE TITLE:Coding Outpatient Procedures
DIVISION:Sciences
SEMESTER CREDIT HOURS:4
CONTACT HOURS:53
STUDENT ENGAGEMENT HOURS:188
DELIVERY MODE:Online

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 HITT110 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. HITT110 can replace PHMB110 for associate students but PHMB110 is not able to replace HITT associate course. The PHMB110 focuses on outpatient procedures performed in the office setting.

STUDENT LEARNING OUTCOMES:
Upon completion of this course, students will be able to:
  • Demonstrate understanding of CPT book format, conventions, concepts, organization and uses.
  • Recognize the difference between CPT, National and Local codes.
  • Apply evaluation and management, radiology, pathology/laboratory, and medicine codes accurately.
  • Apply CPT coding guidelines successfully. Explain relationship between CPT codes and healthcare provider reimbursement.
  • Define and assign common CPT modifiers according to current coding guidelines and regulations.
  • Demonstrate working knowledge of third party carrier coding suggestions.
  • Recall official coding guidelines including CPT Assistant to verify code assignment.
  • Define common terms associated with CPT coding such as bundling and unbundling.
  • Review available diagnostic and procedural statements and/or health record documentation to determine if documentation is adequate for coding purposes.
  • Identify discrepancies between coded data and supporting documentation.
  • Use coding software to accurately assign ICD-10-CM and CPT codes for assigned case studies.
  • Demonstrate understanding of the Ambulatory Payment Classification payment system.

TOPICAL OUTLINE:
  • Structure of CPT coding system
  • Role of CPT and HCPCS codes in reimbursement for healthcare providers.
  • Assigning CPT codes
  • Coding of Radiology Services
  • Coding of Pathology and Laboratory Services
  • Coding of Evaluation and Management Services
  • Coding of Medicine Services
  • Coding of HCPCS Level II codes
  • Use of coding software for code assignment and APC grouping
  • Review of documentation for accurate code assignment
  • Process to conduct a quality audit for appropriate code assignment.

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

EVALUATION:
A point system will be used to determine student's grades:

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

NOTE: Must receive C or better to pass

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:
Fall 2019

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