HIM 254 - Advanced Coding and Reimbursement at Northern Virginia Community College

Course Description

Effective: 2016-11-01

Focuses on the applications and evaluation of advanced coding skills through practical exercises using actual healthcare data; while examining the components of DRGs, APCs and APGs and other prospective payment in the healthcare environment. Utilizes current coding standards in identifying payment methodologies, revenue cycle management and reimbursement.
Lecture 3-4 hours per week.
3-4 credits

General Course Purpose

The purpose of the course is to introduce new concepts and assist students in applying sound coding principles to the following topics: Quality of coded data; Healthcare fraud and abuse; Prospective payment systems; Classification/language systems: ICD, ICD-10-CM/PCS, ICD-O, ICIDH, DSM, SNOMEDCT, Reed, UMLS and others; and current USA insurance/reimbursement systems This course is a requirement of the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) which is the accrediting organization for degree-granting programs in health informatics and information management. The course will be offered to any student that meet the prerequisites and/or are enrolled in the Health Information Management (HIM) or Clinical Data Coding (CDC) programs.

Course Objectives

Major Topics to be Included

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