Health Information Management (HIM)

HIM 236 - Coding and Reimbursement in Alternative Health Care Settings

Course Description

Effective: 2019-01-01

Focuses on disease and procedure coding using International Classification Disease (ICD) and Current Procedural Terminology (CPT) in alternate health care settings, such as behavioral health, home health, skilled nursing facilities, long-term care hospitals (LTCH), rehab facilities, and hospice.
Lecture 5 hours. Total 5 hours per week.
5 credits

General Course Purpose

Required for the Advanced Medical Coder Career Studies Certificate, this course is designed to introduce students to the practical application of coding and reimbursement as it applies to alternate health care settings.

Course Objectives

Major Topics to be Included

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HIM 250 - Health Data Classification Systems I

Course Description

Effective: 2016-11-07

Focuses on the current classification systems used in the healthcare industry. Introduces the professional standards for coding and reporting of inpatient/outpatient diagnostic codes as well as inpatient procedures. Utilizes standards in identifying and accurately assigning codes to diseases and procedures as they relate to statistical research and healthcare financing.
Lecture 3-4 hours per week. Total 3-4 hours per week.
3-4 credits

General Course Purpose

This course is designed to introduce students to the most current ICD classification systems used. Attention will focus on the official code set used in the healthcare industry in the United States.Classification/language systems such as: ICD, ICD-10-CM, ICD-10-PCS, ICD-O, ICIDH, DSM, SNOMED, Reed, UMLS will be covered. 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 which meets the prerequisites and/or is enrolled in the Health Information Management (HIM) or Clinical Data Coding (CDC) programs.

Course Objectives

Major Topics to be Included

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HIM 254 - Advanced Coding and Reimbursement

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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HIM 255 - Health Data Classification Systems II: CPT

Course Description

Effective: 2019-01-01

Focuses on procedure classification using Current Procedural Terminology (CPT). This system is currently utilized for collecting health data for the purposes of statistical research and financial reporting.
Lecture 2-3 hours. Total 2-3 hours per week.
2-3 credits

General Course Purpose

Required for the Medical Records Coder Career Studies Certificate and Health Information Management AAS, this course is designed to introduce students to the CPT classification system. The course also focuses on official coding guidelines, Content Management System (CMS) Compliance Plan, Correct Coding Initiative, coding resources (official publications and vendor supported publications), and ethical issues in coding and classification

Course Objectives

Major Topics to be Included

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HIM 256 - Clinical Classification Systems and Reimbursement Methodologies

Course Description

Effective: 2015-01-01

Integrates and applies knowledge with hands-on skill practice in coding. Reinforces reimbursement for CPT coding system, guidelines for out-patient/ambulatory surgery coding, and prospective payment systems and their integration with ICD coding. Promotes critical thinking related to coding quality, fraud, and abuse.
Credits - 5. Lecture - 2 hours per week. Laboratory - 6 hours per week. Total Contact - 8 hours per week.
5 credits

General Course Purpose

The purpose of this course is to provide students with an opportunity to think critically about the application of knowledge and hands-on practice in the following areas: quality of coded data, reimbursement for inpatient and outpatient, and potential fraud and abuse issues.

Course Prerequisites/Corequisites

None

Course Objectives

Major Topics to be Included

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HIM 257 - Health Data Classifications Systems III

Course Description

Effective: 2019-01-01

Integrates and applies knowledge with hands-on skill practice in coding. Reinforces medical terminology, anatomy, and coding guidelines for International Classification of Diseases (ICD) and Current Procedural Terminology (CPT). Introduces the student to the Healthcare Common Procedure Coding System (HCPCS) coding guidelines. Promotes critical thinking related to coding quality, fraud, and abuse.
Lecture 3 hours. Total 3 hours per week.
3 credits

General Course Purpose

A requirement for the Medical Records Coder Career Studies Certificate and the Health Information Management AAS, the purpose of this course is to provide students with an opportunity to think critically about the application of knowledge and hands-on practice in the following areas: coding guidelines, quality of coded data, and potential fraud and abuse issues.

Course Objectives

Major Topics to be Included

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HIM 265 - Facility Based Medical Coding

Course Description

Effective: 2009-05-01

Students will learn to accurately assign CPT, ICD-9 Level 1, 2 and 3, in addition to HCPCS codes for inpatient, outpatient facility, and ambulatory surgical centers according to guidelines and rules set forth by the cooperating parties. Students will apply the theory and regulations concerning prospective payment systems (in and out of the facility setting) APC and DRG assignment.
Lecture 3 hours. Total 3 hours per week.
3 credits

General Course Purpose

This program is designed primarily for students to gain an understanding of the use of medical coding in a hospital setting. The coding methods reviewed and introduced in the course include procedural coding, diagnosis coding, diagnosis related groups (DRGs), ambulatory payment classifications (APCs), and revenue codes. Students will learn the use and interrelationship of these coding sets in the development of coding systems for use within hospitals to streamline the billing process. The student will also learn the similarities and difference between outpatient physician coding and inpatient hospital coding. Upon completion of the course, the student should be prepared to sit for the national certification examinations.

Course Objectives

Major Topics to be Included

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