HE 245,255 - Clinical Coding and Classification I,II

Institution:

Chattanooga State Community College

Subject:

Description:

Classification and coding systems for most health care settings; focus on accurate coding as major anti-fraud measure by substantiation of diagnoses and service through documentation and as a legitimate reimbursement optimizer.; class 3 hours, lab 3 hours. 245 -ICD-9-CM conventions, quality control, principal diagnosis identification, coding reference, DRGs, severity, sequencing and methodology. 255 -CPT-4 coding and documentation, relationship of coding to managed care, compliance, and chargemasters; APCs, groupers, encoders, and coding references. Although ICD-9-CM is utilized in case studies, emphasis is placed on accurate CPT-4 (including E&M and HCPCS) coding as an antifraud measure along with substantiation of services by documentation. The relationship of coding to managed care, compliance and chargemaster is explored. Thorough coding with documentation substantiation as a legitimate reimbursement optimizer is stressed. Prereq for 245: HE 115, BIOL 2010, 2020; or instructor's consent. Coreq for 245: HE 211. Prereq for 255: HE-211, 245; or instructor's consent. [245-F,255-S]

Credits:

4.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Multiple

Notes:

Additional Information:

Historical Version(s):

Institution Website:

www.chattanoogastate.edu

Phone Number:

(423) 697-4400

Regional Accreditation:

Southern Association of Colleges and Schools

Calendar System:

Semester

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