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Course Criteria
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3.00 Credits
This course involves the study of the principles and practice of insurance and reimbursement processing. It includes the assignment and reporting of codes for diagnoses and procedures/services; completion of CMS-1450 and CMS-1500 claims for inpatient, outpatient, emergency department, and physician office encounters; and the review of inpatient and outpatient cases to identify issues of fraud and abuse. Textbook cases and redacted patient records will be used to code diagnoses/services/procedures and completeclaims. Inpatient and outpatient reimbursement will be determined and source documents interpreted (e.g., explanation of benefits, Medicare Summary Notices, and so on). Prerequisites and/or co-requisites: ALHT 110, ALHT 120, BIOL 257, BIOL 258, ALHE 122 or permission of instructor, ALHT 160.
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1.00 Credits
This course provides hands on/skill application of the principles and practice of insurance and reimbursement processes. It includes the assignment and reporting of codes for diagnoses and procedures/services; completion of CMS-1450 and CMS-1500 claims for inpatient, outpatient, emergency department, and physician office encounters; and the review of inpatient and outpatient cases to identify issues of fraud and abuse. Textbook cases and redacted patient records will be used to code diagnoses/services/procedures and complete claims. Inpatient and outpatient reimbursement will be determined and source documents interpreted (e.g., explanation of benefits, Medicare Summary Notices, and so on) . Prerequisites and/or co-requisites: ALHT 110, ALHT 120, BIOL 257, BIOL 258, ALHE 122, ALHT 150.
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3.00 Credits
This course with laboratory components provides students with basic hospital and health statistics including the sources, definitions and calculation of common rates and percentages. Computerized and manual methods of collection, computation, and presentation of statistical data. Review of regulatory, accreditation, and vital statistics reporting. Prerequisites and/or co-requisites: ALHT 110, ALHT 120 or permission of instructor.
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3.00 Credits
This course with laboratory components focuses study on medicolegal principles that govern health information management, sources of law and the legal system, the judicial process, liability, patient record requirements, access to health information, consent, confidentiality, privacy and security issues, special protections for patient records, fraud and abuse, Health Insurance Portability and Accountability Act (HIPAA) and electronic health information issues which allow for widespread access and integration of health data. Prerequisites and/or co-requisites: ALHT 110, ALHT 120 or permission of instructor.
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3.00 Credits
This course with laboratory components provides a study of the history and development of quality improvement efforts in health care; quality assessment techniques, critical pathways, medical staff organization, credentialing, and peer review, utilization review, and risk management; roles and responsibilities of individuals involved in quality improvement; software tools for quality improvement, databases, and spreadsheets. Prerequisites and/or co-requisites: ALHT 110, ALHT 120 or permission of instructor.
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3.00 Credits
This course with laboratory components integrates basic health information science with fundamental management theory to develop management skills applicable to the health information environment. The course covers the functions of planning, organizing, staffing, influencing and controlling as related to the health information management profession and work setting will be studied through readings, case studies, management assignments, and problem solving applications. The course will assist the student in becoming more sensitive to human behavior, anticipate problems before they occur, and resolve problems if they have already occurred. Prerequisites and/or co-requisites: ALHT 110, ALHT 120 or permission of instructor.
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3.00 Credits
This is a course that covers the study and practice of the principles of classification systems utilized in alternate health care facilities, including mental health facilities, pathology/laboratory settings, hospital outpatient and ED departments, physician offices, and stand-alone ambulatory care centers. The classification systems studied include: DSM, SNOMED, CPT, and HCPCS Level II. Prerequisites and/or co-requisites: BIOL 257, BIOL 258, NURS 230, ALHE 105, ALHE 122, ALHT 235.
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2.00 Credits
This course provides hands on/skill application in abstracting and collecting medical information for reimbursement and registries using manual and computer methods. This lab covers the study and practice of the principles of classification systems utilized in alternate health care facilities, pathology/laboratory settings, hospital outpatient and ED departments, physician offices, and stand-alone ambulatory care centers. The classification systems studied include: DSM, SNOMED, CPT, and HCPCS Level II. Prerequisites and/or co-requisites: BIOL 257, BIOL 258, NURS 230, ALHE 105, ALHE 122, ALHT 130 or permission of instructor, ALHT 230.
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3.00 Credits
This course provides the student the purpose and use of the ICD-9-CM classification system. Topics include coding conventions, coding principles, and CMS official coding guidelines (inpatient and outpatient). Students will be required to assign ICD-9-CM codes to diagnosis/procedure statements, case abstracts, and patient records. Inpatient, long term care, specialty coding, ICD-O and an introduction to ICD-10 are cov ered. Prerequisites and/or co-requisites: BIOL 257, BIOL 258, NURS 230, ALHE 105, ALHE 122, ALHT 130, ALHT 230 or permission of instructor, ALHT
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2.00 Credits
This course provides hands on/skill application for the use of the ICD-9-CM classification system. Topics include coding conventions, coding principles, and CMS official coding guidelines (inpatient and outpatient). Students will be required to assign ICD-9-CM codes to diagnosis/procedure statements, case abstracts, and patient records. Inpatient, long term care, specialty coding, ICD-O and an introduction to ICD-10 are cov ered. Prerequisites and/or co-requisites: BIOL 257, BIOL 258, NURS 230, ALHE 105, ALHE 122, ALHT 130, ALHT 230 or permission of instructor, ALHT
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