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Course Criteria
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4.00 Credits
This 4 credit course is 240 hours and includes administrative and clinical experiences in a medical office or ambulatory health care facility during working hours. Externship must be scheduled with the practicum coordinator of the Medical Assistant program. NOTE: All program courses must be completed prior to taking this course.Upon completion of this course, students should be able to: Apply knowledge of the anatomical structure and physiological functioning of the human body and of medical terms descriptive of body systems. Apply the business/administrative and clinical duties of the medical assistant. Function as an assistant to the physician in a medical and/or other health care setting. Implement the ethical and legal responsibilities of the medical assistant in the health care delivery system. Apply selected principles of biophysical and psychosocial sciences in providing assistance to the physician. Maintain business and patient health records. Discuss the fundamental concepts of disease.
Prerequisite:
Prerequisites: AHM 107 and AHM 130 and AHM 185 and AHM 208 and AHM 220.
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3.00 Credits
This course is an introduction to the Health Information Management (HIM) profession and the patient health record. Some of the topics covered are functions of the health record, content and structure of the health record, analysis of health records and health information, health care data sets, data access and retention, storage and retrieval systems, forms and screen design, and indexes and registers. Information is presented for both the paper-based and electronic health record.Upon completion of this course, students should be able to: Describe the purpose, structure, Code of Ethics and certification processes of the American Health Information Management Association (AHIMA). Differentiate the roles of Health Information Management (HIM) professionals. Describe the workflow of records within a HIM Department. Differentiate between the functions and uses of primary and secondary health records. Identify the basic forms and formats for collection of patient information in various health care facilities. Evaluate and apply principles of forms design. Describe the purposes and techniques related to record analysis, including quantitative, qualitative, and legal. Compare different storage and retrieval systems. Discuss what forces are driving the adoption of electronic health records. Identify the legal. ethical. privacy, security and confidentiality issues and practices as they apply to health information.
Prerequisite:
Prerequisite: AHM 102.
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4.00 Credits
This course provides students with opportunities to learn fundamental concepts of disease processes followed by further study of specific diseases as they relate to a developmental stage or body system. Pathophysiology, etiology, clinical manifestations, diagnostic and laboratory procedures, and treatment modalities, including pharmacology are emphasized.Upon completion of this course, students should be able to: Explain the disease process, including causes of disease, risk factors, diagnosis, and treatment modalities. Explain the physiology, assessment and management of pain. Describe common infectious diseases and neoplasms. Describe common congenital diseases and mental health disorders. Correlate the pathophysiology with the etiology, clinical manifestations, diagnosis, and treatment of diseases for each human body system. Classify commonly used medications by action and body system. Identify the routes of administration, indications, adverse effects, and related laboratory studies of commonly used medications.
Prerequisite:
Prerequisites: AHM 233 and (AHM 104 or AHM 105 or BIO 150).
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1.00 Credits
This is a survey course intended for allied health majors. This 1 credit course contains microbiological information and skills needed for the allied health professions. This course differs from a traditional 4 credit microbiology course in that the 4 credit course emphasizes general microbiology for science majors, whereas the 1 credit applied microbiology course emphasizes concepts for students entering health professions. The concepts of specimen collection and transport, identification of microorganisms, pathogenesis, and control, and treatment of infectious disease are the main emphasis of the course. Clinical laboratory experiences will emphasize application of concepts to skills. NOTE: College Academic Learning Goal Designation: Scientific Inquiry (SI) when taken with AHM 104 and AHM 105Upon completion of this course, students should be able to: Explain the relationship between the structure and function of microorganisms. Describe techniques of microbial control. Apply principles of sterile technique in specimen collection and performing laboratory procedures in the microbiology lab. Describe the distribution of normal and pathogenic flora for different body sites. Discuss antibiotic treatment for disease. Classify and perform diagnostic procedures of body fluid specimens. Describe the structure and function of the skeletal and muscular systems as well as disorders of these systems. Describe the structure and function of the circulatory and lymphatic systems as well as disorders of these systems. Describe the structure and function of the respiratory system as well as disorders of this system.
Prerequisite:
Prerequisite: Successful Placement Test Scores or (ENG 050 and REA 050) or ENG 099* or REA 075 (*may be taken concurrently).
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3.00 Credits
The primary focus of this course is to provide students the principles, guidelines and application of The Current Procedural Terminology (CPT) coding system. CPT is the coding system used to describe services provided by physicians. CPT is also used for services provided by hospital outpatient and ancillary departments, hospital emergency departments, and other health care facilities. In addition, students will be introduced to Procedural groupings such as APCs (Ambulatory Payment Classifications) and RUGs (Resource Utilization Groups). This course also addresses reimbursement and compliance issues related to physician-based coding as well as the purpose and application of the CMS (Center for Medicare and Medicaid Services Healthcare Common Procedural Coding System (HCPCS). Upon completion of this course, students should be able to: Define terms, phrases and abbreviations related to medical coding. Apply specific volumes of Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding Systems as they pertain to the identification of procedures, medications and medical equipment in healthcare facilities. Apply Current Procedural Terminology (CPT) coding as they pertain to identification of procedures, medications, and medical equipment in a variety of medical specialties, including but not limited to: Evaluation and Management Coding, Surgery Coding, Pathology and Laboratory Coding, and Radiology coding. Describe insurance carrier reimbursement systems, such as APCs, RUGs, Outpatient Prospective Payment System (OPPS), Fee-For-Service Payments and Capitation payments. Apply legal concepts to issues of medical coding.
Prerequisite:
Prerequisites: (AHM 104 and AHM 105 and AHM 233) or (BIO 150 and BIO 151 and AHM 233).
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3.00 Credits
This course is designed for students who plan to work in the variety of healthcare facilities in departments including medical records, medical coding, medical billing, or other reimbursement and documentation departments. It is intended to provide additional in depth study of coding principles, clinical topics, and case studies to increase knowledge and skills in CPT (Current Procedural Terminology) coding. The use of CMS Healthcare Common Procedural Coding System (HCPCS) is also addressed. Extensive coding of case studies from various medical specialties will be completed in this course. Upon completion of this course, students should be able to: Code accurately a medical or surgical operative report, physician office visit (Evaluation and Management) or outpatient procedural case study. Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC's (Ambulatory Payment Classifications, ASC's (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale). Determine if coded data is of optimal quality and evaluate if coded cases require a single code or multiple codes (both CPT and HCPCS codes) as well as analyze sequencing of these codes.
Prerequisite:
Prerequisites: AHM 231
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3.00 Credits
This course is designed to introduce the skills and knowledge needed to develop an understanding of the language of medicine. The basic structure of medical terms and the rules for word building will be discussed in the context of how the body works in health and disease. Upon completion, students should be able to pronounce, spell, and define accepted medical terms. In addition to medical terms, common medical abbreviations applicable to each system will be interpreted. Upon completion of this course, students should be able to: Identify word parts and their meanings in medical terms. Utilize reference materials to determine meaning, usage, and spelling of medical terms. Describe the main functions of each body system. Define diagnostic, symptomatic, and therapeutic terms related to each system. Identify terms describing pathology affecting body systems. Define anatomical landmarks, directional, positional, and numeric medical terms. Recognize common classes of drugs and their actions. Recognize the correct spelling of medical terms. Develop a medical vocabulary.
Prerequisite:
Prerequisite: Successful Placement Test Scores or (ENG 050 and REA 050) or ENG 099* or REA 075 (*may be taken concurrently).
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3.00 Credits
This course is designed to teach those interested in learning ICD-10-CM diagnosis coding, the basic skills required to accurately code diagnosis in ICD-10-CM. Students will learn how to interpret and apply the ICD-10-CM guidelines to properly assign diagnosis codes to patient encounters. The ICD-10-CM codebook, textbook class-work, homework activities, and lectures will provide students with hands-on experience in assigning accurate diagnosis codes in ICD-10-CM. NOTE: Students must obtain a grade of "C" or better in this course to successfully complete their program.Upon completion of this course, students should be able to: Understand the format, convention and chapter specific guidelines to correctly assign ICD-10-CM codes. Apply general guidelines and chapter specific guidelines to correctly assign ICD-10-CM codes. Understand the code of ethics for coders.
Prerequisite:
Prerequisites: AHM 208 and AHM 233 and (AHM 104 + AHM 105) or (BIO 150 + BIO 151). Grade of C or better required in all courses.
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3.00 Credits
This course is designed for students who plan to work in the Health Information Management (HIM) department of a hospital. It is intended to provide additional in-depth study of inpatient medical record case studies to increase knowledge and skills in ICD-10-CM diagnosis coding. This course will also provide students the opportunities to use and apply ICD-10-PCS coding classification system. Students will learn coding characteristics, conventions and apply guidelines to identify and accurately assign codes to inpatient hospital procedures. NOTE: Students must achieve an overall grade of "C" (70% or above) to receive credit for this course for Allied Health Programs or certificates. Upon completion of this course, students should be able to: Given a scenario, extract the relevant diagnoses and/or procedures and then accurately and completely code them according to ICD-10-CM guidelines and ICD-10-PCS guidelines. Apply coding guidelines to accurately code principal diagnoses and procedures to determine the correct diagnosis related group assignments. Demonstrate the use of ICD-10-CM coding and ICD-10-PCS coding in DRG assignment. Recognize the economic and ethical implications of coding assignment on reimbursement.
Prerequisite:
Prerequisite: AHM 239 with grade of 'C' or better.
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3.00 Credits
This course is designed for students to learn the general principles of revenue cycle management and reimbursement methodologies. Students will learn how to complete and use insurance claim forms and insurance related forms (referrals, pre-authorizations, registration forms). The class will provide students with hands-on experiences with a variety of insurance related issues as well as compliance strategies and reporting. Reimbursement systems including fee-for-service payments and capitation payments will be covered in detail as well as regulatory guidelines, management of denials of claims and chargemaster maintenance. Upon completion of this course, students should be able to: Describe legal and ethical issues involved in revenue cycle management and compliance and identifying potential abuse and fraudulent trends through data analysis. Describe and explain different types of health insurance carriers and reimbursement systems as well as rules and regulations for each (private insurance, managed care, Medicare, Medicaid, Workers Compensation, Military insurance). Recognize the economic and ethical implications of coding assignment on reimbursement, and how these are impacted by reimbursement systems such as APC's (Ambulatory Payment Classifications, ASC's (Ambulatory Surgery Center) and RBRVS (Resource Based Relative Value Scale). Accurately complete referral, preauthorization, registration and encounter forms. Submit claims in paper and electronic format. Document billing information using correct medical terminology and perform an internal and external chart audit. Accurately complete referral, preauthorization, registration forms, encounter forms, EOB (explanation of benefits review and analysis) and ABN forms (Advanced Beneficiary Notices). and ensure appropriate coding as per CMS (Center for Medicare and Medicaid Guidelines). Resolve claim errors and learn how to resubmit claims that have been rejected. Generate patient bills when needed through interpretation of explanations of benefits/remittance advice statements. Describe the process of how to follow up with insurance companies and patients regarding unpaid bills. Record changes, payments and adjustments for patient scenarios provided.
Prerequisite:
Prerequisites: AHM 130 or (AHM 231 and AHM 239).
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