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Course Criteria
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3.00 Credits
The primary focus of this course is clinical classification systems and related areas of study such as data quality, clinical vocabularies, payment and reimbursement methodologies, the payment methodologies and systems (such as capitation, prospective payment systems, RBRVS), diagnostic and procedural groupings (such as DRG, APC, RUGs, SNOMED), third party payers, billing and insurance procedures, chargemaster description, and managed care and capitation. An overview of evaluation and management codes will be undertaken. Students study Basic ICD-9-CM, ICD and CPT as well as other nomenclatures and classification systems. Typed medical records, codebooks, and encoders will be used during the course to develop coding skill. An emphasis will be placed on correct usage of the Uniform Discharge Data Set, application of national coding standards, and correct DRG assignment. Other topics in this course include: Coding compliance strategies, auditing and reporting, reimbursement monitoring and reporting, revenue cycle monitors, standards and ethical coding, compliance issues, ICD10. AHIMA?s Virtual Lab applications used where applicable. Corequisites or Prerequisites: BIO 107, 108; HIT 109, 208, or permission of the HIM program director.
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3.00 Credits
This course is a continuation of HIT 201. Students will continue to apply ICD to various body systems, disease processes, and treatments. Basic CPT-4 and HCPCS coding will be taught in this course. Students will evaluate and analyze case mix in several health care organizations. Further work will be done with coding compliance strategies, auditing and reporting, Quality Improvement Organization (QIO) and their role in the payment process, reimbursement methodologies and case mix exercises, using Excel spread sheets, to evaluate data quality. Other topics of the course include; explanation of benefits, the use of the charge master, introduction to ICD 10, and coding in the managed care environment. Students will be required to code typed and non-typed medical records to correctly assign codes and payment classifications in accordance with national standards. Library research is also required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites or Corequisites: HIT 109, 201, 208; BIO 107, 108 or permission of the HIM program director.
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3.00 Credits
The primary focus of this course is to develop a greater level of understanding of CPT/HCPCS coding and Ambulatory Payment Classifications (APCs) classifications systems. The main thrust of the course is to assign valid diagnostic and/or procedure codes in order to achieve the correct reimbursement for a given case. The course will also describe the organization, financing and delivery of health care services with regard to billing and medical office procedures. Coding compliance and more complex code assignments using CPT and HCPCS Level II codes. Other topics in this course include: third party payers, billing and insurance procedures, explanation of benefits, quality improvement organizations (QIO) and their role in the payment process, managed care/capitation, billing for healthcare services using codes, auditing and monitoring the coding process for regulatory compliance, standards of ethical coding. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100, 105, 109, 201, 203.
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3.00 Credits
This course provides an overview of information technology in healthcare. It includes a review of health information systems (such as administrative, patient registration, ADT, EHR, PHR, lab, radiology, pharmacy and other ancillary departments as well as in HIM. Students are expected to be fluent with word processing, e-mail, Internet searching, Excel, PowerPoint, and basic database development and query. Students will be exposed to current information in at least the following areas: National Healthcare Information Infrastructure (NHII), data and information, networks, data integrity, document imaging, automatic identification, data security, input and output devices, the anatomy of computer systems, programming languages, the computer based patient record, ergonomics, and exploring current emerging technologies such as voice recognition and its applications. Library research is also required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: CIT 101; HIT 100, 103, 105, 109.
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3.00 Credits
During this practicum students will apply knowledge from the courses they have had in the curriculum to two non-acute care clinical settings. Students will be expected to complete the directed practicum manuals provided at the beginning of the semester. HIM faculty expect students to complete assignments on a timely basis and to conduct themselves in a manner appropriate to their assigned clinical site. This is a non-paid, non-working clinical affiliation. Students may be asked to complete assignments given by the clinical site periodically but may not be substituted for paid workers. Assessment examinations are required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100, 103, 105, 109. Corequisities: HIT 200, 201, 205.
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3.00 Credits
The primary focus of this course is to study the uses of coded data and health information in reimbursement and payment systems appropriate to all health care settings and managed care. The course explores complex coding areas that are difficult for coders. Clinical information regarding specific disease processes will be covered as well as diagnostic and procedural terminology. It builds upon previous knowledge of the basic principles and conventions of the ICD-9 coding system. A set of records will be coded, including inpatient, emergency department, short procedure unit, and physician office scenarios. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100, 105, 109, 201, 203, 204.
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3.00 Credits
Students will learn the disease processes associated with common disorders in the population of the United States. Treatments and pharmacology related to these diseases will also be discussed. Students will be expected to utilize this information in coding application and database development. Library research is also required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: BIO 107 and 108. Corequisite: HIT 109.
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3.00 Credits
During this practicum students will apply knowledge from the courses they have had to a coding setting. Students will be expected to complete the directed practicum manual provided at the beginning of the semester. This is a non-paid, non-working clinical affiliation. Students may be asked to complete assignments given by the clinical site periodically but may not be substituted for paid workers. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100,105,109, 201, 203, 204, 207, 208; BIO 107, 108.
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3.00 Credits
This course is an overview of management principles for first line managers. Topics covered in the course include; motivational theory, leadership, supervisory skills, human resource management, budgeting, ergonomics, marketing HIM services, resume development, In-service education, policies and procedures, project management, presentation skills, professional image development, HIM departmental performance improvement, presentation techniques, and appropriate oral and communication skills. Library research is also required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100, 103, 105, 200, 201, 205.
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3.00 Credits
This course is an introduction to quality assessment and improvement techniques such as data collection tools, data analysis, reporting methods, quality assessment plan and team development. Students will also learn about: structure and use of health information (individual, comparative, aggregate), data sources (primary/secondary), healthcare data sets (such as OASIS, HEDIS, DEEDS, UHDDS), data monitoring and compliance reporting, severity of illness systems, regulatory guidelines (such as LMRP, peer review organization), data selection, interpretation and presentation, outcomes measures and monitoring, utilization and resource management, case management, risk management, clinical and critical pathways, project management, and accreditation standards governing a variety of health care organizations. An overview of a Joint Commission on Accreditation of Health Care Organizations survey schedule will also be provided. Other issues that may be addressed include; practitioner credentialing, information management plans and how they interface with quality assessment efforts, standard performance measures, and practice guidelines. Library research is also required in this course. AHIMA?s Virtual Lab applications used where applicable. Prerequisites: HIT 100, 103, 105, 200, 205.
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