RHIT Competency Review

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1 COURSE SYLLABUS HITT (1:1:0) RHIT Competency Review Health Information Technology Allied Health Department Technical Education Division South Plains College Reese Center Spring 2012

2 COURSE SYLLABUS COURSE TITLE: HITT , RHIT Competency Review SEMESTER/YEAR: Spring 2010 DAY/TIME: M 11:40-12:30 INSTRUCTOR: Emily Snodgrass, RHIT OFFICE HOURS: By appointment PHONE: Cell: Home: South Plains College improves each student s life. ******************************************************** COURSE DESCRIPTION: This course provides a review of HIT competencies, skills, and knowledge base pertinent to the technology and relevant to the professional development of the student. LEARNING OUTCOMES: Identify the level of mastery in HIT professional competency areas; demonstrate self-management to improve knowledge and skill bases. AHIMA ENTRY LEVEL COMPETENCIES (called domains, subdomains, and tasks) define the skills needed for proficiency and employment as a Registered Health Information Technician (RHIT). A complete list with explanations of these competencies is attached to the back of this syllabus for student review and consideration. The AHIMA competencies learned upon successful completion of this course: This is the capstone course for the HIS program. The student has received educational material and completed projects in all the AHIMA domains, subdomains and competency tasks. The Student will review information in all these areas to prepare for the RHIT exam. AHIMA Associate Degree Entry-Level Competencies For 2006 and beyond: Domains, Subdomains, and Tasks I. Domain: Health Data Management A. Subdomain: Health Data Structure, Content and Standards 1. Collect and maintain health data (such as data elements, data sets, and databases). 2. Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patient s progress, clinical findings, and discharge status. 3. Apply policies and procedures to ensure the accuracy of health data. 4. Contribute to the definitions for and apply clinical vocabularies and terminologies used in the organization s health information systems. 5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries, and/or databases. B. Subdomain: Healthcare Information Requirements and Standards 1. Monitor and apply organization-wide health record documentation guidelines. 2. Apply policies and procedures to ensure organizational compliance with regulations and standards. 3. Report compliance findings according to organizational policy. 4. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards. 5. Assist in preparing the organization for accreditation, licensing, and/or certification surveys.

3 C. Subdomain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to support clinical classification and coding. 2. Apply diagnosis/procedure codes using ICD-9-CM. 3. Apply procedure codes using CPT/HCPCS. 4. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and so on. 5. Adhere to current regulations and established guidelines in code assignment. 6. Validate coding accuracy using clinical information found in the health record. 7. Use and maintain applications and processes to support other clinical classifi cation and nomenclature systems (such as ICD-10-CM, SNOMED, and so on). 8. Resolve discrepancies between coded data and supporting documentation. D. Subdomain: Reimbursement Methodologies 1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery. 2. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes. 3. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. 4. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems. II. Domain: Health Statistics, Biomedical Research, and Quality Management A. Subdomain: Healthcare Statistics and Research 1. Abstract and maintain data for clinical indices/databases/registries. 2. Collect, organize, and present data for quality management, utilization management, risk management, and other related studies. 3. Compute and interpret healthcare statistics. 4. Apply Institutional Review Board (IRB) processes and policies. 5. Use specialized databases to meet specific organization needs such as medical research and disease registries. B. Subdomain: Quality Management and Performance Improvement 1. Abstract and report data for facility-wide quality management and performance improvement programs. 2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare. III. Domain: Health Services Organization and Delivery A. Subdomain: Healthcare Delivery Systems 1. Apply information system policies and procedures required by national health information initiatives on the healthcare delivery system. 2. Apply current laws, accreditation, licensure, and certification standards related to health information initiatives from the national, state, local, and facility levels. 3. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, managed care, and so forth. 4. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs. B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Participate in the implementation of legal and regulatory requirements related to the health information infrastructure. 2. Apply policies and procedures for access and disclosure of personal health information. 3. Release patient-specific data to authorized users. 4. Maintain user access logs/systems to track access to and disclosure of identifiable patient data. 5. Conduct privacy and confidentiality training programs. 6. Investigate and recommend solutions to privacy issues/problems. 7. Apply and promote ethical standards of practice. IV. Domain: Information Technology and Systems A. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, , and so on in the execution of work processes. 3. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. 4. Apply policies and procedures to the use of networks, including intranet and Internet applications to facilitate the electronic health record (EHR), personal health record (PHR), public health, and other administrative applications.

4 B. Subdomain: Data, Information, and File Structures 1. Apply knowledge of data base architecture and design (such as data dictionary, data modeling, data warehousing) to meet departmental needs. C. Subdomain: Data Storage and Retrieval 1. Use appropriate electronic or imaging technology for data/record storage. 2. Query and generate reports to facilitate information retrieval. 3. Design and generate reports using appropriate software. 4. Maintain archival and retrieval systems for patient information stored in multiple formats. 5. Coordinate, use, and maintain systems for document imaging and storage. D. Subdomain: Data security 1. Apply confidentiality and security measures to protect electronic health information. 2. Protect data integrity and validity using software or hardware technology. 3. Apply departmental and organizational data and information system security policies. 4. Use and summarize data compiled from audit trail and data quality monitoring programs. 5. Contribute to the design and implementation of risk management, contingency planning, and data recovery procedures. E. Subdomain: Healthcare Information Systems 1. Participate in the planning, design, selection, implementation, integration, testing, evaluation, and support for organization-wide information systems. 2. Use the principles of ergonomics and human factors in work process design. V. Domain: Organizational Resources A. Subdomain: Human Resources 1. Apply the fundamentals of team leadership. 2. Organize and contribute to work teams and committees. 3. Conduct new staff orientation and training programs. 4. Conduct continuing education programs. 5. Monitor staffing levels and productivity standards for health information functions, and provide feedback to management and staff regarding performance. 6. Communicate benchmark staff performance data. 7. Prioritize job functions and activities. 8. Use quality improvement tools and techniques to monitor, report and improve processes. B. Subdomain: Financial and Physical Resources 1. Make recommendations for items to include in budgets and contracts. 2. Monitor and order supplies needed for work processes. 3. Monitor coding and revenue cycle processes. 4. Recommend cost-saving and efficient means of achieving work processes and goals. 5. Contribute to work plans, policies, procedures, and resource requisitions in relation to job functions. SCANS AND FOUNDATION SKILLS are identified for specific course objectives. A complete list explaining these skills is attached at the back of the syllabus for student information. The SCANS competencies identified in this course: (C1-20, F1-17) COURSE GOALS: The student will be able to: 1. Synthesize professional knowledge, skills and attitudes. 2. Demonstrate entry-level competencies for professional employment as outlined by the AHIMA Domains and Subdomains. 3. Demonstrate skills for lifelong learning. Disabilities Statement: Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Coordinator of Special Services. For more information, call or visit the Special Services Office in rooms 809 and 811, Reese Center Building 8, ext

5 Diversity Statement: In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the larger world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it should and can be. Class Attendance Policy: Students are expected to be in class each time it meets. Punctual and regular class attendance is required of all students attending South Plains College. Students are responsible for all class work covered during absences from class. Whenever absences become excessive and, in the instructor s opinion, minimum course objectives cannot be met due to absences, the student will be withdrawn from the course. For more information, please see the SPC College Catalogue. ACADEMIC INTEGRITY: It is the aim of South Plains College to foster a spirit of complete honesty and a high standard of integrity. Please refer to the SPC General Catalog for specific guidelines. LIBRARY RESOURCES: The SPC Reese Center Library is located in building #8. Computers are available in the library for student use. Students may also use the library located on the main campus in Levelland. With a SPC student ID card, students may use the library of Texas Tech University. GENERAL COURSE INFORMATION TEXTBOOKs and Resources: RHIT Examination Review Current Edition, Delmar CENGAGE Learning Health Information: Management of a Strategic Resource, Current Edition, Abdelhak, M. ICD-9-CM Volumes 1, 2, & 3 CPT- Current Procedural Terminology, AMA ICD-9-CM Coding Handbook, Schraffenberger or Faye Brown Step-by-Step Medical Coding, Carol J. Buck Various other resources and HIT program textbooks An A level student must have regular attendance with no more than 2 absences during the semester. COURSE INFORMATION will be presented in a series of assignments, class discussions and presentations. EXAMINATION POLICY: The student should make every effort to complete an exam at the assigned time. It is the student s responsibility to schedule a make-up exam for any missed exam. A comprehensive final exam will be given over all class lectures, handouts and reading assignments. GRADING POLICY: This course is intended for the review of information and skills covered during the program. In this way, the student s success in completing the program objectives with a minimum of 75% accuracy can be assessed. However, this should not be considered a guarantee of success on the RHIT examination. An A level student must prepare class assignments as instructed and participate in mock exams. The following grading policy will be used in determining the final course grade: Weekly assignments 60% A = Class discussions/participation 10% B = Final Exam 30% C = % D = A grade of C or better is required in this course. F = 0-59

6 Course Schedule HITT.2149 RHIT Review Professional Review Guide for the RHIT Examination, 2011 Edition. Date Due Assignment & Topics of Discussion Syllabus; Introduction, Exam Study Strategies, Resources, and Test Intro, Strategies, Resources, and Test Taking Skills (p. 1-20) Health Data Content and Standards (p ) Mock Exam #1 Due (Use the Mock Exam from the disc) Print off and Turn In Information Retention and Access (p ) ICD-9-CM Coding (p ) CPT-4-Coding (p ) Classification Systems and Secondary Data Sources (p ) Medical Billing and Reimbursement Systems (p ) GRADUATION APPLICATION DEADLINE Medical Science (p ) SPRING BREAK Informatics and Information Systems (p ) Mock Exam#2 Due (Use the Mock Exam from the disc) Health Information Privacy and Security (p ) Health Law (p ) Easter Holiday Health Statistics and Research (p ) Quality and Performance Improvement (p ) Organization and Management (p ) Human Resources (p Final - Mock Exam (P ) (Use the Mock Exam from the disc) * Weekly assignments consist of answering all of the questions for each chapter and answering the questions on the disc that came with your book. The questions on the disk must be/worked at least 3 times per chapter, printed and turned in for a grade. I will NOT accept LATE work!!!

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