HIT 284 Coding Exam Prep Course Syllabus

Transcription

1 HIT 284 Coding Exam Prep Course Syllabus Instructor address Instructor Office Hours Office hours location Course Introduction Lynette M. Williamson, MBA, RHIA, CCS, CPC Use Course (Internal Moodle ) or SBCC at By appointment; Online office hours in SBCC Pipeline, HIT Program chat, and may be contacted by (Internal Moodle Mail) or SBCC at other times. After making appointment, to access online office hours, you login to SBCC Online. Click on Groups at the top right of screen; then click on HIT-CIM Group; then under Group Tools on left frame, click on Chat. This coding exam prep class is focused on the Certified Coding Associate (CCA) exam offered by the American Health Information Management Association (AHIMA). This class will focus on review of the competencies outlined in this specific national coding exam. Study strategies, review of ICD-9-CM and HCPCS coding guidelines, exercises on coding application, and information on applying to take exam will all be components of this. Prerequisites/Co requisites No prerequisites or co requisites for this ; student are advised to have completed HIT 200, HIT 210, and be in the last semester of their of study when taking this class. Students taking this class should also be planning to take CCA exam. Course Objectives Upon completion of this, students should be able to demonstrate competencies in the following areas at the appropriate skill and knowledge level:

2 1. Discuss the concepts of computer technology related to healthcare and the tools and techniques for collecting, storing, and retrieving healthcare data. 2. Discuss the components of the content, use and structure of healthcare data and data sets and how these components relate to primary and secondary record systems and to introduce legal, ethical, privacy, security and confidentiality issues and practices applicable to health information. 3. Describe the organization, financing, regulatory and delivery of different healthcare services, and the continuum of care concept. 4. Discuss coding and classification systems in order to assign valid diagnostic and/or procedure codes. It will include the validation of coded clinical information, and case mix/severity of illness data. 5. Discuss the uses of coded data and health information in reimbursement and payment systems appropriate to all healthcare settings and managed care. Includes contemporary prospective payment systems and key health plans, charge master maintenance, and evaluation of fraudulent billing Student Learning Outcomes Student Learning Outcome #1 Apply ICD-9-CM coding guidelines to health record documentation 4 1. Coding Assignments and tests on ICD-9-CM coding Coding assignments and tests on ICD-9-CM Coding

3 with a grade of 90% or higher. Satisfactory: Coding assignments and tests on ICD-9-CM Coding with a grade of 70-89% or higher. Coding assignments and tests on ICD-9-CM Coding with a grade with a student grade of less than 70%. Student Learning Outcome #2 Apply HCPCS coding guidelines to health record documentation 4 1. Coding Assignments and tests on HCPCS coding Coding assignments and tests on HCPCS with a grade of 90% or higher. Satisfactory: Coding assignments and tests on HCPCS with a grade of 70-89% or higher.

4 Coding assignments and tests on HCPCS with a grade with a student grade of less than 70%. Student Learning Outcome #3 Analyze health record documentation to support coding functions 2 and 3 1. Course assignments and exercises. Course assignments and exercises of 90% or higher. Satisfactory: Course assignments and exercises of 70-89% or higher. Course assignments and exercises of less than 70%. Student Learning Outcome #4

5 Discuss and apply compliance guidelines 2 and 5 1. Course assignments and exercises. Course assignments and exercises of 90% or higher. Satisfactory: Course assignments and exercises of 70-89% or higher. Course assignments and exercises of less than 70%. Student Learning Outcome #5 Discuss reimbursement methodologies 4 and 5 1. Course assignments and exercises. Course assignments and exercises of 90% or higher.

6 Satisfactory: Course assignments and exercises of 70-89% or higher. Course assignments and exercises of less than 70%. Student Learning Outcome #6 Assign and validate DRGs and APCs 4 and 5 1. Course assignments and exercises. Course assignments and exercises of 90% or higher. Satisfactory: Course assignments and exercises of 70-89% or higher. Course assignments and exercises of less than 70%. Student Learning Outcome #7

7 Discuss and apply ethical and privacy standards; discuss concepts of information technology related to health information 1, 2 and 5 1. Course assignments and exercises. Course assignments and exercises of 90% or higher. Satisfactory: Course assignments and exercises of 70-89% or higher. Course assignments and exercises of less than 70%. Course Content CCA exam competencies ICD-9-CM Official coding guidelines HCPCS coding guidelines Inpatient Prospective Payment System (IPPS) Outpatient Prospective Payment Systems (OPPS) Center for Medicare and Medicaid Services (CMS) AHIMA Ethical Standards

8 Office of Inspector General (OIG) Compliance Guidelines National Correct Coding Initiative (NCCI) Healthcare Information Technology Standards Health Record Content and Documentation Standards and Guidelines Methods of Instruction Lecture Communication Electronic Bulletin Board Assignments Examinations Coding Exercises Required Course Materials Professional Review Guide for the CCA Examination, Schnering, Hazelwood, Cade, Venable, Mueller, authors, Delmar, Cengage Learning, Current edition ICD-9-CM Volume 1, 2, and 3 Coding Manual, Current edition CPT Coding Manual, Professional edition, Current edition Candidate Guide from AHIMA (available online at

9 Course Assignments Lessons in this will have assignments; some assignments will be from textbook, other assignments may be provided in. All assignments will be individual student work unless assignment instructions specify otherwise. Students are expected to complete all assignments and follow SBCC policy on academic honesty. Examinations Course exams will be administered online in the. Grades for individual exams will be provided to the student enrolled in the. Course exams will have an availability period when the specific exam is open for student completion. Students are expected to take all exams. Honesty and integrity is expected of all students. Forums During this posted forum questions will be posed to the class. Students are encouraged to post to forums as this is a tool to enhance learning. Specific forum questions are graded, please see rubric for grading of forum postings. Evaluation Methods All grades will be point based, with the cumulative total used to determine the final grade for the class. The distribution of points is as follows: Category Maximum Points Percentage of Final Grade Forums Assessment Exercises Coding Exams (2) Mock CCA Exam Total

10 Grade Calculation This is a Credit/No Credit. Anyone obtaining a C or better in the class will receive a final grade of Credit. Grades will be determined by calculating the total points earned divided by the total points available. Due to the fact that this is a Review class, students will earn full points for completing each exam/assessment exercise no matter what the score for the actual exam/assessment exercise. For example, if a student takes the Coding Exam A which is worth a maximum of 25 points and gets 15 points; the student will receive 25 points towards the final grade for completing the exam. The forum posting will be graded per rubrics, the above does not apply to forum postings. After conversion to a percentage, a letter grade will be determined based on the grading scale. The minimum grade acceptable for this is a C. Percentage Point Range Grade to 215 A to 192 B to 171 C to 149 D Below 60 <129 F Late Assignment Policy Just as in a traditional class, it is the student s responsibility to complete the quizzes, assignments and exams as posted in the Course Calendar. Time management in planning weekly activities, including business or personal travel, vacation, jury duty, family visits, work obligations, elective or planned medical procedures, holidays, etc. is critical to successful completion of this.

11 The Santa Barbara City College HIT/CIM policy for deliverables (ie, assignments, homework, quizzes, projects, exams) effective spring semester 2006 is as follows: 1 Due dates for all deliverables are posted for each in the calendar. All students are responsible for monitoring and adhering to the Course Calendar as posted unless prior arrangements have been made with the instructor. 2 There will be no credit for late submissions. 3 The instructor will handle student emergencies on an as needed basis. Computer problems do occur so if it is your habit to work up until an assignment or exam deadline, do so at your own risk. All students should have a back-up computer plan in the event of hardware, software or technical difficulties unrelated to the SBCC system that can be invoked in a timely manner. The back up computer may be through another reliable source, e.g., workplace, public library, friends, etc. Accommodations for Students Students with disabilities who are requesting accommodations should use the following SBCC procedure: contact the DSPS office in SS160 (X2364), present documentation of disability for review by a disabilities specialist, discuss options for support through DSPS, and present a signed DSPS authorization for accommodation to your instructor. Academic Honesty The instructor expects and trusts each student to maintain high standards of honesty and ethical behavior. All assignments, including examinations, research papers, position papers, projects, homework assignments, and threaded discussion postings, submitted in fulfillment of the requirements must be the students own work. All assignments except those designated as "group" are

12 meant to be individual efforts. Group efforts are meant to be equal efforts of all group members. It is assumed that students will perform professionally and honestly in preparing work for this class. Per SBCC policy, academic dishonesty includes cheating on exams or assignments, using other individuals to take a or exam, unauthorized use of commercial research services in creating assignments, plagiarism, providing information to others without the instructor s permissions or allowing the opportunity for others to obtain information that provides the recipient with an advantage on an exam or assignment. According to Wikipedia, plagiarism is the practice of claiming or implying original authorship of material which one has not actually created oneself, such as when a person incorporates material from someone else s work into his own work without attributing it. Within academia, plagiarism is seen as academic dishonesty and is a serious and punishable academic offense. To avoid plagiarism, please go to the Owl of Purdue s website at and follow the important safe practice tips. It is important that you carefully read and understand the SBCC document called Academic Honesty Defined and Outlined. To view this document, refer to Course Orientation learning module under Calendar and Lessons. Credit Deadlines You will be expected to complete online s within the regular semester period. An Important Note To All Students It is your responsibility to read and comply with all regulations outlined above. Any questions regarding these regulations should be addressed to:

13 Santa Barbara City College Health Information Technology 721 Cliff Drive Santa Barbara, CA Telephone: (805) Ext About Your Instructor Lynette Williamson has been in the Health Information Management and Coding field for over 20 years. She has a Bachelor of Science degree in Health Information Management from Florida International University in Miami, FL. She also holds a Masters of Business Administration with a concentration in Global Management from the University of Phoenix. She is a Certified Coding Specialist and a Certified Professional Coder. Lynette is also a member of the Pennsylvania Health Information Management Association (PHIMA) and the New Jersey Health Information Management Association (NJHIMA). She is a past chapter officer for the Garden State Chapter of the American Academy of Professional Coders (AAPC), and is an active member of the American Health Information Management Association (AHIMA) having served on national committees. Lynette has been an instructor in Health Information Technology (HIT) and coding for the past eight years. She has developed online classes for medical terminology, coding, and healthcare reimbursement. She has taught students at Thomas Jefferson University in Philadelphia PA and Camden County College, in South Jersey. Currently, Lynette resides in the Philadelphia PA metro area.