DISTANCE EDUCATION PROGRAMS OFFERED - ONLINE

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1 Changes to pages Section: Distance Education Effective date: July 28, 2014 DISTANCE EDUCATION PROGRAMS OFFERED - ONLINE PROGRAM ONLINE (D.O.T ) Educational Objective This course provides the students with the basic knowledge and skills that will qualify them to work as an entry-level Referrals and Authorization Clerk, Patient Services Representative, Medical Front Office Clerk, Patient Financial Service Representative, Medical Billing Support Clerk, and Medical Collections Clerk to name a few titles in the medical front or business office. Students will be exposed to billing forms, eligibility guidelines for Medicare, Medicaid/Medi-Cal, and billing procedures for CHAMPUS, Blue Shield/Blue Cross, and Workers' Compensation. Students will learn the use of ICD-9 and CPT books for coding diagnoses and procedures. Students will use computers to perform medical billing simulated practice using medical billing software. Catalog Addendum- July 2014 Section: Distance Education Page 1 of 9

2 MEDICAL ADMINISTRATOR PROGRAM OUTLINE Course Total Clock Hours Semester Credit Units MOA 101-Medical Office Administration MOA 102-Medical Office Administration MT 101-Medical Terminology MT 102- Medical Terminology MI 101-Medical Insurance MI 102-Medical Insurance MI 103-Medical Insurance MBC101-Medical Billing & Coding MBC102-Medical Billing & Coding MBC103-Medical Billing & Coding PD101-Professional Development & Job Search Strategies Totals *Program is approximately 50 weeks. NOTE: ONE CLOCK HOUR is defined as 50 minutes actual class time. ONE SEMESTER CREDIT UNIT is equivalent to 15 clock hours of lecture, or 30 clock hours of laboratory work, or 45 hours of externship. Catalog Addendum- July 2014 Section: Distance Education Page 2 of 9

3 MEDICAL ADMINISTRATOR: BILLING AND CODING SPECIALIST COURSE DESCRIPTIONS MOA 101 MEDICAL OFFICE ADMINISTRATION This course presents the importance of maintaining a high level of professionalism along with the basic principles of good communication skills. Students will have the opportunity to learn the vital importance of maintaining confidentiality at all times and the ability to express empathy and sympathy and to understand the difference. Along with the opportunity to learn study and test-taking strategies, students will be provided the information necessary to perceive and anticipate a problem and, through a critical thinking process, handle the problem with a high level of professionalism Students will have the opportunity to learn the history of medicine and how it has evolved into today s modern medical environment. Students will have the opportunity to learn the types of medical healthcare facilities and the medical specialists and paramedical specialists who work in these facilities. Students will learn about Professional Behavior in the Workplace, Interpersonal Skills and Human Behavior Students will be exposed to Medicine and Ethics and Medicine law. Prerequisites: None MOA 102 MEDICAL OFFICE ADMINISTRATION - This course will discuss the basic parts and functions that a computer performs. Students will learn to differentiate various types of tools, formats and programs. There will be explanations of proper telephone techniques, courtesy and etiquette. Students will also learn the guidelines of scheduling by discussing the advantages and disadvantages of various types of appointment management systems as well as the benefits of offering choices to patients when scheduling and what those choices are. This course will also discuss proper Front Office/ Reception preparation and processing by covering the purpose of mission statements, patient amenities, confidentiality and professional patient interaction. Students will learn the specifics of daily office environments and operations by discussing the importance of proper emergency and safety protocol as well as listing medical office expenses. Finally, this course will discuss the fundamentals of electronic and written writing skills for effective communication. Prerequisites: Successful completion of MOA 101 MT 101 MEDICAL TERMINOLOGY - This course will cover the basics of word structure, exercises and terms when it comes to the structural organization of the body s anatomy. Students will learn the terminology of both the Digestive and Urinary system by discussing vocabulary, practical applications and abbreviations. This course will then cover female and male reproductive systems by touching on Catalog Addendum- July 2014 Section: Distance Education Page 3 of 9

4 clinical tests, procedures and pathologic conditions. Students will finally be introduced to the nervous system and organs by learning the general structure, terms and procedures. Prerequisites: Successful completion of MOA 102 MT 102 MEDICAL TERMINOLOGY - This course will explain the Anatomy, Physiology and the Pathology of the body s cardiovascular and respiratory systems. It will also be discussing the composition and formation of blood and its types. This course will be reviewing the Lymphatic and Endocrine system by introducing their terminology, tests and procedures. Students will have the opportunity to learn the Musculoskeletal and skin system by understanding the terms and engaging in the exercises given. They will also be learning Psychiatry and Pharmacology by understanding the administration of drugs, actions and interactions, terminology, symptoms and disorders. Finally in this session students will be studying clinical procedures, terms and vocabulary of Oncology and Radiology. Prerequisites: Successful completion of MT 101 MI 101 MEDICAL INSURANCE - This course presents the importance of your role as an Insurance Billing and Coding Specialist by outlining the responsibilities, qualifications and skills to be acquired by an insurance billing specialist. Students will learn to differentiate between medical ethics, medical etiquette and liability. Students will have the opportunity to learn the vital importance of compliance, fraud, privacy, abuse and understand the difference. This course will also discuss the two provisions of the Health Insurance Portability and Accountability Act (HIPAA). Students will also be able to explain and understand patient s rights under HIPAA and the guidelines for HIPAA privacy compliance. Students will have the opportunity to learn the history of the basics of health insurance and how it has evolved. Last, they will be able to identify common medical record documents, pros/cons of an electronic health record, various titles of physicians, components required for documentation and the difference between prospective and retrospective review of records. Prerequisites: Successful completion of MT 102 MI 102 MEDICAL INSURANCE - This course will cover the various types of various insurance plans, the difference between traditional indemnity insurance and a managed care plans. Students will also learn to define independent practice associations and the features of preferred provider organizations. Students will have the opportunity to learn the eligibility criteria for Medicare including the benefits and non-benefits of it. They will also learn the benefits of participating versus no participating physicians. Students will have the opportunity to learn the history of Medicaid, identify eligibility and describe its basic benefits. This course will also define the eligibility of TRICARE and the Veterans Health Administrations along with its differences and benefits. Finally, students will be able to understand workers compensation and Disability insurance. They will learn about the waiting periods, eligibility, signs of fraud/abuse and when to report it. Prerequisites: Successful completion of MI 101 MI 103 MEDICAL INSURANCE - This course presents the reasons and importance of coding diagnoses. Students will learn to match the correct codes, differentiate primary, secondary and Catalog Addendum- July 2014 Section: Distance Education Page 4 of 9

5 principle diagnoses, discuss the history behind coding and learn methods with becoming familiar with the common office codes. In addition, they will be discussing and understanding Current Procedural Terminology (CPT). The course will also elaborate on the different methods of payments by insurance companies, state and federal programs. Students will become acclimated with the meanings of CPT code book symbols. They will also able to define the two different types of claim submissions, Paper and Electronic. Students will learn the difference between the two along with when and why they will use them. Finally, insurance collections strategies will be discussed, focusing on receiving payments and Insurance problem solving by identifying insurance policy provisions, solutions for denied claims, office fee s, adjustments, and federal credit laws. Prerequisites: Successful completion of MI 102 MBC 201 MEDICAL BILLING & CODING - This course will discuss the different parts of Medicare. Students will learn to interpret rules and regulations, as well as become acclimated with the Federal Register. Students will learn to understand the framework of Medicare fraud along with the components of Managed Health Care. An overview of the ICD-10 & the ICD 10-CM will also be given explaining the developments and how it will soon replace the ICD-9-CM. In this course, Students will still learn the ICD-9-CM. They will learn to identify its characteristics, the uses of coding conventions and procedures. The class will then discuss the use of IDC-9-CM and reporting outpatient guidelines. Students will be able to state the purpose of a special report and identify the uses and symbols of the CPT manual. Finally, there will be a review of the ICD-9-CM. Prerequisites: Successful completion of MI 103 MBC 202 MEDICAL BILLING & CODING - In this course, students will learn to identify the uses and developers of the CPT Manual also enabling them to recognize symbols used, major sections found in the manual, code format and the two categories of the CPT codes. This course will examine and review Modifiers & Evaluation and the management of E/M Services. Students will discover the contents, codes and use of various E/M levels of service. This class will then outline of Anesthesia, Surgery Guidelines and General Surgery. Students will be introduced to the Surgery Sections by learning to become acclimated with special reports, procedures and Anesthesia codes. The format of the Integumentary and Musculoskeletal System will be given by covering its structures and procedures. The session will end with the discussion of Respiratory & Cardiovascular Systems by detailing its format, fractures, dislocations, treatment and codes. Prerequisites: Successful completion of MBC 201 MBC 203 MEDICAL BILLING & CODING - This course will cover Hemic, Lymphatic, Mediastinum and Diaphragm & Digestive Systems and structures. Students will learn Urinary and Genital Systems of both Male and Female, Intersex surgery and Maternity care. This course will also give the opportunity to learn the Endocrine, Nervous and Auditory systems. Students will also review Radiology & Pathology by discovering its format, terms, drug testing, Nuclear Medicine, Transfusion medicine and so on. There will be an introduction to immunizations and the format of Medicine & Inpatient Coding. Finally, this session will end with detailing Allergy and Clinical Immunology by covering its procedures, treatments and Diagnosis. Prerequisites: Successful completion of MBC 202 Catalog Addendum- July 2014 Section: Distance Education Page 5 of 9

6 PD 101 PROFESSIONAL DEVELOPMENT & JOB SEARCH STRATEGIES - The course offers our students the knowledge and skills for researching, finding, and then obtaining the position to launch a future career. Key topics include: goal-setting, personal assessment, developing a customized resume (traditional and web resumes) and cover letter, job-search techniques, strategies and implementation, preparing and conducting the interview, post-interview strategies, and developing competitive advantages in the workplace. Prerequisites: None Alpha Numerical Grading scale from the catalog A % B % C % D % F Below 60 % R Repeated Class not factored into GPA W Withdrawn T Transfer Credit All assignments turned in after the Sunday at Midnight deadline will receive a 5% deduction of points off the final grade. The reduced grade will be posted. Assignments turned in after the Wednesday grading deadline will receive a 10% deduction of points off the final grade. The reduced grade will be posted. Assignments turned in one (1) week late (weeks begin on Monday and end on Sunday) will receive a 15% deduction of points off the final grade. The reduced grade will be posted. Assignments turned in two (2) weeks late will receive a 20% deduction of points off the final grade. The reduced grade will be posted. No assignments will be accepted after two weeks late. San Diego College has a mandatory attendance policy for all courses, including online courses, to improve student learning and comply with federal regulations and financial aid policies. To be marked present, or in attendance, the student must: 1. Log in, and complete a "meaningful activity" or work product for that day, this includes: Catalog Addendum- July 2014 Section: Distance Education Page 6 of 9

7 a. Lectures b. Case Study c. Discussion Forum d. Quiz e. Study Sessions f. Chat Sessions with instructors (this is only considered a meaningful activity when the student has engaged in a structured and instructor led chat session regarding course) content. g. Virtual Lab sessions 2. A student can only be marked present or in attendance once per day regardless of the amount of time, number of times that day logged in, or amount of number of work product completed. 3. Although it may be possible to complete all assigned work assignments, quizzes, tests (work product) for the week in one day, we strongly encourage more activity throughout the week as this will help to better a student s understanding of the content being taught 4. To be marked present or active each week (Monday through Sunday), students are required to log in a minimum of two (2) days each week, and during time logged in, the student must complete meaningful activity as described in the attendance policy and course syllabus. If a student does not meet the above requirement they are considered absent. 5. Students are contacted when they fail to meet weekly attendance: a. After three days of inactivity students will be contacted as a proactive measure for an attendance b. Advisement session. c. One week of absent attendance will result in attendance probation d. Two weeks or (14 consecutive days) of absent attendance will result in an attendance withdrawal from the course and possibly from the program. Regular attendance and active participation in classes are essential elements in the learning process. Students are expected to attend all class sessions beginning with and including accessing the first class session. In all courses attendance will be reported on a class session basis until the last day to drop with a W grade for every session. Students will be administratively withdrawn for non-attendance after the student has reached fourteen days of non-activity in all current enrolled sessions. Students must submit a request to the instructor to be allowed to submit late work or activity. The student whose absence was excused may be allowed to complete an assignment, turn in a paper, and/or make up an examination in accordance with the instructor s stated procedures and deadlines. Catalog Addendum- July 2014 Section: Distance Education Page 7 of 9

8 During the first week at the start of the program and thereafter Students must participate in meaningful activity in the online course at least twice a week by attending or viewing a lecture, attending or viewing a discussion forum, completing a weekly case study, quizzes, or a chat session with instructors (this is only considered a meaningful activity when the students has engages in a structured and instructor led chat session regarding course content). Students should be aware that more frequent and regular participation may be required to master course material and pass a course. Any student that does not meet this minimum participation during the first 7 days will be considered a no-show and administratively removed from the course either as a drop or a cancel if the student is a new enrollment. During each of the subsequent weeks of the class - Students must participate in the online course a minimum twice a week during each week of the session. Any student that does not meet this minimum will be administratively withdrawn based on the last date of attendance. A grade of W will be given for the course and tuition charges will be assessed based on the last reported date of attendance. In the event of an Administrative Withdrawal the student will receive an notification from the Student Support Department. The will be deemed to have been received by the student upon delivery. Students must appeal to be reinstated in the course. Depending on the day(s) and meeting times for the class, this appeal, not later than one business day prior to the next class meeting. Appeals may be made through the Director of On-Line Programs. The course descriptions and/or syllabi will note these attendance expectations. Students may also reference the San Diego College Catalog for additional details. In order to best manage student attendance the following procedures must be followed: Instructors are to post attendance within 48 hours. If there is not activity or meaningful attendance for 48 hours, the instructor must contact the student to assess the lack of activity and notify Student Support of the outcome If the student reaches 72 hours of no activity, in addition to the instructor efforts to contact the student, Student Support will contact the student and assess the situation and request instructor feedback and provide guidance and support in addition to the instructor s accountability for the student If neither the instructor nor Student Support are able to contact the student within the first 72 hours of no activity. Student Support will seek additional contact information and attempt to contact the student. This will be performed every day until there is activity from the student or the student reaches 14 days of no activity the student will be withdrawn from the program on the 15 th day. Catalog Addendum- July 2014 Section: Distance Education Page 8 of 9

9 Student Services and Virtual Lab: Sacha Glassner Office Contact Number: (619) Office Hours: Monday Friday: 7:00AM 3:30PM PST Virtual Classroom Schedule: Monday Sunday (times vary due to student schedules and needs) Chat Sessions: Monday Sunday (times vary due to student schedules and needs) IT Support: Mr. Malave: Office Hours: Monday - Sunday, 8:00 a.m. to 5:00 p.m. PST IT Support Ticket (24hrs): Phone Number: School Director: Mr. Hernan Martinez, Ph: Response Time: San Diego College will respond to all student questions within 24 hours. Students that are experiencing responses taking longer than 24 hours are to contact the Student Support or School Director. Live lecture Each week the instructor conducts at least four (4) one-hour live lectures via the Virtual Classroom. This is conducted using an on-line service which allows two way video and audio communications, thus allowing the instructor to see and hear the student(s) as well as the students seeing and hearing the instructor. The use of several interactive tools are built into the presentations, such as polls, quizzes, whiteboard use, and what we call hand-raising quizzes, where the students raise their electronic hands in response to questions. Chat room Each class has its own chat room, which allows students to interact with one another and the instructor. Specific chat room hours are set for each class when the instructor will be present, but students can also arrange to meet each other in the chat room for homework sessions or just to socialize. The chat room feature allows for limited audio and video capability, but is typically used for text messaging. Study groups Students are encouraged to form study groups. The student profiles allow you to see if there is someone geographically close to you and the instructor will help to form a group if requested. ( addresses are not required in the Student Profile, so the instructor may have to assist in group formation.) Instructors will also consider forming study partners if a student is having difficulties. Catalog Addendum- July 2014 Section: Distance Education Page 9 of 9

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