Course
Prefix/Number: ALHT 235
Course
Title: Ambulatory/Emergency
Room Coding Lab
Division: Outreach
and Workforce Development
Program: Health
Information Technology
Credit
Hours: 3
Initiation/Revised
Date: Fall
2007
CLASSIFICATION OF
INSTRUCTION
This course provides hands on/skill application in
abstracting and collecting medical information for reimbursement and registries
using manual and computer methods. This
lab covers the study and practice of the principles of classification systems
utilized in alternate health care facilities, pathology/laboratory settings,
hospital outpatient and ED departments, physician offices, and stand-alone
ambulatory care centers. The
classification systems studied include:
DSM, SNOMED, CPT, and HCPCS Level II.
BIOL 257 Human Anatomy &
Physiology, BIOL 258 Human Anatomy & Physiology Lab, NURS 230
Pathophysiology, ALHE 105 Medical Terminology, ALHE 122 Introduction to Pharmacology, Introduction to
Medical Coding or Instructor consent and ALHT 230 Ambulatory Emergency Room
Coding.
Johns, Merida L., PhD, RHIA,
ed. Health Information Management Technology: An Applied Approach. Chicago: American Health Information Management
Association, 2007.
Kuehn, Lynn. CPT/HCPCS Coding and Reimbursement for
Physician Services. Chicago:
American Health Information Management Association (AHIMA), current edition.
American Medical Association
(AMA), CPT (Current Procedural Terminology), current edition,
Washington, DC: AMA
Jones, Lolita M. Coding & Reimbursement for Hospital Outpatient Services. Chicago: AHIMA
1. Use and maintain applications
and processes to support other clinical classification
and nomenclature systems (e.g., DSM,
SNOMED, and so on).
2. Determine discrepancies between coded data
and supporting documentation during coding
of medical records.
3. Interpret accurate billing through coding,
charge master, claims management, and bill
reconciliation processes.
4. Using ICD-9-CM, CPT/HCPCS and Evaluation
& Management Coding:
a. Correctly identify and apply the diagnosis codes to
inpatient/outpatient records.
b. Correctly identify and apply the procedure codes to
inpatient/outpatient records.
c. Correctly identify and apply the Evaluation &
Management (E&M) codes to emergency room records.
d. Correctly identify and apply V codes when necessary to
inpatient/outpatient/emergency room records.
SCHEDULE
This class meets online for
weekly learning units. The class
materials for each unit will be available for a minimum of eight days, starting
__________________ and ending __________________.
|
Week |
Topic/Exam |
Readings/Activities |
|
1 |
OPPS & Claims
Processing |
Jones Chapters 1 & 2 |
|
2 |
Review Guidelines,
Sections, Notes, & Rules |
Online reading assignment
and cases |
|
3 |
Anesthesia &
Integumentary System |
Jones chapter 3 &
online cases |
|
4 |
Musculoskeletal &
Respiratory Systems |
Jones Chapters 4 & 5,
online cases |
|
5 |
Cardiovascular &
Digestive Systems |
Jones Chapters 6 & 7,
online cases |
|
6 |
Urinary & Male Genital
System |
Jones Chapter 8, online
cases |
|
7 |
Female Genital System |
Jones Chapter 9, online
cases |
|
8 |
Nervous System |
Jones Chapter 10, online
cases |
|
9 |
Eye & Auditory System |
Jones Chapter 11, online
cases |
|
10 |
Ancillary Services,
Radiology, Pathology, and Laboratory |
Jones Chapter 12, online |
|
11 |
E/M coding, Medicine |
Online Reading and case
studies |
|
12 |
Modifiers and coding with incomplete data |
Jones Chapter 14 and online
reading assignment, online cases |
|
13 |
APC’s and Data quality |
Jones Chapter 13 & 15,
online assignment |
|
14 |
Final Examination |
|
A cumulative point system is
used. Your class assignments will
include reading, review questions, written reports, case studies, Website
research, projects, practice exercises, discussion questions, chapter quizzes
and examinations. The chapter
examinations will be a part of each learning unit and are completed after the
unit assignments, and prior to starting the next unit. Possible points for written reports, case
studies, projects, and exams will vary and tracking of your total points for
each assignment or exam will be available on the course Website. Class assignments will be evaluated for
accuracy, content, form, knowledge of subject matter, application of knowledge
and ability to communicate effectively.
Class participation is an
essential element to your success in this course. You are expected to complete practice
exercises and respond to the discussion questions with at least one posting (5
points).
Complete assignments by the
due date. Late assignments will be
docked 10% and only accepted 1 day past due date. Make-ups for exams or assignments are only
permitted under special circumstances and with prior approval by the
instructor. Borderline grades will be
viewed in terms of timely completion of assignments and class participation.
Total points accumulated
during the semester will be calculated into a percent and graded on the scale
below.
Letter grades will be given
using the following scale:
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = 59% and below
Absences that occur due to students participating in official
college activities are excused except in those cases where outside bodies, such
as the State Board of Nursing, have requirements for minimum class minutes for
each student. Students who are excused will be given reasonable opportunity to
make up any missed work or receive substitute assignments from the instructor
and should not be penalized for the absence.
Proper procedure should be followed in notifying faculty in advance of
the student’s planned participation in the event. Ultimately it is the student’s responsibility
to notify the instructor in advance of the planned absence.
Unless students are participating in a school activity or are excused by the instructor,
they are expected to attend class. If a
student’s absences exceed one-hundred (100) minutes per credit hour for the
course or, in the case of on-line or other non-traditional courses, the student
is inactive for one-eighth of the total course duration, the instructor has the
right, but is not required, to withdraw a student from the course. Once the student has been dropped for
excessive absences, the registrar’s office will send a letter to the student,
stating that he or she has been dropped.
A student may petition the chief academic officer for reinstatement by
submitting a letter stating valid reasons for the absences within one week of
the registrar’s notification. If the
student is reinstated into the class, the instructor and the registrar will be
notified.
It is the responsibility of the student to properly drop the
course. Students, who are still enrolled
in this class after the final drop date, but fail to participate in class, are
at risk for a failing grade. Your grade
will be based on the total points accumulated through the last date of participation.
Student gain will be
determined by student improvement in each of the areas of student
competencies.
ACADEMIC INTEGRITY
NCCC expects every student to
demonstrate ethical behavior with regard to academic pursuits. Academic integrity in coursework is a
specific requirement. Definitions,
examples, and possible consequences for violations of Academic Integrity, as
well as the appeals process, can be found in the College Catalog, Student
Handbook, and/or Code of Student Conduct and Discipline.
This online class allows you
to work independently or with other students in the class. For your own benefit, you need to complete
all assignments on your own unless otherwise indicated. Do not use the work of others and submit it
as your own. You may refer to the
textbook and resources when taking tests online, however the tests are timed
and you may lose points if you exceed the time limit. The true test of what you learn in this class
will be demonstrated when you take the AHIMA certification exam to become a
Registered Health Information Technician (RHIT). The expectation for this class is for you to
be professional and ethical – do your own work.
CELL
PHONE POLICY:
Student cell phones and pagers must be turned off during class
times. Faculty may approve an exception for special circumstances.
DISCLAIMER:
This syllabus is a broad
outline of subject matter intended to be covered. It does not mean that everything herein will
be covered, nor does it limit the content of the class to the material
described. Information and statements in
this document are subject to change at the discretion of NCCC. Because Introduction to Health Information is
basic to understanding many of the other courses in the Health Information
Technology program, a grade of C or better is required to continue the program
NOTE: If
you are a student with a disability who may need accommodation(s) under the
Americans with Disabilities Act (ADA), please notify the Director of Advising and Counseling, Chanute Campus, Student
Union 620-431-2820 ext 280 or the Dean,
Ottawa Campus, 785-242-2607 ext 312, as soon as possible. You will need to bring your documentation for
review in order to determine reasonable accommodations, and then we can assist
you in arranging any necessary accommodations.
Note:
Information and statements in this document are subject to change at the
discretion of NCCC. Changes will be
published in writing and made available to students.