Course
Prefix/Number: ALHT 245
Course
Title: Acute/Long
Term/Specialty 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 for the use of the ICD-9-CM classification system. Topics include coding conventions, coding
principles, and CMS official coding guidelines (inpatient and outpatient). Students will be required to assign ICD-9-CM
codes to diagnosis/procedure statements, case abstracts, and patient
records. Inpatient, long term care,
specialty coding, ICD-O and an introduction to ICD-10 are covered.
BIOL 257 Human Anatomy &
Physiology, BIOL 258 Human Anatomy & Physiology Lab, NURS 230
Pathophysiology, ALHE 105 Medical Terminology, ALHE 122 Introduction to
Pharmacology, ALHT 130 Intro to Medical Coding, ALHT 230 Ambulatory Coding, or
Instructor consent and ALHT 240 Acute/Long Term/Specialty Coding.
Johns, Merida L., PhD, RHIA,
ed. Health Information Management Technology: An Applied Approach. Chicago: American Health Information Management
Association, 2007.
Brown, Faye. ICD-9-CM Coding Handbook for Entry Level
Coders. Chicago, IL: American
Hospital Association, current edition.
Channel Publishing, ICD-9-CM
Educational Annotation for Hospital, Vol 1, 2, 3 softbound, Albany, NY: Channel Publishing, current edition.
Conditions of participation
for Hospitals and Long-Term Care Facilities
Journal of the Health
Information management Association
Cancer Program Manual,
current edition, American College of Surgeons
ROADS Manual, American
College of Surgeons
Diagnostic and Statistical
Manual of Mental Disorders, American Psychiatric Association
1. Use specialized software in the completion of
HIM processes (e.g., coding, grouping,
and billing).
a.
Use and maintain electronic applications and work processes to support
clinical
classification and coding (e.g.,
ICD-9-CM).
b. Understand the different between Standard Nomenclature
of Disease and Operations (SNDO), Systematized Nomenclature of Pathology (SNOP)
and Systematized Nomenclature of Medicine (SNOMed)
2. Analyze and assign the appropriate code for
the medical record
a.
Assign the appropriate principal diagnosis, other diagnosis,
complication, comorbidity,
symptom, uncertain diagnosis,
principal procedure, significant procedure.
b.
Formulate the appropriate sequence to code principal diagnosis and
procedures
admitting and final diagnoses.
c. Compare and contrast diagnostic information located on
the face sheet, discharge
summary, progress notes, pathology
report, surgical reports, and radiology reports,
and select the most appropriate,
complete, or detailed diagnosis.
d.
Using the ICD-9-CM coding manual, identify the neoplasm codes to accurately
code the diagnoses and procedures to
inpatient or outpatient charts .
f.
Using the ICD-9-CM coding manual, identify the appropriate V codes as
needed.
g.
Using the ICD-9-CM coding manual, identify the appropriate diagnoses and
procedures to obstetrical and newborn
charts.
h.
Assign appropriately the outcome of delivery codes.
l.
Explain the difference between antenatal, delivery, and postpartum
conditions.
m.
Using the ICD-O Coding manual, accurately assign both site and
morphology
codes to cancer cases.
n.
Using both the TMR and SEER staging systems, accurately assign stages to
cancer
cases.
3. Identify and explain the purpose of the
cancer registry.
a.
Assign a case identification accession number.
b.
Develop a patient index.
c.
Complete a follow up.
d.
Interpret a State and Regional registry report.
4. Explain MDS analysis.
a. Using
a blank MDS form, explain the contents of each section and how to complete
each.
b.
Using a completed MDS form, analyze the data about a nursing home
resident, and
indicate omissions or incorrectly
completed data.
5. Explain HCPCS Level II codes
a.
Explain services, equipment and supplies that are codable with HCPCS
Level II
codes.
b.
Using the HCPCS Level II manual, correctly assign the Level II codes for
services,
equipment, and supplies.
6. Explain and demonstrate how to abstract intensity of service and severity of illness
Criteria.
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 |
Introduction/Review, other
classifications |
TBA |
|
2 |
Coding Conventions and
UHDDS |
Brown Chapters 1, 2, 3 |
|
3 |
Coding Steps and Guidelines |
Brown Chapters 4, 5, 6 |
|
4 |
Procedure Coding
Guidelines, V&E coding, Coding signs and symptoms |
Brown Chapters 7, 8, 9,
Online cases |
|
5 |
Infectious Diseases,
Endocrine System |
Brown Chapter 10 & 11,
online cases |
|
6 |
Mental & Psych, Disease
of Blood, Nervous System |
Brown Chapter 12, 13 &
14 online cases |
|
7 |
Respiratory System,
Digestive Systems |
Brown Chapter 15 & 16,
online cases |
|
8 |
Genitourinary System, Skin,
Musculoskeletal |
Brown Chapters 17, 18,
& 19, online cases |
|
9 |
Pregnancy & Prenatal |
Brown Chapters 20-23,
online cases |
|
10 |
Circulatory & Neoplasms |
Brown Chapters 24 & 25,
online cases |
|
11 |
Injuries, Burns, Poisoning |
Brown Chapters 26-28,
online cases |
|
12 |
Complications, Intro to
ICD-10 |
Brown Chapters 29-34,
online cases |
|
13 |
DRG’s & Chargemaster |
Online reading assignments |
|
14 |
Final Examination |
Full Patient Charts and
Case Studies |
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.