I. General Information

1. Course Title:
Intro to Diagnosis & Procedure Coding

2. Course Prefix & Number:
HINS 1150

3. Course Credits and Contact Hours:

Credits: 3

Lecture Hours: 3

4. Course Description:

International Classification of Diseases ICD-9-CM and ICD-10-CM.  Use of official coding guidelines and reporting requirements.  DX code systems or code sets including DSM-IV.  ICD-9CM Volume III.  Current procedural terminology - CPT 4, HCPCS Level II codes and other procedure coding systems. 

5. Placement Tests Required:

Accuplacer (specify test):

No placement tests required

Score:

6. Prerequisite Courses:

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

Alexandria Technical College, MEDS 1626 Intro to ICD Coding, 2 credits
Alexandria Technical College, MEDS 1633 Intro to CPT Coding, 2 credits

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

Health Information Specialist, AAS

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Analyze and follow a sequence of operations	Select correct codes using AMA approved coding books.
Utilize appropriate technology	Demonstrate applying correct codes using an Encoder program.
Apply ethical principles in decision-making	Code for accuracy not for reimbursement.

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Demonstrate professionalism
• Demonstrate an understanding of professional boundaries.
• Interpret information in the medical documentation to apply correct codes
• Maintain confidentiality according to HIPAA (health Insurance Portability and Accountability Act)
• Asses and apply regulatory and legal process when coding documents.
• Analyze and determine the need for requesting additional clarification when coding.
• Assess whether information is reported within legal, ethical and regulatory guidelines.
• Manage the accuracy, effectiveness and timeliness of medical information within regulatory guidelines
• Choose correct  coding references
• Demonstrate an understanding of the CMS 1500 forms
• Demonstrate an understanding of the revenue cycle and how coding plays a key role in it.
• Demonstrate an introductory knowledge of encoders and how they are used.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. Coding Compliance
   • Avoiding Fraud and Abuse
   • Coding Regulations
   • Compliance Plan
   • Strategies for Coding Compliance
   • HIPAA
2. Overview & Organization of ICD-9-CM
   • Format
   • Tabular lists
   • Alphabetic index
   • Organizations of the guidelines
3. Outpatient Coding and Reporting Guidelines
   • V codes and E codes (basic)
   • Specificity
   • Uncertain Diagnosis
   • Chronic Diseases
   • Diagnostic Services
   • Therapeutic Services
   • Surgery
   • Prenatal visits
4. Using ICD-9-CM
   • Level of specificity
   • Integral conditions
   • Multiple coding
   • Acute and chronic
   • Combination codes
   • Late effects
   • Infectious and parasitic diseases
   • Neoplasms
   • Endocrine, nutritional & metabolic diseases and immunity disorders
   • Diseases of the blood and blood forming organs
   • Mental disorders
   • Diseases of the nervous system and sense organs
   • Diseases of the circulatory system
   • Diseases of the respiratory system
   • Diseases of the digestive system
   • Diseases of the genitourinary system
   • Complications of pregnancy & childbirth
   • Disease of the musculoskeletal system
   • Congenital anomalies
   • Signs, symptoms and Ill-defined conditions
   • Injury and poisoning
5. ICD-10-CM
   • Development of ICD-10-CM
   • Development of ICD-10-PCS
6. Introduction to CPT and Level II National Codes
   • CPT manual format
   • Index
   • History of National Level Codes
7. Modifiers
8. Evaluation and Management services
9. Surgery Procedures in an Ambulatory Setting
10. Integumentary System
11. Musculoskeletal System
12. Respiratory System
13. Cardiovascular System
14. Radiology for an Ambulatory Setting
15. Pathology and Lab for an Ambulatory Setting (routine)
16. Inpatient Coding
17. HCPCS Codes (basic)