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Active as of Fall Semester 2013
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:
HINS 1150 - Intro to Diagnosis & Procedure Coding
All Course(s) from the following...
Course Code | Course Title | Credits |
HINS 1360 | Medical Terminology | 3 cr. |
HINS 1160 | Healthcare Anatomy/Physiology I | 3 cr. |
9. Co-requisite Courses:
HINS 1150 - Intro to Diagnosis & Procedure Coding
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
Program-Applicable Courses – This course fulfills a requirement 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
- Coding Compliance
- Avoiding Fraud and Abuse
- Coding Regulations
- Compliance Plan
- Strategies for Coding Compliance
- HIPAA
- Overview & Organization of ICD-9-CM
- Format
- Tabular lists
- Alphabetic index
- Organizations of the guidelines
- Outpatient Coding and Reporting Guidelines
- V codes and E codes (basic)
- Specificity
- Uncertain Diagnosis
- Chronic Diseases
- Diagnostic Services
- Therapeutic Services
- Surgery
- Prenatal visits
- 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
- ICD-10-CM
- Development of ICD-10-CM
- Development of ICD-10-PCS
- Introduction to CPT and Level II National Codes
- CPT manual format
- Index
- History of National Level Codes
- Modifiers
- Evaluation and Management services
- Surgery Procedures in an Ambulatory Setting
- Integumentary System
- Musculoskeletal System
- Respiratory System
- Cardiovascular System
- Radiology for an Ambulatory Setting
- Pathology and Lab for an Ambulatory Setting (routine)
- Inpatient Coding
- HCPCS Codes (basic)
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:
HINS 1150 - Intro to Diagnosis & Procedure Coding
All Course(s) from the following...
Course Code | Course Title | Credits |
HINS 1360 | Medical Terminology | 3 cr. |
HINS 1160 | Healthcare Anatomy/Physiology I | 3 cr. |
9. Co-requisite Courses:
HINS 1150 - Intro to Diagnosis & Procedure Coding
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 fulfills a requirement 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
- Coding Compliance
- Avoiding Fraud and Abuse
- Coding Regulations
- Compliance Plan
- Strategies for Coding Compliance
- HIPAA
- Overview & Organization of ICD-9-CM
- Format
- Tabular lists
- Alphabetic index
- Organizations of the guidelines
- Outpatient Coding and Reporting Guidelines
- V codes and E codes (basic)
- Specificity
- Uncertain Diagnosis
- Chronic Diseases
- Diagnostic Services
- Therapeutic Services
- Surgery
- Prenatal visits
- 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
- ICD-10-CM
- Development of ICD-10-CM
- Development of ICD-10-PCS
- Introduction to CPT and Level II National Codes
- CPT manual format
- Index
- History of National Level Codes
- Modifiers
- Evaluation and Management services
- Surgery Procedures in an Ambulatory Setting
- Integumentary System
- Musculoskeletal System
- Respiratory System
- Cardiovascular System
- Radiology for an Ambulatory Setting
- Pathology and Lab for an Ambulatory Setting (routine)
- Inpatient Coding
- HCPCS Codes (basic)