Syllabus HIM 130 Diagnostic Coding ICD-10-CM Credit Hours 3 lecture/1 lab DEPARTMENT: School of Health Sciences COURSE DESCRIPTION This is an entry level course in the study of the official coding rules, guidelines, and classification systems for assigning valid diagnostic and/or procedure codes utilizing ICD-10-CM. Students will abstract health information according to regulatory guidelines for acute hospital coding. Lab time is required. Prerequisites: HIM 101 and BIO 199 REQUIRED TEXTBOOK ICD-10-CM/PCS Coding: A Map for Success With: MyHealthProfessionsLab + eText -- Access Card Package ISBN-10: 0133141330 • ISBN-13: 9780133141337 Paper Bound with Access Card, 688 pp Publisher: Prentice Hall 2013 / Pearson Author: Lorraine M. Papazian-Boyce Key Features • Featuring a four-color presentation and student-centered approach, this medical coding • • • book references ICD-10-CM/ICD-10-PCS codes and offers a new approach to teaching this skill. The book is flexible in organization—appropriate for traditional, modular, linear, and wheel courses—and progressive in its numerous exercises of varying levels. Chapters are constructed around three basic coding skills (abstracting, assigning, and sequencing codes) so students get a strong foundation in these essential competencies. Guided examples teach the coding process, while mini-medical records help students learn how to identify and abstract pertinent information from medical documentation. HIT 130 Page 1 ICD-10-CM: The Complete Official Draft Code Set 2014 • • • • • Ingenix ISBN-13: 9781622540679 Paperback Previous Editions: 2013, 2012, 2011 ©2013 Published CODING DESK REFERENCE MATERIALS: AVAILABLE ON THE SCHOOL’s VIRTUA LAB Encoder: 3M Encoder or AHIMA Virtual Lab COURSE OBJECTIVES • Assign appropriate ICD-10-CM codes to diseases and conditions relating to: o Neoplasms o Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified o Factors Influencing Health Status and Contact with Health Services o External Causes of Morbidity o Diseases of the Digestive System o Endocrine, Nutritional, and Metabolic Diseases o Diseases of the Skin and Subcutaneous Tissue o Diseases of the Musculoskeletal System and Connective Tissue o Injury, Poisoning, and Certain Other Consequences of External Causes • • • • • • • Perform correct sequencing of ICD-10-CM codes in the inpatient and ambulatory setting. Utilize ICD-10-CM volumes to accurately and appropriately abstract, code and sequence information from the health record for the items listed in objective Explain the impact of coding on reimbursement to the healthcare provider/facility. Analyze and correct errors in coding and sequencing. Use specialized software to support clinical classification and coding. Understand the development, structure format, and coding conventions of ICD 10-CM. Understand the career path and performance for a coding career. HIT 130 - 080113 Page 2 Course Outline STUDENTS WITH DISABILITIES: Students with documented disabilities (physical, emotional, learning and/or others) who believe that they may need accommodations in this class are encouraged to contact the Coordinator for Student Disability Services in Room 139, extension 120, as soon as possible to arrange for such accommodations. LIBRARY INFORMATION: Articles: As an MWCC student, you have access 24 hours a day to more than 80 LaChance Library online article databases. To get to these resources and find articles scholarly/academic journals, magazines, newspapers, reference books, and e-books, visit the Library web page, http://library.mwcc.edu, and click FIND ARTICLES. In order to access the Library’s online research databases from an off-campus location, you will be prompted to log-in with your library barcode number or student ID number and last name in all CAPITAL LETTERS. Books, Videos, CDs, etc.: In order to find books, videos, etc. on a topic, you will need to use the Library catalog, located on the Library’s webpage (http://library.mwcc.edu). Look for the FIND BOOKS & MORE link. You may arrange to pick up items at either the LaChance Library or your public library. For assistance in locating articles, books or other information sources please contact us: • By telephone: 1-888-884-6922 (toll free) • Via email: library@mwcc.mass.edu (account is checked at least once daily at 7:30 am, Mon-Fri) • Using chat: Visit the ASK A LIBRARIAN page at: http://subjectguides.mwcc.edu/ask • In person, at the LaChance Library (Gardner Campus), Leominster Student Success Center and the Devens Learning Center when open. Hours can be found at: http://mwcc.edu/lib/about/hours/. ACADEMIC SUPPORT CENTER INFORMATION: Tutoring: Students in need of tutorial services are encouraged to contact the Academic Support Center. Tutorial services are provided free of charge to enrolled students and include face-to-face and e-tutoring (online tutoring), drop in help with math and writing, subject tutoring (sciences, business, accounting, etc.) as well as other services. If you have questions, or wish to set up an appointment, you may contact: Administrative Assistant, Academic Support Center, 978-630-9333. ETutoring is available to students through iConnect and provides tutoring in subjects such as writing, math, biology, chemistry, anatomy & physiology, statistics and accounting. Assistance is available via chat, email and also an online writing lab where students can upload drafts of papers and receive feedback. To see the current schedule of eTutoring visit: http://www.etutoring.org/public/schedule.cfm?sys=91. For information about either library or tutoring services please contact Heidi McCann, Dean of Library and Academic Support Services – hmccann@mwcc.mass.edu or 978-630-9126. ACADEMIC HONESTY & PLAGIARISM: 3 Course Outline Students are responsible for knowing Mount Wachusett Community Colleges' policy on academic honesty and plagiarism, found at http://mwcc.edu/catalog/academic-and-grading-policies/. In sum, it is against policy to submit work with the deliberate intent to deceive or to cheat. Plagiarism is not tolerated at the College. WITHDRAWAL FROM A COURSE: You may formally withdraw from this course through the 60% point of the semester/cycle as indicated on the academic calendar – the academic calendar is posted at http://mwcc.edu/academic/academic-calendar/. A grade of “W” will be recorded on your transcript. A grade of “W” will count as credits attempted but not completed, but will not impact QPA. You are required to speak to me or your assigned advisor before withdrawing from this course. The procedure for course withdrawal includes getting the proper form from the Advising Center in Gardner or from the receptionist at our branch campuses (Leominster, Devens, Burbank), bringing the form to me or your assigned advisor, and returning the signed form to the Advising Center or branch campus. Please be advised that ceasing to attend a class may result in me initiating the withdrawal from a class prior to the 60% point of the semester/cycle. Course withdrawals will not be processed after the 60% point of the semester/cycle. If you stop attending after the 60% point of the semester/cycle, you will receive an F grade. F’s are averaged into the QPA for all students. Any withdrawal may affect progress toward degree and future eligibility to receive financial aid. Contact the record’s office for information on your student records. Administrative action Forms are available for withdrawal after the 60% point of the semester/cycle as a result of extenuating circumstances. Student may obtain an Administrative Action form in the records office or online at http://mwcc.edu/wp-content/blogs.dir/1/files/2013/01/Administrative-Action.pdf. Documentation of the extenuating circumstance must be submitted with the form for this appeal to be reviewed. PERFORMANCE ASSESSMENT This course is designed to complement the AHIMA National Model Curriculum Map for HIT programs. The following Domains, Subdomains and Task competencies are addressed in this course. With a minimum accuracy of 76%, the student must demonstrate acceptable performance via lab exercises, assignments, quizzes and exams. AHIMA Academic Domains/Sub domains The following Domains, Subdomains, and Task Competencies of the health information technology profession are addressed in this course. With a minimum accuracy of 76%, the student must demonstrate acceptable performance via application exercises, quizzes and exams. A. Domain 1: Health Data Management Subdomain 1.a: Health Data Structure, Content, and Standards Task 1.a.1: Collect and maintain health data (such as data elements, data sets, and databases). Task 1.a.2: Conduct analysis to ensure that documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status. Subdomain 1.c: Clinical Classifications Systems Task 1.c.1: Use and maintain electronic applications and work processes to support clinical classification and coding. Task 1.c.2: Apply diagnosis/procedure codes according to current nomenclature. Task 1.c.4: Adhere to current regulations and established guidelines in code assignment. Task 1.c.5: Validate coding accuracy using clinical information found in the health record. Task 1.c.7: Resolve discrepancies between coded data and supporting documentation. B. Domain 2: Health Statistics, Biomedical Research, and Quality Management Subdomain 2.b: Quality Management and Performance Improvement 4 Course Outline C. Task 2.b.1: Abstract and report data for facility-wide quality management and performance improvement programs. Domain 4: Information Technology & Systems Subdomain 4A: Information and Communication Technologies Task 4.a.3: Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. COURSE REQUIREMENTS: A. Completion of all assignments B. Attendance in classes per institution policy C. Pass exams and quizzes D. Participate in class discussion and simulations EVALUATION Course grade will be determined as follows: A. Discussion Boards 20% B. Module Tests 30% C. Module Exercises 25% D. Applied Lab Exercises 25% Grading Scale: The college uses the following grading system: Letter Quality Grade Points A 4.00 A3.70 B+ 3.30 B 3.00 B2.70 C+ 2.30 C 2.00 C1.70 D+ 1.30 D 1.00 D0.70 F 0.00 Active Engagement Rubric Each week, the class will focus on a given topic to discuss and investigate. Students will participate either through in-class debates, or by posting discussions in the learning management system. Possible grade is between 100 and 0. Below is an example of how student gets from F to A on active participation/course discussion Grade 100 points 80 points 60 points 5 Course Outline Organization Comments are well organized and reflect student has read materials Quality of Information Comments demonstrate student understands the topic information. New information or insights are offered. Sources Participation Comments can be followed, but may be based on experience or reflects responding to others Comments show student is trying to relate topic to weekly readings. Comments/participation/ is disorganized or sporadic Comments are supported by one or more referenced citations - supports ideas with facts/quotes May use a citation, or makes reference to personal work experience to support an idea Makes a post but it is unsupported by citation or experience, and is very brief. Student participates four or more times during the discussion period Student participates at least twice with an original comment and at least one reply/reaction to another student. Student comments or posts once. Non-participation = 0 Comments drift from topic, tend to be generic and add little or no value to the dialogue. HIT 130 Course Outline (15 Modules) HIT 130 Lecture Readings & Practice Exercises HIT 130 Active Engagement Assignments HIT 130 Lab 6 Course Outline MODULE 1: The Transition to ICD-10- CM/PCS & Introduction to ICD-10-CM Diagnosis Coding Topic of the Week: Complete Chapter 3 Test Complete Chapter 4 Test Read Chapter Papazian-Boyce CH 3 and 4 Review Chapter Slides Papazian-Boyce CH 3 Exercises 3.1 – 3.5, CH 4 Exercises 4 - 1 - 4.5 , Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 3 Apply Exercises MyHealthProfessionsLab: CH 4 Apply Exercises MODULE 2: Neoplasms Topic of the Week: Read Chapter Papazian-Boyce CH 5 Complete Chapter 5 Test Review Chapter Slides MyHealthProfessionsLab: Chapter 5 Apply Exercises MODULE 3: - Symptoms, Signs, and Abnormal Topic of the Week: Clinical and Laboratory Findings, Not Elsewhere Classified Complete Chapter 6 Test Read Chapter Papazian-Boyce CH 6 Review Chapter Slides MODULE 4: Coding and Reimbursement Read Chapter Papazian-Boyce CH 2 Topic of the Week: Complete Chapter 2 Test Review Chapter Slides MODULE 5: Factors Influencing Health Status and Contact with Health Services Read Chapter Papazian-Boyce CH 7 Topic of the Week : Complete Chapter 7 Test CH 6 Exercises 6.1 – 6.4 , Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 6 Apply Exercises Papazian-Boyce CH 2 Exercises 2.1 – 2.4, Concept Quiz MyHealthProfessionsLab: Chapter 2 Apply Exercises Papazian-Boyce CH 7 Exercises 7.1 – 7.4, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 7 Apply Exercises Review Chapter Slides MODULE 6: External Causes of Morbidity Topic of the Week: Read Chapter Papazian-Boyce CH 8 Complete Chapter 8 Test Review Chapter Slides Papazian-Boyce CH 5 Exercises 5.1 – 5.4 , Concept Quiz, Coding Challenge, Keep on Coding Papazian-Boyce CH 8 Exercises 8.1 – 8.3 , Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 8 Apply Exercises 7 Course Outline MODULE 7: Diseases of the Digestive System Topic of the Week Read Chapter Papazian-Boyce CH 9 Complete Chapter 9 Test Review Chapter Slides MODULE 8: Endocrine, Nutritional, and Metabolic Diseases Read Chapter Papazian-Boyce CH 10 MyHealthProfessionsLab: Chapter 9 Apply Exercises Topic of the Week: Complete Chapter 10 Test Read Chapter Papazian-Boyce CH 11 Review Chapter Slides Module 10 Diseases of the Musculoskeletal System and Connective Tissue Read Chapter Papazian-Boyce CH 12 Topic of the Week: Complete Chapter 11 Test Other Consequences of External Causes Read Chapter Papazian-Boyce CH 13 Topic of the Week: Complete Chapter 12 Test Read Chapter Papazian-Boyce CH 14 Review Chapter Slides Papazian-Boyce CH 12 Exer. 12.1 – 12.5, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 12 Apply Exercises Topic of the Week: Complete Chapter 13 Test Review Chapter Slides Module 12 Disease of the Circulatory System Papazian-Boyce CH 11 Exer. 11.1 – 11.5, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 11 Apply Exercises Review Chapter Slides Module 11 Injury, Poisoning, and Certain Papazian-Boyce CH 10 Exer. 10.1 – 10.5, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 10 Apply Exercises Review Chapter Slides MODULE 9 Diseases of the Skin and Subcutaneous Tissue Papazian-Boyce CH 9 Exercises 9.1 – 9.5 , Concept Quiz, Coding Challenge, Keep on Coding Topic of the Week: . Complete Chapter 14 Test Papazian-Boyce CH 13 Exer. 13.1 – 13.4, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 13 Apply Exercises Papazian-Boyce CH 14 Exercises, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 14 Apply Exercises 8 Course Outline Module 13 Diseases of the Respiratory System Read Chapter Papazian-Boyce CH 16 Topic of the Week: . Complete Chapter 16 Test Review Chapter Slides Module 14 Diseases of the Genitourinary System Read Chapter Papazian-Boyce CH 22 Topic of the Week: . Complete Chapter 22 Test Review Chapter Slides Complete Chapter 23 Test Review Chapter Slides Finals Week MyHealthProfessionsLab: Chapter 16 Apply Exercises Papazian-Boyce CH 22 Exercises, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 22 Apply Exercises Module 15 Pregnancy, Childbirth, & the Puerperium Topic of the Week: Read Chapter Papazian-Boyce CH 23 Papazian-Boyce CH 16 Exercises, Concept Quiz, Coding Challenge, Keep on Coding Papazian-Boyce CH 23 Exercises, Concept Quiz, Coding Challenge, Keep on Coding MyHealthProfessionsLab: Chapter 23 Apply Exercises Course Evaluation (No Final Exam) 9