Syllabus HIM 130 Credit Hours 3 lecture/1 lab Diagnostic Coding

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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
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•
•
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
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•
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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
•
•
•
•
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•
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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
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