ICD-10-PCS

advertisement
SUFFOLK COUNTY COMMUNITY COLLEGE
SPECIAL TOPICS COURSE PROPOSAL FORM
ORIGINATING CAMPUS: ( ) Ammerman ( X ) Eastern
( X ) Grant
Date Submitted to Campus Dean: _____06/13
To meet the ideals of Suffolk County Community College, new courses should, if appropriate, consider
issues arising from elements of cultural diversity in areas of textbook choice, selection of library and
audio-visual materials, and teaching methodology.
CAMPUS DEAN E-MAILS ENTIRE PROPOSAL PACKET TO THE COLLEGE
CURRICULUM COMMITTEE CHAIR AS A WORD DOCUMENT UPON ITS
APPROVAL.
_____________________________________________________________________________________________
_______________
PROCEDURES
1. Instructor downloads and drafts proposal and syllabus from Special Topics link on the Curriculum
Website
2. Proposer sends the files (proposal and syllabus) electronically to the Academic Chair for
distribution and support from Academic Department.
3. Academic Chair initials the proposal upon approval and electronically forwards file and syllabus to
the Campus Dean.
4. Upon approval, the Campus Dean initials the proposal and electronically forwards file and syllabus
to the College Curriculum Committee Chair for posting on the Curriculum Website.
5. The College Curriculum Chair will electronically forward the files (including syllabus) to the College
Associate Dean for Curriculum and Assessment.
_________________________________________________________________
__________
Proposed by_Diane P. Fabian______________Date of
Proposal__6/14/13____
Department/Discipline_ Health Information Technology______
Course #_HIT295____________
PCS_____
I.
Course Title ICD-10-CM and ICD-10-
RELATIONSHIP TO STUDENTS
A.
*Credit Hours_3___
Contact Hours_3___
Lecture Hours_3____ Lab/Studio Hours_____
*See Curriculum Website for Credit/Contact Hours Formula.
II.
B.
Class Size
28
C.
Course Fees
Lab Fees_ ___
Course Fees_____
RELATIONSHIP TO MASTER SCHEDULE
A.
**Proposed Semesters Course will run:
Fall2013
Winter_(yr.)____ Spring2014 Summer_(yr.)____
1
B.
**Projected Termination Date
FallFall 2014
Winter_(yr.)____
Summer_(yr.)____
Spring_(yr.)____
**Special Topics courses may run for only two semesters. Upon the completion of the second
semester, the
course must be withdrawn from the schedule unless it has been re-approved as
a Special Topics course or
approved as a permanent course. Under no circumstances
may a Special Topics course run for more than four
semesters.
III.
Rationale for Course:
This course is being offered to meet the needs of the health care community. On
October 1, 2014 the coding system will convert to the next version, that is, ICD-10-CM and
ICD-10-PCS. This will affect anyone who is involved in health care reimbursement,
hospitals, doctor’s offices and insurance companies. Please see the email requests. This
course content will be added to the HIT235 in the Fall semester through a curriculum
change.
IV.
Description of Course:
This course will introduce ICD-10-CM and ICD-10-PCS ONLY. Students will code
using medical records and practice exercises. (3 hrs. lecture.)
V.
Approvals
Department Approval__Diane
P. Fabian
Date_6/14/13_______
Academic Chair
Campus Dean Approval_Evon Walters Date___6/20/13__________
Campus Dean
2
SPECIAL TOPICS • COURSE SYLLABUS
PLEASE SEE ATTACHED COURSE SYLLABUS
I.
Course Number and Title:
II.
Description of Course:
III.
Course Objectives:
(What should students learn as a result of taking this course and how will they
demonstrate that
learning?)
Upon completion of this course students will:
IV.
Required Texts and Materials:
(List textbooks, newspapers, journals, Internet resources, CD-ROMS, Videos, other
teaching materials
to be used in the course.)
V.
Assessment of Student Learning:
(Describe assessment measures, i.e., instruments that measure the attainment of
course objectives.)
VI.
Weekly Outline of Topics and Assignments:
3
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
ICD-10-CM and ICD-10-PCS
CATALOG NO: HIT 295
CREDIT HOURS: 3 hours
INSTRUCTOR:
SEMESTER:
Phone:
Email:
COURSE DESCRIPTION:
This course will introduce ICD-10-CM and ICD-10-PCS ONLY. Students will code using
medical records and practice exercises. (3 hrs. lecture.)
STUDENT LEARNING OUTCOMES:
Upon completion of the course the student will be able to:
1. Define, identify and list all coding conventions, principal diagnoses, comorbid conditions,
principal procedure, and secondary procedures documented in the medical record.
2. Explain the importance of the ICD-10-CM and ICD PCS coding and its application to the
Hospital Reimbursement System.
3. Analyze the medical record and properly sequence the ICD-10-CM code.
4. Demonstrate the ability to read a medical record and determine the appropriate ICD-10-CM
code.
5. Define the various classification systems including ICD-10-CM
6. Distinguish the differences between a medical vocabulary (SNOMED) and a classification
system.
INSTRUCTIONAL/TEACHING METHODS:
Lecture
Homework Assignments
Medical Records
AHA Coding Clinics
EVALUATION:
Students require a minimum of "C" to progress in the program.
Homework (Coding review)
30%
Midterm (Coding problems) Take Home
35%
Final (Multiple choice/coding problems)
35%
4
HIT235
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from the class roster.
TEXT:
2012 ICD-10-CM Channel Publishing and ICD-10-PCS Channel Publishing
Basic ICD-10-CM and ICD-10-PCS Coding 2013 by Schraffenberger, AHIMA 2013
ICD-10-CM and ICD-10-PCS 2013 Coding Handbook with Answers by Nellie Leon-Chisen,
AHA 2013.
DOMAINS, SUBDOMAINS, TASKS:
I.A.5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources
for patient care, management, billing reports, registries and/or databases.
I.C.1. Use and maintain electronic applications and work processes to support clinical
classification and coding.
I.C.2. Apply diagnosis/procedure codes using ICD10CM and ICD10PCS.
I.C.4. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC and so on.
I.C.5. Adhere to current regulations and established guidelines in code assignment.
I.C.6. Validate coding accuracy using clinical information found in the health record.
I.C.7. Use and maintain applications and processes to support other clinical classification and
nomenclature systems (ex. ICD-10-CM, SNOMED, etc.).
I.C.8. Resolve discrepancies between coded data and supporting documentation.
I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and
prospective payment systems (PPS) in healthcare delivery.
5
CODING AND CLASSIFICATION SYSTEMS
HIT 235
GENERAL OUTLINE
OBJECTIVE #1: Define, identify and list all coding conventions, principal diagnoses,
comorbid conditions, principal procedure, and secondary procedures documented in the
medical record.
The student will be able to identify the coding conventions, define principal and
secondary diagnoses and procedures, and explain the importance of coding in the health care
setting.
History of Coding
ICD-10-CM and ICD-10-PCS
Purposes of Coding
Importance of Coding to Clinicians
ICD-10-CM Text Format
ICD-10-CM Conventions
Federal Government and Healthcare
Uniform Hospital Discharge Data Set (UHDDS)
Coding with ICD10CM and ICD10PCS
OBJECTIVE #2: Explain the importance of the ICD-10-CM coding and its application to
the Hospital Reimbursement System.
The student will be able to describe the relationship between coding, reimbursement and
the Third Party Payers.
Importance of Coding to DRG Reimbursement (DRG)
Prospective Payment System (PPS)
DRG's and Case Mix Classification
Peer Review Organizations (PRO)
Corporate Compliance
Computerized Grouper
AHA Coding Clinics
(authoritative source)
OBJECTIVE #3: Analyze the medical record and properly sequence the ICD-10-CM code.
Using copies of the medical record, the student will review the medical record and select
appropriate diagnoses and procedures.
Selection of the Principal Diagnosis
Selection of all Secondary Diagnoses
Procedural Coding
Diagnoses Sequencing
6
HIT235
7
Special Topics Course Proposal Form
OBJECTIVE #4: Demonstrate the ability to read a medical record and determine the appropriate ICD10-CM code.
The student will read copies of medical records and case studies and determine the appropriate codes.
Signs, Symptoms and Ill-defined Conditions
Infections and Parasitic Diseases
Endocrine, Nutritional, and Metabolic Diseases and Immune Disorders
Mental Disorders
Diseases of Blood and Blood Forming Organs
Diseases of Nervous System and Sensory Organs
Diseases of Respiratory System
Digestive System
Diseases of Genitourinary System
Diseases of Skin and Subcutaneous Tissue
Diseases of Musculoskeletal and Connective tissue
Complications of Pregnancy, Childbirth and the Puerperium
Abortion
Congenital Anomalies
Perinatal Conditions
Diseases of the Circulatory System
Neoplasms
Injuries, Burns and Poisonings
OBJECTIVE #5: Define the various classification systems including ICD-10-CM.
The student will read copies of medical records and case studies and determine the appropriate codes.
ICD-10-CM Text Format
ICD-10-CM Conventions
ICD-10-PCS
Extension Codes
OBJECTIVE #6
Distinguish the differences between a medical vocabulary (SNOMED) and a classification system.
The student will be able to distinguish between a nomenclature and classification system.
Nomenclature
History
SNOMED
Classification
History
Systems for Various Healthcare Settings
SUFFOLK COUNTY COMMUNITY COLLEGE
ALL FORMS MUST BE SUBMITTED ELECTRONICALLY
9/2006
Special Topics Course Proposal Form
HIT 295 WEEKLY OUTLINE
ICD10-CM and ICD-10-PCS
Homework
Week #1
Course Objectives and requirements; Introduction
to ICD10CM Coding History, purposes, and
importance; Code Book format; Coding
Conventions; Procedure coding; Definitions:
Principal Diagnosis, Other Diagnosis, Principal
Procedure and other procedures; UHDDS;
Importance of coding to DRG Reimbursement;
Prospective Payment System (PPS); DRG
Week #2
Infectious & parasitic diseases
Neoplasm; Endocrine, Nutritional & Metabolic
Diseases & Immunity Disorders
Diseases of the Blood and Blood Forming Organs;
Diseases of the Nervous System & Sense Organs;
Mental Disorders;
Diseases of the Circulatory System
Circulatory System Procedures
Code M.I. and CABG
Respiratory System; Diseases of the Digestive
System; Diseases of Genitourinary
Week #3
Week #4
Week #5
Week #6
Week #7
Complications of Pregnancy, Childbirth &
Puerperium; Certain conditions originating in
the perinatal period; Congenital Anomalies
MIDTERM
Week #8
Diseases of the Skin & Subcutaneous Tissues;
Diseases of the Musculoskeletal System Signs,
Symptoms, and Ill defined conditions
Week #9
Injury & Poisoning Iⅈ Complications of
Surgical and Medical Care
Supplemental Classification:
Week #10
Coding patient records using the 3M encoder
Week #11
ICD-10-PCS
Week #12
ICD-10-PCS
Week #13
ICD-10-PCS
Week #14
ICD-10-PCS
ALL FORMS MUST BE SUBMITTED ELECTRONICALLY
9/2006
Special Topics Course Proposal Form
Week #15
ICD-10-PCS
Week #16
FINAL
ALL FORMS MUST BE SUBMITTED ELECTRONICALLY
9/2006
Download