DAKOTA STATE UNIVERSITY

Health Information Management Programs

Fall 2002

PREFIX, NUMBER, AND TITLE:

HIM 160 HEALTH CARE CODING SYSTEMS

Instructor | Course Description | Objectives

Evaluation Components and Procedures

Attendance and Test Policies | Course Outline

INSTRUCTOR

Dorine Bennett, RHIA (homepage http://www.homepages.dsu.edu/bennettd/)

Room 3, East Hall

Phone # 605-256-5137(Office) 605-256-4983 (Home) 

Fax # 605-256-5060

E-mail address dorine.bennett@dsu.edu

COURSE INFORMATION:

MEETING TIME/PLACE:

Tuesday and Thursday 9:30 am - 11:10 am

Final exam Wednesday, December 18th, 8:00 - 10:00 am

CREDIT: 3 Credit Hours

DESCRIPTION AND CATALOG YEAR:

Nomenclature and classification systems, diagnostic related groups and data abstracting techniques using automated and manual systems.  Emphasis is placed on ICD-9-CM coding in an inpatient setting.  Concepts integrated into laboratory and computer experience.  2001-2002 Catalog. 3 credits. (Fall)

PREREQUISITES:

HIM 131, Medical Terminology/Transcription

BIOL 323, Human Anatomy and Physiology

HIM 260, Pathophysiology

COMPUTER SKILLS USED:

The student may be using word processing, database and spreadsheet software.  There may be use of Internet browsers.  In addition health information management specific software will be used.

ADOPTED COURSE TEXTBOOK AND INSTRUCTIONAL MATERIALS:

ICD-9-CM - Volumes I, II, III

ICD-9-CM Coding Handbook, American Hospital Association

INSTRUCTIONAL METHODOLOGIES:

Lecture, demonstration, instructional videos, discussion, workbook exercises, and chart/story problem coding.

MINIMUM COURSE BIBLIOGRAPHY:

1. Health Information Management, 10th Edition, Edna K. Huffman.

2. ICD-9-CM Coding Clinic, American Hospital Association

3. Coding for Prospective Payment

4. The Clinical Coding Compendium

5. Advance for Health Information Professionals

6. For the Record

7. Journal of AHIMA

8. Health Information: Management of a Strategic Resource, 2nd Edition, Abdelhak, etc.

9. Health Information Management Technology: An Applied Approach, Johns

10. Basic ICD-9-CM Coding, Schraffenberger

11. ICD-9-CM Workbook, Ashton

Additional information may be available at the Karl Mundt Library.  The following is a hyper linked URL address for the Mundt Library resources.  http://www.departments.dsu.edu/library

PLEASE NOTE:

The instructor reserves the right to make adjustments in this course to better meet the needs of students.

LEARNING OBJECTIVES:

At the conclusion of this course, the student will:

1. be able to explain the purposes of diseases and operations classification and nomenclatures.

2. be able to demonstrate knowledge of basic concepts and coding principles of ICD-9-CM and utilize knowledge of disease process and medical record documentation to accurately assign and/or verify the correct codes to specific diagnoses and procedures.

3. be able to correctly sequence codes and assign MDC's and DRG's, with an understanding of optimization issues and Federal guidelines.

4. have a better understanding of computer use in coding and DRG assignment.

5. have a better understanding of reimbursement design concepts in examination and evaluation of third-party billing and/or payment in inpatient settings.

6. have an understanding of coding accuracy in relation to compliance with federal/regulatory requirements (i.e., Correct Coding Initiative, ICD-9-CM Cooperating parties coding guidelines, etc.)

7. have an awareness of and ability to refer to various references in coding.

The goal of HIM 160 Health Care Coding Systems is to enable the student to meet the stated learning objectives in order to develop skills related to the American Health Information Management Association (AHIMA) Domains, Subdomains, and Tasks as listed below:

• Assist in the facility's billing process (RHIA I.A.3, RHIT I.A.3)
• Validate coding accuracy using clinical information found in the health record (RHIA I.A.4, RHIT I.A.4)
• Assign diagnosis/procedure codes using ICD-9-CM (RHIA I.B.1, RHIT I.B.1)
• Ensure facility-wide adherence to health information services' compliance with regulatory requirements (e.g., ICD-9-CM Cooperating parties coding guidelines, HCFA Compliance Plan, Correct Coding Initiative) (RHIA III.C.6, RHIT III.C.5)
• Evaluate software packages to determine that they meet user needs (RHIA IV.B.6)

ATTENDANCE AND TEST POLICIES:

Attendance: Students are expected to attend every class.  Class assignments will not be accepted after assigned due date and will be given a grade of "0" unless prior arrangements are made.

Test Policy: Seven tests are scheduled for this course; six will be "unit" tests and the final will be cumulative. The first six tests will be administered during regular class periods and the last one will be given during the final examination period. These tests may consist of multiple-choice, true/false, matching, and/or short answer questions.

There may be periodic quizzes, which may not have prior announcement.

Unless advance arrangements have been made, there will be no make-up tests or quizzes. Any missed tests will constitute a zero for that test/quiz.

Ethical conduct is a requirement. Disciplinary action as deemed appropriate will result as a consequence to unethical conduct regarding completion of this course.

EVALUATION COMPONENTS:

Students will be evaluated by scheduled examinations and assignments.  Selected workbook and other assignments, such as case problems or chart coding, will be graded.  There may be periodic quizzes.  These components are designed to determine the student's ability to apply knowledge and understanding of subject matter.

Student Behavioral Guidelines: Treat your classes as you would a desirable job. The instructor is a team leader, and your fellow peers are co-workers. All must work together to complete learning objectives. You are expected to:

1. Participate appropriately and actively on topics presented in class.

2. Complete assignments on time.

3. Ask for feedback from your instructor and peers to ensure progress toward learning objectives.

4. Resolve problems by immediately discussing issues with your instructor and/or peers.

5. Attend classes and be prompt on arrival for classes.

In the "real world" of work, employees are expected to conduct themselves in a businesslike manner. I expect no less of my students, whom I am preparing for professional responsibilities. A professional attitude includes regular attendance and participation in class and/or for online assignments. A student is expected to have a courteous reaction to assignments, adequate preparation of assigned work, and active participation and respect for deadlines. In short, a student should reflect a professional attitude that would be desirable in any valued employee.

Writing Standards:

Students enrolled in the course are expected to use literate and effective English in their speech and writing; grades on written work (including examinations) shall be based on expression as well as on content.  Students may be required to rewrite assignments which are marred by errors in grammar, punctuation, spelling, or organization.

EVALUATION PROCEDURE:

The following fixed-percentage scale is used to determine grade:

90 - 100% A

80 - 89% B

70 - 79% C

60 - 69% D

Less than 60% F

Students will be provided feedback on their performance.  However, tests and assignments will not be returned for the students to keep.

In addition, at the midterm of the course, students who are not performing satisfactorily will be informed by the Enrollment Services Office.  This notification will be reflective of all evaluation components scheduled for completion up to and through mid-term week. 

Should a student's cumulative grade calculation fall near or on the borderline of two letter grades, the instructor will give consideration to that student's class attendance, class participation, effort, and attitude in determining the final grade assignment for the course.

Students are reminded that they must earn at least a "C" or they will be required to repeat the course in order to be admitted to the HIA Program. If a student receives less than a "C" in this course, he/she MAY NOT do the subsequent practicum. No HIT/HIA student may graduate or write the national certification exam with less than a "C" in this course

TENTATIVE COURSE OUTLINE: