Course Proposals Help Course Name:  Diagnosis and Procedure Coding   Course Prefix: HIM Course Number: 5020              Submitted by (Name & E-Mail):  Patricia Shaw, pshaw@weber.edu Current Date:  11/4/2009 College: Health Professions Department:   Health Admin Services                               From Term: Fall  2010  Substantive new  Current Course Subject N/A Current Course Number New/Revised Course Information: Subject:  HIM             Course Number: 5020 Check all that apply:     This is for courses already approved for gen ed.     Use a different form for proposing a new gen ed designation. DV  SI  CA  HU  LS  PS  SS  EN  AI  QL  TA  TB  TC  TD  TE Course Title: Diagnosis and Procedure Coding Abbreviated Course Title: Diagnosis and Procedure Coding Course Type:  LEL Credit Hours:  3  or if variable hours:    to Contact Hours: Lecture 2  Lab 2   Other Repeat Information:  Limit 0   Max Hrs 0  Grading Mode:  standard This course is/will be: a required course in a major program a required course in a minor program a required course in a 1- or 2- year program elective Prerequisites/Co-requisites: Course description (exactly as it will appear in the catalog, including prerequisites): Coding and classification conventions and procedures are developed and practiced. The course will also include auditing of coded data for accuracy. Justification: Students in this certificate program must have a working knowledge of the ICD-9-CM and CPT coding systems to fulfill coding, revenue integrity and compliance management positions in health care organizations. The content covered in this course is required knowledge for the certificate student to be successful on the Registered Health Information Administrator (RHIA) certification examination as well as the HIM industry. INFORMATION PAGE for substantive proposals only 1. Did this course receive unanimous approval within the Department? true If not, what are the major concerns raised by the opponents? 2. If this is a new course proposal, could you achieve the desired results by revising an existing course within your department or by requiring an existing course in another department? This course is a combination of course material in two courses in the health information management bachelors degree. It is necessary to combine the content into one course to achieve the learning outcomes required for certification. 3. How will the proposed course differ from similar offerings by other departments? Comment on any subject overlap between this course and topics generally taught by other departments, even if no similar courses are currently offered by the other departments. Explain any effects that this proposal will have on program requirements or enrollments in other department. Please forward letters (email communication is sufficient) from all departments that you have identified above stating their support or opposition to the proposed course. The content in this course is unique to the health information management programs. 4. Is this course required for certification/accreditation of a program? yes If so, a statement to that effect should appear in the justification and supporting documents should accompany this form. 5. For course proposals, e-mail a syllabus to Faculty Senate which should be sufficiently detailed that the committees can determine that the course is at the appropriate level and matches the description. There should be an indication of the amount and type of outside activity required in the course (projects, research papers, homework, etc.).

WEBER STATE UNIVERSITY

DUMKE COLLEGE OF HEALTH PROFESSIONS

Health Administrative Services

HIM 5020 Diagnosis and Procedural Coding

Course Description:

ICD-9-CM and CPT/HCPCS Coding and classification conventions and procedures are developed and practiced.

Instructor:      Darcy B. Carter, RHIA

Office:                        Marriott Health Bldg, Room 204

Telephone:    801-626-7549

Email:             darcycarter@weber.edu

Office Hours:            Monday and Wednesday, 10:00-12:00

Texts:             

Kuehn, L. and Wieland, L.  (2009) CPT/HCPCS Coding and Reimbursement for Physician Services.  Chicago, IL:  AHIMA.

AMA.  (2009) CPT Coding Manual. Chicago, IL:  AMA

Channel. (2009) ICD-9-CM Coding Manual. Reno, NV:  Channel Publishing

Schraffenberger, L. (2009) Basic ICD-9-CM Coding   Chicago, IL: AHIMA. - For fiscal year 2009.

Course Schedule:

Week 1           Introduction to ICD-9-CM coding and conventions

Week 2           ICD-9-CM Coding: endocrine system, blood disorders, nervous system, infectious disease

Week 3           ICD-9-CM Coding: circulatory, respiratory and digestive systems

Week 4           ICD-9-CM Coding:  pregnancy and newborn conditions

                        Exam 1

Week 5           ICD-9-CM Coding:  skin, musculoskeletal, mental disorders

Week  6          ICD-9-CM Coding:  E codes, V codes, late effects and injury

Week 7           Introduction to CPT coding and conventions, Outpatient Coding Guidelines and Modifiers

Week 8           Evaluation and Management Coding

Week 9           Anesthesia Coding

                        Exam 2

Week 10        Surgery cases

Week 11        Surgery cases-continued

Week 12        Case Studies in ICD-9-CM and CPT      

Week 13        Advanced Cases in ICD-9-CM and CPT

Week 14        Chart Coding/Auditing in ICD-9-CM and CPT

Week 15        Final Exam  

AHIMA Cognitive Domains:

Validate coding accuracy using clinical information found in the health record. 
Assign diagnosis/procedure codes using ICD-9-CM.

Objectives:  Upon completion of this course, the student will be able to:
Describe the format and major divisions of the ICD-9-CM classification system and explicate the abbreviation.

Define, compare and contrast "classification" and "nomenclature."

Define the following terms and discuss the significance they have when using the ICD-9-CM system: main term, subterm, category, carryover line, eponym, section

Explain how the ICD-9-CM system is accessed in order to arrive at a code for a disease or operation.

Define and understand coding conventions.

Explain the use of the punctuation marks used in ICD-9-CM:

Identify a surgical approach or closure from an operation citation and code them when necessary.

Code endoscopies and procedures performed via endoscopy correctly given circumstances and operation citation.

Define and explain the difference between a diagnostic and a therapeutic procedure, invasive and noninvasive procedures.

Describe the levels of HCPCS and the types of codes contained in each level.

Discuss the use of modifiers in the CPT/HCPCS coding system

Given a clinical coding scenario, analyze the clinical situation and determine what diagnosis(es) should be coded, what procedure(s) should be coded by applying official professional coding guidelines or the outpatient coding guidelines as appropriate.

Develop a working knowledge of encoder software programs

Given a clinical coding scenario, apply the basic steps of the coding procedure using the ICD-9-CM coding system to correctly assign a code number with 98% accuracy.

 

Code and abstract a Medical Record using all official coding guidelines

Audit a Medical Record following all official regulations and guidelines.

Grading:  Please see the assignment and examination pages for due dates.  Grades will be determined on a total point basis. 

Grading Scale for all HAS/HIM courses:
 

Cheating/Coercion: 
University Policy:  Failure to maintain academic ethics/academic honesty including the avoidance of cheating,  plagiarism collusion, and falsification will result in a E in the course, and may result in charges being issued, hearings being held and/or sanctions being imposed.

Student Accommodations:  Any student requiring accommodations or services due to a disability must contact the Services for Students with Disabilities (SSD) in room 181 of the Student Services Center.  SSD can also arrange to provide course materials (including the syllabus) in alternative formats if necessary.  For more information about the SSD contact them at 801-626-6413.