MASTER SYLLABUS

2020-2021

A.	Academic Division: Health Sciences

B.	Discipline: Health Services Technology

C.	Course Number and Title: HITP 1010 – Coding & Billing

D.	Course Coordinator: Melinda Roepke, MSN, RN

Assistant Dean: Melinda Roepke, MSN, RN

Instructor Information:

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E.	Credit Hours: 7

F.	Prerequisites:	None

G.	Syllabus Effective Date: Fall 2020

H.	Textbook(s) Title:

Basic ICD-10-CM/PCS Coding

Author: Lou Ann Schraffenberger, MBA, RHIA, CCS, CCS-P

Copyright Year: 2014

Edition: 2nd

ISBN #: 978-1584263685

Basic Current Procedural Terminology and HCPCS Coding

Author: Gail Smith, MA, RHIA, CCS-P:

Copyright Year: 2014

Edition: 1st

ISBN #: 978-1584264323

Clinical Coding Workout: Practical Exercises for Skill Development

Author: AHIMA

Copyright Year: 2013

Edition: 1st

ISBN #: 978-1584264187

Current Procedural Terminology Standard Edition

Author(s): American Medical Association Press

Copyright Year: 2012

Edition: 1st

ISBN: 978-1603596848

ICD-10-CM Draft Edition

Author(s): Carol J. Buck, MS, CPC, CPC-H-CCS-P

Copyright Year: 2013

Edition: 1st

ISBN #: 978-1-45575-362-8

ICD-10-PCS Draft Edition

Author(s): Carol J. Buck, MS, CPC, CPC-H-CCS-P

Copyright Year: 2013

Edition: 1st

ISBN #: 978-1-45575-363-5

CPT Professional Edition

Author(s): American Medical Association

Copyright Year: 2013

Edition: 1st

ISBN #: 978-1-60359-684-8

Workbook(s) and/or Lab Manual: None

J.	Course Description: This course is designed as a comprehensive course for the student requiring advanced information in ICD-Coding and CPT-4 coding. The student is introduced to the use of the medical record as a source document. The course continues with coding in all applicable health care areas emphasizing the application of the related skills with accuracy and completeness.

This course introduces history and development of clinical vocabularies and classification systems. Principles and guidelines for using the International Classification of Diseases (ICD-10-CM/PCS) to code diagnoses and procedures in a variety of settings are introduced. Disease and procedure coding is presented for selected body system conditions. Examples of patient records and exercises using coding manuals and software tools provide practice in coding and sequencing diagnoses and procedures. Application of coding principles to electronic record systems is explored. Practice using the encoder and reference software is a required component of this course. Hands-on practice using encoder software serves to reinforce coding skills and familiarizes students with a type of tool typically encountered in job settings.

This course also is designed as a comprehensive course for the student requiring advanced information in CPT-4 Coding. The student is introduced to the current purposes and uses of CPT-4, applying the basic coding guidelines in evaluation and management services along with surgical and ancillary coding and is completed with practical experience coding from case studies. Students will also be exposed to the coding requirements for Medicare billing and other insurance carriers in the reimbursement process. Students will be introduced to the value of the quality coded data within a data quality improvement plan and for the prevention of fraud and abuse.

K.	College-Wide Learning Outcomes:

College-Wide Learning Outcome	Assessments - - How it is met & When it is met
Communication – Written
Communication – Speech
Intercultural Knowledge and Competence
Critical Thinking
Information Literacy
Quantitative Literacy

L.	Course Outcomes and Assessment Methods:

Upon successful completion of this course, the student shall:

Outcomes	Assessments – How it is met & When it is met
Define and apply clinical vocabularies and terminologies used in the organization’s health information systems.	Weekly Assignments CPT Exam #1 & #2 – Weeks 10 & 11
Apply diagnosis/procedure codes ICD-10-CM/PCS	Weekly Assignments
Assess coding accuracy using clinical information found in the health record.	Weekly Assignments CPT Exam #1 & #2 – Weeks 10 & 11
Identify specialized software in the completion of HIM processes. Explain the current purposes and uses of this coding methodology to its historical origins.	Weekly Assignments
Describe each section of the codebook to the process of coding services and procedures.	Weekly Assignments CPT Exam #3 & #4 – Weeks 13 & 16
Apply Healthcare Common Procedure Coding System (HCPCS) codes to the claim.	Weekly Assignments CPT Exam #3 & #4 – Weeks 13 & 16
Complete accurate application of CPT/HCPCS codes using an encoder software tool.	Weekly Assignments
Describe the coding requirements to the Medicare billing and reimbursement process.	Weekly Assignments CPT Exam #3 & #4 – Weeks 13 & 16
Demonstrate the value of guidelines for coded data within a Data Quality Improvement Plan.	Weekly Assignments
Identify the guidelines for the prevention of fraud and abuse to a provider’s coding policies and practices	Weekly Assignments CPT Exam #3 & #4 – Weeks 13 & 16

M.	Topical Timeline (Subject to Change):

Course Outline
Week	Readings and Topics	Assignments
Week 1	Read ICD-10 Chapters 1 and 2 Introduction of ICD-10-CM and PCS Read the History of ICD and General Structure Attributes, Characteristics and Definitions, PCS Tips and the Chapter PowerPoints.	Weekly Assignment
Week 2	Read ICD-10 Chapters 3,4 and 5 the UHDDS, Infectious Diseases, and Neoplasms Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 3	Read ICD-10 Chapters 6, 7, 8 and 9 Blood, Endocrine, Mental, Behavioral and Neurodevelopmental Disorders; and the Nervous System Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 4	Read ICD-10 Chapters 10, 11,12 and 13 Diseases of the Eye, Adnexa, Ear, and Mastoid Process; Circulatory and Respiratory Systems Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 5	Read ICD-10 Chapters 14,15,16, and 17 Diseases of the Digestive and the Skin and Subcutaneous Tissue, Musculoskeletal and Genitourinary Systems Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 6	Read ICD-10-CM Chapters 18, 19 and 20 Pregnancy, Childbirth and the Puerperium; and Conditions Originating in the Perinatal Period; Congenital Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 7	Read ICD-10 Chapters 21, 22A, and 22B Signs and Symptoms, Injury, and Poisoning Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 8	Read ICD-10 Chapters 23 and 24 Factors Influencing Health Status and Contact with Health Services and External Causes of Morbidity Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 9	Read CPT Chapters 1 and 2 Introduction and Application of CPT Coding Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 10	Read CPT Chapters 3 and 4 Modifiers and Surgery Part I Read the Various Notes and Chapter PowerPoints	Weekly Assignment CPT Exam #1 Chapter 1-3
Week 11	Read CPT Chapter 4 Surgery Part 2 Read the Various Notes and Chapter PowerPoints	Weekly Assignment CPT Exam #2 Chapter 4
Week 12	Read CPT Chapters 5 and 6 Radiology and Laboratory/Pathology Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 13	Read CPT Chapters 8 and 9 Medicine and Anesthesia Read the Various Notes and Chapter PowerPoints	Weekly Assignment CPT Exam #3 Chapters 5,6,8, and 9
Week 14	Read CPT Chapter 7 Evaluation and Management Read the Various Notes and Chapter PowerPoints	Weekly Assignment
Week 15	Read ICD-10 Chapter 25 Coding and Reimbursement and CPT Chapter 11 Ambulatory Reimbursement Read the Various Notes and Chapter PowerPoints	Weekly Assignment Exam -- Chapters 7 and 11
Week 16	CPT Exam #4	Exam #4

NOTE:	In case of events beyond the control of faculty that interfere with class times and teaching, adjustments may be made to date of coverage, order of coverage, and date of exams and assignments to ensure full coverage of course content.

N.	Course Assignments:

Weekly assignments – written papers, coding activity, development of procedures

Exams

O.	Recommended Grading Scale:

NUMERIC	GRADE	POINTS	DEFINITION
93–100	A	4.00	Superior
90–92	A-	3.67	Superior
87–89	B+	3.33	Above Average
83–86	B	3.00	Above Average
80–82	B-	2.67	Above Average
77–79	C+	2.33	Average
73–76	C	2.00	Average
70-72	C-	1.67	Below Average
67–69	D+	1.33	Below Average
63-66	D	1.00	Below Average
60-62	D-	0.67	Poor
00-59	F	0.00	Failure

P.	Grading and Testing Guidelines:

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Q.	Examination Policy:

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R.	Class Attendance and Homework Make-Up Policy:

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S.	Classroom Expectations:

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T.	College Procedures/Policies:

Important information regarding College Procedures and Policies can be found on the syllabus supplement located at

http://catalog.ncstatecollege.edu/mime/download.pdf?catoid=5&ftype=2&foid=3