by Cengage Learning (9780357932254) - 12TH 25

MBS 10324134 CENGAGE L
 

by AAPC and AMA (9781646318476) - 1

• POFM-1300 Basic Medical Coding
• POFM-2310 Intermediate Medical Coding

• WECM
• Course Level: Advanced
• Course Description: Advanced concepts of ICD and CPT coding rules, conventions, and guidelines in complex case studies. Investigation of government regulations and changes in health care reporting.
• End-of-Course Outcomes: Analyze health records to assign principal/secondary diagnoses and procedures; and assign reimbursement methodologies.
• Licensing/Certification Agency: Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) or American Academy of Professional Coders (AAPC)
• LabRecommended
• Key Matrix for Medical Coding program
• (1) Properly applies diagnosis and procedure codes to medical charts, records and related documents
  • 1.1 Enters or confirms code(s) associated with medical diagnosis(es), procedures, and services
  • 1.2 Ensures medical codes reflect medical record documentation
• (2) Supports documentation of care for services provider reimbursement process to ensure timely and accurate payment
  • 2.7 Resolves discrepancies between coded data and supporting documentation
• (4) Ensures compliance with healthcare law, regulations and standards related to information protection, privacy, security and confidentiality.
  • 4.2 Validates coding accuracy using clinical information found in the health record
  • 4.3 Adheres to current regulations and establish guidelines in code assignment (focus on assignment of principle diagnosis, principle procedure, and sequencing as well as other clinical coding guidelines)
  • 4.4 Uses established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative and others.

1. Identify, pronounce, and spell medical terms.
2. Translate and interpret health abbreviations and symbols.
3. Utilize medical software applications.
4. Extract information from health records for appropriate code validation.
5. Sequence codes according to established guidelines and standards.
6. Analyze current health care trends.

• Coding Overview
• 1. Overview of Coding
• ICD-10-CM Coding System
• Introduction
• 2. Introduction to ICD-10-CM Coding and Conventions
• 3. Chapter-Specific Coding Guidelines: ICD-10-CM Chapters 1–10
• 4. Chapter-Specific Coding Guidelines: ICD-10-CM Chapters 11–22
• ICD-10-CM Outpatient and Physician Office Coding
• 5. ICD-10-CM Outpatient and Physician Office Coding
• ICD-10-PCS Coding System
• 6. Introduction to ICD-10-PCS Coding, Conventions, and Guidelines
• ICD-10-CM and ICD-10-PCS Inpatient Hospital Coding
• 7. ICD-10-CM and ICD-10-PCS Inpatient Hospital Coding
• Health Care Procedure Coding System (HCPCS) Level II Coding System
• 8. HCPCS Level II Coding System
• Current Procedural Terminology (CPT) Coding System
• 9. Introduction to CPT Coding
• 10. CPT Evaluation and Management
• 11. CPT Anesthesia
• 12. CPT Surgery I
• 13. CPT Surgery II
• 14. CPT Surgery III
• 15. CPT Surgery IV
• 16. CPT Surgery V
• 17. CPT Radiology
• 18. CPT Pathology and Laboratory
• 19. CPT Medicine
• Insurance and Reimbursement Overview
• 20. Insurance and Reimbursement

ASSESSMENT METHODS & GRADING POLICY

* Students should keep a record of their grades/average. It is not the instructor's responsibility to average grades for students to review. (Students can see grades in the blackboard gradebook when an assignment has been completed and graded.)

*Instructor reserves the right to add or change assignments during semester. 

*The instructor will not drop grades.

* Each module focuses on specific learning outcomes; however, some activities in the course may be used to enhance learning and may not be graded. Student learning will be assessed throughout the course using assignments, quizzes, discussions, labs, participation, exams, or any other means of assessment.

* Due dates are posted each week for course work.

* Instructions and grading information will be posted for each assignment.

CLASS PARTICIPATION

* Class participation is required (and has a direct impact on your course average). It is important to be active within the course- not just login and click around on Blackboard. Students are required to be active within the course.  The instructor may use attendance (activity within the course) as a weekly participation grade.

* Additional (new) assignments may be added to the course during the week if instructor feels it is necessary.

* Students are required to check announcements and emails 3 or more times throughout the week.

ASSIGNMENTS

* NO MAKE-UP ASSIGNMENTS. The assignment will receive a grade of zero (0) if not completed by the due date & time. Instructor will not go back and grade assignments that were not completed on time.

QUIZZES

* NO MAKE-UP QUIZZES. Quizzes may be given weekly. If a student misses a quiz, the grade is recorded as a zero (0). After quizzes are closed, you cannot make-up a quiz.

EXAMS

* NO MAKE-UP EXAMS. If a student should miss an exam, at the end of the semester, the instructor will average all exam grades [including the zero(s)] to replace the zero for the missed exam.

EXAMPLE: 4 test grades: 100, 100, 0, 80 = 280; 280/4= 70; 70 will go in the place of the zero.; Test grades are now 100, 100, 70, 80

* THE FINAL EXAM ACCOUNTS FOR 20% OF THE COURSE AVERAGE. The FINAL EXAM will be comprehensive. ALL STUDENTS MUST TAKE THE FINAL EXAM on the scheduled date and time. Failure to do so will result in a zero (0) for the final exam UNLESS the student is exempt from taking the final

* FINAL EXAM EXEMPTION OPPORTUNITY: If a student has completed and passed ALL other exams & has a grade of 80 or better for the course, the student will have the option to be exempt from the FINAL EXAM.  (An AVERAGE of ALL other exam grades will be the grade for the final exam.) If student does not meet this criteria, failure to take the final exam will result in a zero (0) on the final exam as stated above.

* Academic dishonesty will result in a zero on any academic work or exam in question; a second incidence of academic dishonesty on any academic work or exam in question will result in the student being given an "F" for the course.
 
* If course work is available, students can complete work ahead of scheduled due dates.

* Research has shown a cause-and-effect relationship between attendance and college success. With this factor in mind, the instructor monitors student course activity weekly.

* Students are expected to login to Blackboard, check email and announcements a minimum of 3 times per week - even if they think all work is complete.

* Class participation is required (and has a direct impact on your course average). It is important to be active within the course, not just login and click around on Blackboard. Additional (new) assignments may be added during the week if instructor feels it is necessary. 
The instructor may use attendance (activity within the course) as a weekly participation grade. 

* It is responsibility of the student to contact their instructors by email regarding their absence. An absence from the course does not allow students to have extensions on coursework or due dates.

MYLSCPA USERNAME & PASSWORD ISSUES:
Call Kenneth Lisby @ (409) 984-6150

BLACKBOARD HELP AVAILABLE 24/7:
(936) 496-5379
bbhelp@lamarpa.edu

THIS COURSE WAS DESIGNED TO COMPLETE ON A LAPTOP OR DESKTOP COMPUTER.
Students consistently overlook vital information and assignments when trying to use a mobile device.
Students may use the computers in the LSCPA computer lab if needed. They will need to see your student ID. LSCPA also has a laptop loan program available to students who need to borrow a computer for the semester. 

METHODS OF PRESENTATION:
Several methods of presentation may be used and may include any of the following:
Lecture (through PowerPoint slides, interactive notes, video, or audio sources)
Computer Assisted Learning (blackboard, publisher websites, etc.)
Lab Exercises, Discussion Boards, etc.
Internet

LAPTOP LOAN PROGRAM:
LSCPA has a laptop loan program available on a first come, first served basis. Fill out the online application on the LSCPA website. Search "Laptop loan program" in the search bar.

SOFTWARE REQUIREMENTS:
The student is required to have all required course materials including but not limited to any software, e-books, key codes, etc. needed for class to complete required readings, work, etc.
Reliable Internet access is required for all online courses. Students may use the LSCPA open computer lab provided.

COMPUTER FAILURE AND LACK OF INTERNET ACCESS ARE NOT ACCEPTABLE EXCUSES FOR MISSED ASSIGNMENTS, PROJECTS, QUIZZES, EXAMS, ETC.
Students may use the computer lab on LSCPA campus if they do not have reliable internet access.

DROP/WITHDRAWAL POLICY
* If a student decides to drop/withdraw, the student should also verify that the drop/withdrawal is submitted before the final withdrawal date.
* It is the responsibility of each student to ensure that their name is removed from the roll should they decide to drop/withdraw from the class.
* The student is strongly encouraged to retain their copy of the drop/withdrawal form for their records.
* The student is required to turn in any books, equipment or items that belong to the department. Failure to do so may compromise their standing with LSCPA.
* State law permits students to withdraw from no more than 6 courses during their entire undergraduate career at Texas public colleges or universities. With certain exceptions, all course withdrawals automatically count towards this limit. Details regarding this policy can be found in the LSCPA college catalog. Students may drop/withdraw on or before the last day to drop/withdraw WITHOUT penalty, and it will not count towards the 6 drops. Drop/withdrawals after that date will count towards the 6 allowed drops. (See important dates.)

E-Mail/Voice Mail Etiquette:
* Students must use appropriate e-mail etiquette when corresponding with instructor; for example, complete sentences and a full subject line with your name/course name/section number.
* Voice mail messages should be clearly spoken identifying student's name, course, and a return phone number.

Dress for Success:
As future professionals, it is important to utilize this time to practice dressing appropriately. Learning to dress for success may set the stage for your greatest achievements. Keeping this in mind, remember to dress appropriately when coming campus and when attending class (virtual and face-to-face). Students may wear clothing to express their individuality, but they should dress in a way of expressing respect for the situation and those around them. One's attire and grooming habits should not be off-putting to your environment or those in the surrounding area. Your look may change depending on the circumstances. 
Students attending a face-to-face class may wear casual attire, but if dressed inappropriately, or if attire is inappropriate or distracting, they may be instructed to leave class. This will be considered an absence.

The following attire should not be worn to campus or when coming to class: Clothing that exposes intimate parts of the body, only underclothing without outerwear (such as sports bras or men's boxers), sleepwear such as pajamas, robes, and house slippers, clothing that is too tight or too loose, clothing with inappropriate logos or text, etc. 

*Exceptions and/or changes may be made to information in this syllabus at the instructor's discretion.