Spring 2019 Course Syllabus Course: HITT-1313- Section: 01 Coding and Insurance

Instructor Information
Instructor	Tonya Harbert
E-mail	keithtj@lamarpa.edu
Phone	(409) 984-6501
Office	Location: Education Annex - Room: 107 Hours: Mon & Wed 9-10 & 11-2; Tues 9-9:30; Thurs 9-9:30 & 12:30-1:30
Department	Business and Technology Chair: Sheila Guillot E-mail: guillsr@lamarpa.edu Phone: (409) 984-6381
Course Information
Description	An overview of skills and knowledge in ICD and CPT coding of insurance forms for reimbursement of medical services.
Prerequisites	None
Learning Outcomes	1. Identifies all main ideas, supporting details, and vocabulary in reading material; demonstrates a full understanding of the reading. (PSLO 1) Measured by pre- and post-tests. 2. Understands medical terms and healthcare abbreviations.(PSLO 1) Measured by quiz 3. Understand healthcare payment methodologies. (PSLO 2) Measured by assignment. 4. Analyzes healthcare records content(PSLO 3) Measured by assignment 5. Become familiar with federal fraud laws and surveillance activities.(PSLO 4) Measured by quiz 6. Describes health information management department functions and purpose (PSLO 4) Measured by assignment 7. Identifies the various types of healthcare facilities and their records(PSLO 4) Measured by assignment 8. Identifies various licensing and regulatory agencies in the healthcare industry (PSLO 4) Measured by quiz
Core Objectives
Program Student Learning Outcomes	Alpha: Demonstrates comprehension of content-area reading material by using appropriate reading and vocabulary strategies. PSLO 1: Analyzes medical terms; translates healthcare abbreviations; interprets medical symbols; and identifies cells, tissues, organs and systems of the human body. PSLO 2: Abstracts and applies correct coding systems and nomenclatures through the use of health records, case studies, and federal regulations regarding methods of reimbursement. PSLO 3: Utilizes medical software applications and the Internet, creates manual and electronic claim forms, creates and maintains database; and analyzes content of health records for documentation requirements. PSLO 4: Explains governmental health care guidelines, bioethics, and ethics relevant to medical practice.
Textbooks	HEALTH INSURANCE TODAY REQUIRED |By BEIK EDITION: 6TH 18 PUBLISHER: ELSEVIER ISBN: 9780323400749 HEALTH INSURANCE TODAY-WKBK. REQUIRED |By BEIK EDITION: 6TH 18 PUBLISHER: ELSEVIER ISBN: 9780323400732 * Electronic Books (e-books) are NOT allowed. * Access codes are NOT needed for this course.
Lecture Topics Outline	Week 1: Chapter 1 The Origins of Health Insurance Week 2: Chapter 2 Tools of the Trade: A Career as a Health Insurance Professional; Chapter 3 The Legal and Ethical Side of Medical Insurance Week 3: Chapter 4 Healthcare Reform: Coverage Types and Sources Week 4: Chapter 5 Claim Submission Methods Week 5: Chapter 6 New and Traditional Reimbursement Methods; Chapter 7 The Changing Face of Managed Care Week 6: Chapter 8 Understanding Medicaid Week 7: Chapter 9 Conquering Medicare’s Challenges; Chapter 10 Military Carriers Week 8: SPRING BREAK Week 9: Chapter 11 Miscellaneous Carriers: Workers’ Compensation and Disability Insurance Week 10: Chapter 12 Diagnostic Coding Week 11: Chapter 13 Procedural Evaluation and Management, and HCPCS Coding Week 12: Chapter 14 The Patient Week 13: Chapter 15 Keys to Successful Claims Management; Chapter 16 The Role of Computers in Health Insurance Week 14: Chapter 17 Reimbursement Procedures: Getting Paid; Chapter 18 Hospital Billing and the UB-04C Week 15: Online Assignment, Review, Post-Test Week 16: EXAM *** Assignments and Dates are SUBJECT TO CHANGE ***
Major Assignments Schedule	Week 1: Syllabus, Pre-Test, Chapter 1 The Origins of Health Insurance Week 2: Chapter 2 Tools of the Trade: A Career as a Health Insurance Professional; Chapter 3 The Legal and Ethical Side of Medical Insurance Week 3: Chapter 4 Healthcare Reform: Coverage Types and Sources Week 4: EXAM 1 (Chp 1-4); Chapter 5 Claim Submission Methods Week 5:Chapter 6 New and Traditional Reimbursement Methods; Chapter 7 The Changing Face of Managed Care Week 6: Chapter 8 Understanding Medicaid; EXAM 2 (Chp.5-8) Week 7: Chapter 9 Conquering Medicare’s Challenges; Chapter 10 Military Carriers Week 8: SPRING BREAK Week 9: Chapter 11 Miscellaneous Carriers: Workers’ Compensation and Disability Insurance; EXAM 3 (Chp 9-11) Week 10: Chapter 12 Diagnostic Coding Week 11: Chapter 13 Procedural Evaluation and Management, and HCPCS Coding Week 12: EXAM 3 (Chp 9-11); Chapter 14 The Patient Week 13: Chapter 15 Keys to Successful Claims Management; Chapter 16 The Role of Computers in Health Insurance Week 14: Chapter 17 Reimbursement Procedures: Getting Paid; Chapter 18 Hospital Billing and the UB-04C Week 15: Online Assignment, Review, Post-Test Week 16: EXAM 4 (Chp 14-18) *** Assignments and Dates are SUBJECT TO CHANGE ***
Final Exam Date	May 14, 2019 - 8:00 AM
Grading Scale	90 - 100 = A 80 - 89 = B 70 - 79 = C 60 - 69 = D Below 59 = F ASSESSMENT METHODS & GRADING POLICY Specific instructions and grading information will be posted on the course site for each assignment. Each module in the course will focus on specific learning outcomes. Some activities in the course are simply to enhance learning, and will not be graded. Student learning will be assessed with assignments/quizzes throughout the course. Due dates are posted each week for course work. * Late assignments are accepted for up to five days after the due date?with a point deduction of -30 points. After the fifth day, the work will receive a grade of zero (?0?). * Quizzes will be given throughout the semester. If a student misses a quiz, the grade is recorded as a zero (?0?). * Students are responsible for being prepared for class. The student is responsible for completing all assigned homework, including reading assignments, and doing so by required due dates.
Determination of Final Grade	EXAMS = 60% Assignments/ Quizzes = 40%
Course Policies
Instructor Policies	I will not discuss your grades over the phone or by email. If you want to discuss your grades, you must come to my office, in person. *** DO NOT WAIT UNTIL THE LAST MINUTE TO COMPLETE CLASSWORK AND EXAMS. *** We can't control weather conditions, power outages, etc. Students should complete classwork as soon as possible so due dates aren't missed. * * PLEAE Do NOT wait until the last weeks of class to discuss your grades with your instructor. If you are having issues with the class, materials or are having any other issues, please contact the instructor as soon as possible. * A failure to follow oral and/or written instructions will result in penalties. It is important to follow directions. * Every student MUST have a copy of the required textbooks by the second week of class. The student will still be responsible for any assignments given. * Students are responsible for completing all assigned reading. It is a good idea to read over the chapter PRIOR to class even if reading was not assigned. * Exams cannot be completed using a mobile device. * Face-to-face classes must take exams in class or in the testing center. * Student IDs are required for the first exam. IDs must be visible on your desk before the exam is administered--NO CURRENT STUDENT ID - NO EXAM * If an exam is missed, the lowest exam grade will be counted for the missed exam. If you miss more than one exam, those exams will be given a grade of zero. * Students must leave the classroom after exam is finished. * There will be a comprehensive final exam. All students must take the exam on the scheduled date and time, and failure to do so will result in a on the final exam. *** No phones, books, or electronic devices are allowed during exams. Disruptions of any kind during exams are not allowed. This includes talking, grunting, electronics making noise, etc. All of this will warrant an automatic zero for the exam. * 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. * Students should keep a record of their grades/average. Instructor(s) will not average grades for students. The instructor will not drop grades. Instructor may choose to post grades on blackboard.
Attendance Policy	* Poor attendance is a leading reason for termination from a job in all areas of employment. With this factor in mind, the instructor monitors student course activity weekly. * Class participation is required. It is important to be active within the course. * Assignments and due dates are posted weekly in your course check your calendar; check the announcements; check your email; and check the To-Do List * Late assignments are accepted for up to five days after the due date with a point deduction of -30 points. After the fifth day, the work will receive a grade of zero (0). * Quizzes will be given throughout the semester. If a student misses a quiz, the grade is recorded as a zero (0). * Students are responsible for being prepared for class. The student is responsible for completing all assigned homework, including reading assignments, and doing so by required due dates.
Academic Honesty	Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies	No food or tobacco products are allowed in the classroom. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. Use of electronic devices is prohibited.
Important Information
ADA Considerations	The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
MyLamarPA	Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Other	METHODS OF PRESENTATION: Several methods of presentation will be used in class and may include any of the following: Lecture (through PowerPoint slides, interactive notes, video, or audio sources) Computer Assisted Learning (publisher websites) Lab Exercises Internet SOFTWARE REQUIREMENTS: If you are in a course that is using a specific software, you MUST have the software available to you either on your home computer or you must use the open lab provided in the Gates Library. Reliable Internet access is required for all online courses and many traditional courses. COMPUTER FAILURE AND LACK OF INTERNET ACCESS ARE NOT ACCEPTABLE EXCUSES FOR MISSED ASSIGNMENTS, PROJECTS, QUIZZES, EXAMS, ETC. ALL CODING CLASSES: When coding books are necessary for assignments, the books will need to be checked out with your instructor. Books must be returned at the end of the semester. If books are not returned, a hold will be put on student records with a monetary fee. WITHDRAWAL POLICY * It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decides to withdraw from the class. * If a student decides to withdraw, he or she should also verify that the withdrawal is submitted before the final withdrawal date. * The student is also strongly encouraged to retain their copy of the withdrawal form for their records. * The student is required to turn in any 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 six 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. CLASSROOM ETTIQUETTE * The following behaviors will result in the student being asked during class time to cease the action and/or leave the classroom: using cell phones, talking, or keying while the instructor is giving instructions or during class discussions; leaving class early without informing the instructor; surfing the Internet during lecture; and displaying a rude or negative behavior toward the instructor or other students. * No cell phones should be visible or heard during class. Again, you may be asked to leave the room for the remainder of the class. No blue tooth technology or recording of lectures in any format (unless approved by the instructor). * No charging of cell phones in the classroom. 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. * Voice mail messages should be clearly spoken identifying student's name, course, and any return phone number. Exceptions and/or changes may be made to information in this syllabus at the instructors discretion.
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.