Spring 2022 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: Umphrey Industrial Technology Center - Room: 201 H Hours: By Appointment: M, W, F 9:00-12:00; T, R 9:30-10:00
COVID 19 Information	The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
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	Apply ICD and CPT rules and guidelines to complete claims forms for submission.
Core Objectives
Program Student Learning Outcomes	Extract information from health records for appropriate code validation. Sequence codes according to established guidelines and standards. Analyze current health care trends. Uses medical terminology, jargon, and abbreviations correctly. Define general legal terms as they apply to the practice of medicine in ambulatory care settings. Understand and apply ethics relevant to medical coding and medical office practice. Apply ICD and CPT rules and guidelines to complete claims forms for submission.
Textbooks	Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer. HEALTH INSURANCE TODAY-W/ACCESS ByBEIK (Printed Copy Required) EDITION: 7TH 21PUBLISHER: ELSEVIER ISBN: 9780323655538 HEALTH INSURANCE TODAY-WKBK. ByBEIK (Printed Copy Required) EDITION: 7TH 21PUBLISHER: ELSEVIER ISBN: 9780323654289 ICD-10-CM EXPERT F/PROVIDERS+FACIL.2022 (Printed Copy - No ebook) ByAAPC EDITION: 21PUBLISHER: AAPC ISBN: 9781646312139 CPT 2022-PROFESSIONAL ED. (Printed Copy - No ebook) ByAM.MED.ASSN. EDITION: 21 PUBLISHER: OPTUM360 ISBN: 9781640160873 HCPCS LEVEL II EXPERT 2022 (Printed Copy - No ebook) ByAAPC EDITION: 22 PUBLISHER: AAPC ISBN: 9781646312146 ICD-10 PCS EXPERT F/HOSPITALS 2022 (Printed Copy - No ebook) ByAAPC EDITION: 21PUBLISHER: AAPC ISBN: 9781646312153 CODERS DICTIONARY 2ED (Printed Copy - No ebook) ByAAPC EDITION: 2PUBLISHER: AAPC ISBN: 9781646312504
Lecture Topics Outline	Unit 1: Building a Foundation 1. The Origins of Health Insurance 2. Tools of the Trade: A Career as a Health (Medical) Insurance Professional 3. The Legal and Ethical Side of Medical Insurance 4. Types and Sources of Health Insurance Unit 2: Health Insurance Basics 5. Claim Submission Methods 6. Traditional Fee-for-Service/Private Plans 7. Unraveling the Mysteries of Managed Care 8. Understanding Medicaid 9. Conquering Medicare�s Challenges 10. Military Carriers 11. Miscellaneous Carriers: Workers� Compensation and Disability Insurance Unit 3: Cracking the Codes 12. Diagnostic Coding 13. Procedural, Evaluation and Management, and HCPCS Coding Unit 4: The Claims Process 14. The Patient 15. Keys to Successful Claims Management Unit 5: Advanced Application 16. The Role of Computers in Health Insurance 17. Reimbursement Procedures: Getting Paid 18. Hospital Billing and the UB-04
Major Assignments Schedule	Week 1 (Week of Jan 18) Orientation, Getting Started, Chp.1 The Origins of Health Insurance - Work due 01/26 Week 2 (Week of Jan 24) Chp.2 A Career as a Health (Medical) Insurance Professional; Chp. 3 The Legal and Ethical Side of Medical Insurance - Work due 02/02 Week 3 (Week of Jan 31) Chp. 4. Types and Sources of Health Insurance - Work due 02/09 Week 4 (Week of Feb 7) Chp. 5. Claim Submission Methods- Work due 02/16 Week 5 (Week of Feb 14) Chp. 6. Traditional Fee-for-Service/Private Plans - Work due 02/23 Week 6 (Week of Feb 21) EXAM 1 (Chp.1-6); Chp 7. Unraveling the Mysteries of Managed Care - Work due 03/02 Week 7 (Week of Feb 28) Chp. 8. Understanding Medicaid - Work due 03/09 Week 8 (Week of Mar 7) Chp. 9. Conquering Medicare�s Challenges - Work due 03/23 SPRING BREAK MARCH 14-18 Week 9 (Week of Mar 21) Chp. 10. Military Carriers - Work due 03/30 Week 10 (Week of Mar 28) Chp. 11. Miscellaneous Carriers: Workers� Compensation and Disability Insurance - Work due 04/06 Week 11 (Week of Apr 4) EXAM 2 (Chp.7-11); Chp. 12. Diagnostic Coding - Work due 04/13 Week 12 (Week of Apr 11) Chp. 13. Procedural, Evaluation and Management, and HCPCS Coding - Work due 04/20 Week 13 (Week of Apr 18) Chps. 14-16. (14. The Patient 15. Keys to Successful Claims Management 16. The Role of Computers in Health Insurance) - Work due 04/27 Week 14 (Week of Apr 25) Chp. 17. Reimbursement Procedures: Getting Paid - Work due 05/04 Week 15 (Week of May 2) Chp. 18. Hospital Billing and the UB-04; EXAM 3 (Chps. 12-18) - Work due 05/09 Week 16 (May 9) Comprehensive Final Exam on May 9th Changes may be made to course work, due dates, etc. Instructor reserves the right to add or change assignments during semester if deemed necessary. ALWAYS USE LINKS PROVIDED IN BLACKBOARD TO COMPLETE ASSIGNMENTS. TURN WORK IN ON TIME AS POSTED IN THE COURSE OR AS OUTLINED BY INSTRUCTOR'S VERBAL OR WRITTEN INSTRUCTIONS. If students are absent, it is their responsibility to contact instructor and check Blackboard for assignments.
Final Exam Date	May 5, 2022 - 9:30 AM   Through  May 5, 2022 - 10:45 AM
Grading Scale	90 - 100=A    80 - 89=B    70 - 79=C     60 - 69=D    Below 59 = F
Determination of Final Grade	Assignments/Quizzes/Participation 45% Chapter Test 45% Final Exam 10% 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 should be able to see grades through blackboard when an assignment is completed. *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 with assignments, quizzes, discussions, exams, etc. throughout the course. * Due dates are posted each week for course work. * Instructions and grading information will be posted on the course site for each assignment. ASSIGNMENTS * Late assignments are accepted for 2 days after the due date with -30 point deduction. * After the second day, assignments are closed and will be unavailable to view and complete. The assignment will receive a grade of zero (0). QUIZZES * Quizzes may be given throughout the semester. If a student misses a quiz, the grade is recorded as a zero (0). After quizzes are closed and unavailable to view, 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. (The final exam will not be calculated in this average.) 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. * 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.
Course Policies
Instructor Policies	* Assignments and due dates are posted in the course. Check the calendar; check the announcements; check email; and check the To-Do List. * If course work is available, students can complete work ahead of scheduled due dates. * Changes may be made to course work, due dates, etc. Instructor reserves the right to add or change assignments during semester if deemed necessary. There will be NO Make-up Quizzes or Exams. If the class is face-to-face, students must attend class on the date quizzes or exams are given or will receive a grade of zero. Late work will not be accepted; however, students may receive grades from participation assignments (which may include participating in class discussions and activities, assignments, flashcards, etc.). ALWAYS USE LINKS PROVIDED IN BLACKBOARD TO COMPLETE ASSIGNMENTS. DO NOT GO DIRECTLY TO PUBLISHER SITE UNLESS OTHERWISE DIRECTED BY INSTRUCTOR. TURN WORK IN ON TIME AS POSTED IN THE COURSE OR AS OUTLINED BY INSTRUCTOR'S VERBAL OR WRITTEN INSTRUCTIONS.
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 (and it is part of your course average). It is important to be active within the course. New assignments may be added to the weekly folders if instructor feels it is necessary. * Students are expected to log into Blackboard a minimum of 3 times per week - even if they think all work is complete. * Students are expected to check e-mail a minimum of 3 times per week - even if they think all work is complete. COVID: ONLINE Students and FACE-TO-FACE Students that believe they have been exposed to COVID 19 or have been diagnosed with COVID must report their condition on the COVID 19 Notification Form and deliver it to the Dean of Student Services, Ms. Tessie Bradford. bradfordts@lamarpa.edu (409) 984-6156 (409) 948-6041 Fax Ms. Bradford will report the condition to the LSCPA COVID 19 Lead. As required by the State, the LSCPA COVID 19 Lead will report the student's information to the Port Arthur Department of Health. It is responsibility of the student to contact their instructors by email regarding their absence.
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.
MyLSCPA	Be sure to check your campus E-mail and Course Homepage using MyLSCPA 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 MyLSCPA.
Other	METHODS OF PRESENTATION: Several methods of presentation may 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: The student is required to have all required software, e-books, key codes, etc. needed for class to complete required readings, work, etc. Reliable Internet access is required for all online courses. You may use the open lab provided in the Gates Memorial Library. COMPUTER FAILURE AND LACK OF INTERNET ACCESS ARE NOT ACCEPTABLE EXCUSES FOR MISSED ASSIGNMENTS, PROJECTS, QUIZZES, EXAMS, ETC. Students may use the computer lab in the Gates Memorial Library if they do not have reliable internet access. WITHDRAWAL POLICY * If a student decides to withdraw, he or she should also verify that the withdrawal is submitted before the final withdrawal date. * It is the responsibility of each student to ensure that his or her name is removed from the roll should he or she decide to withdraw from the class. * 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. 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 a return phone number *Exceptions and/or changes may be made to information in this syllabus at the instructor's discretion.
HB 2504	This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.
Department	Business and Industrial Technology Chair: Sheila Guillot E-mail: guillsr@lamarpa.edu Phone: (409) 984-6381 If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.