Syllabi for Dr. Weaver
Valencia College
Department of Allied Health Sciences
Health Information Technology- AS program
202210 HIM-2729 Advanced ICD Coding and Reimbursement
Fall 2022 Course Syllabus
Department of Allied Health Sciences
Health Information Technology- AS program
PREREQUISITES Minimum Grade of C in HIM 2222C.
CONTACT INFO
Instructor: Tammy Weaver
Email: TWeaver18@mail.valenciacollege.edu
REQUIRED TEXTBOOK: ICD10 CM Coding Handbook W/O Answers, ICD 10 PCS Codebook by AHIMA, Principles of Healthcare Reimbursement 6th edition by Anne B Casto, RHIA., VLab Software (AHIMA)
Final Exam: The final exam will be online. All students must take the final exam in order to pass the course. Missing the final exam will result in a grade of F.
COURSE DESCRIPTION
This course introduces the use of the International Classification of Diseases, Procedural Coding System. Hospitals use this coding system for coding inpatient procedures. This course will also review the various medical coding systems used for reimbursement of healthcare services and focus primarily on the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding systems utilized by hospitals, clinics, and physicians' offices. Various reimbursement methodologies, including Diagnosis Related Groups (DRGs), Ambulatory Payment Classification Groups (APCs), and Resource-Based Relative Value Scale (RBRVS) addressed.
Course Objectives:
AHIMA DOMAINS
Subdomain I.A. Classification Systems
1. Apply diagnosis/procedure codes according to current guidelines
2. Evaluate the accuracy of diagnostic and procedural coding
3. Apply diagnostic and procedural groupings
4. Evaluate the accuracy of diagnostic/procedural groupings
Subdomain III.A. Health Information Technologies
5. Utilize software in the completion of HIM processes
Subdomain IV.A. Revenue Cycle and Reimbursement
1. Apply policies and procedures for the use of data required in healthcare
reimbursement
2. Evaluate the revenue cycle management processes
Subdomain V.B. Coding
1. Analyze current regulations and established guidelines in clinical
classification
2. Determine the accuracy of computer-assisted coding assignments and recommend corrective action
Subdomain V. C Fraud Surveillance
1. Identify potential abuse or fraudulent trends data analysis
Subdomain V.D. Clinical Documentation Improvement
1. Identify discrepancies between supporting documentation and coded data
2. Develop appropriate physician queries to resolve data and coding discrepancies
Course Learning Outcomes
· Understand the structure and organization of ICD-10-PCS
· Distinguish ICD-10-PCS attributes, characteristics, and definitions.
· Identify the ICD-10-PCS body systems, code components, ancillary sections, and guidelines.
· Coding procedures
· Differentiate between different reimbursement methodologies.
· Distinguish between the revenue cycle process, case mix index, and chargemaster.
· Describe the importance of effective revenue cycle management for a provider's fiscal stability.
· Differentiate significant types of Medicare and Medicaid prospective payment systems for inpatients.
· Compare and contrast managed care plans.
Valencia College Core Competencies
The faculty of Valencia College has defined four core competencies (Think, Value, Communicate, and Act) that define the learning outcomes for a successful Valencia graduate. These competencies are at the heart of the Valencia experience and provide the context for learning and assessment at Valencia College.
Attendance/Tardiness/Withdrawal Policy
Regular attendance is the student's responsibility. If a student has excessive absences (more than a week without logging into the course and completing assignments), he/she dropped from the course with a "W" grade before the withdrawal date. After the withdrawal date, a student will receive an "F" grade for excessive absences (more than a week without logging into their course and completing assignments).
If withdrawn by the instructor, the transcript will reflect a W, which will count as one attempt for this course. If deciding not to complete this course, it is better to drop during the add/drop period to avoid negative consequences.
Students will receive a W (Withdrawn) or withdraw from the professor during a first or second attempt in the same course at Valencia. There is no credit for the course, and the W is calculated in the grade point average; however, the enrollment will count in total attempts in the specific course.
Punctuality is an essential function in everyday life. Every student is to demonstrate a form of professionalism, and this starts with attendance. Before enrolling in the course, review the dates and times class schedule. It is the student's responsibility to make prior arrangements to fulfill the demands of this course, so please make every effort to be present and eager to learn. Coursework is due on time, and typically, assignments are due before midnight on the due date.
Importance Dates
The student is responsible for keeping track of important dates and events.
See Academic CalendarLinks to an external site.
Summary of dates:
| Classes Begin | August 22, 2022 |
| Refund Deadline | August 29, 2021 |
| Withdrawal deadline | October 28, 2021 |
| Final Exam | December 5, 2021 |
| Holidays |
Faculty/Student Communication
Students are encouraged to check their emails and the course announcement section at least every other day. If a student needs to contact the instructor outside of scheduled class time, please email the instructor (include your name & name of course in the subject line) and allow at least 48 hours to respond, excluding weekends and holidays.
Academic Honesty
Unless otherwise stated, each student enrolled will complete all assignments, quizzes, and exams individually. Do not communicate with other students during the completion of a quiz or examination. Working with other students, giving or receiving assistance during quizzes or exams is a form of academic dishonesty and will be considered Cheating. Copying or printing any quiz or test questions (for any purpose) is expressly prohibited and considered Cheating.
Plagiarism and Cheating of any kind on an examination, quiz, or assignment will result in at least an "F" for that assignment (and may, depending on the severity of the case, lead to an "F" for the entire course) and may be subject to appropriate sanctions according to the Student Code of Conduct in the current Valencia Student Handbook.
Late Policy
There will be no credit given for late submissions. Submissions include quizzes, workbook assignments, group projects, and discussions.
Please note that technical problems are not excuses for late assignments in this course. Please back up work in several places: system, Zip disk, and email the file to another email account. There is nothing worse than losing hard work to a computer crash, and such an issue will not constitute a valid excuse for late work in this class. Students are to take the necessary steps to ensure the timeliness of their work.
Make-up Exams
If unable to take an exam as scheduled, notify the instructor before the scheduled test. Make-up exams will not be available unless prior arrangements. Approved make-up examinations scheduled within 24 hours if missing an exam.
Evaluation/Grading Scale
The required coursework evaluation in the following manner:
Points Percentage
Application Assignments 20 points each
Coding Exercises 10 points each
V Lab Assignments 20 points each
CYU Assignments 5 points each
Quizzes 20 points each
Final Exam 100 points
GRADING SCALE
93 - 100 = A
84 - 92 = B
75 - 83 = C
66 - 74 = D
*Any grade challenges must be made in writing to the instructor with justifications within 48 hours of posting the grade.
Written Assignments/Discussions
All assignments typed using Microsoft Word 2003 or higher– NO EXCEPTIONS! Be sure to head all assignments with the name, date, and assignment name.
Discussion
For Discussion activities, submit an initial posting early in the week, no later than Wednesday. This posting should offer a specific, original, and thoughtful response to the discussion topic. Postings should be succinct and to the point and should be a minimum of 200 words. Responses to classmates' initial posts should offer something significant to the conversation by either extending or adding to the original post's argument, analysis, or position or offering an alternative point of view, analysis, or position. For each discussion, reply to at least two classmates by Sunday with a minimum of 50 words. Timeliness of replies required. Please see the discussion rubric.
A successful student in online education takes an active role in the learning process. Participation in the threaded discussion will count for a large part of the grade in this course. Therefore encouraged to participate in the discussion areas by posting an initial posting no later than Tuesday, posting again with a reply posting no later than Wednesday through Friday to enhance the learning experience throughout each week
Safe Assign
All written assignments are subject to submission through plagiarism detection software as deemed necessary by the instructor. If unsure of what exactly constitutes plagiarism, appropriate resources such as the college writing center.
In this course, Safe Assign monitors students' written work. Safe Assign is an automated system that instructors can use to compare each student's assignment quickly and easily with billions of websites and an enormous database of student papers that grows with each submission. Once assignments are processed, Safe Assign reports show plagiarism on assignments. All assignment reports are required to remain below 10%.
Proctored Exam Requirement
This course utilizes Honorlock, an online exam proctoring service, to promote academic integrity during online testing. There is no need to create an account, download software, or schedule an appointment in advance. Honorlock is available 24/7. After verifying the student's identity and scanning the room, begin the exam. Honorlock will record via webcam, as well as record screen activity. Honorlock's system also includes a process that can detect inappropriate search-engine use while protecting the privacy of personal information. The recorded information will be subject to the protection of the College's policy on Student Records.
To take an online exam:
· A laptop or desktop computer with a microphone (not a tablet or phone)
· A webcam
· Reliable Internet connection
· Photo identification in the form of a Valencia-issued student I.D. card or government-issued I.D. card (i.e., driver's license, passport)
· Google Chrome (Links to an external site.) downloaded (required browser)
· Honorlock Chrome Extension (Links to an external site.) downloaded
· Honorlock support is available 24/7/365
· The Support access built into Honorlock in real-time
If encountering any issues during an exam, contact support by live chat within the Honorlock window in Canvas, phone (855-828-4004), and email at support@honorlock.com. For answers to common questions on online proctoring, visit the Student FAQLinks on an external site. the page or Honorlock's student information website (Links to an external site.)
Classroom Rules of Student Behavior
Valencia College is dedicated to advancing knowledge and learning and is concerned with the development of responsible personal and social conduct. By enrolling at Valencia College, a student assumes the responsibility for becoming familiar with and abiding by the general rules of conduct. The primary responsibility for managing the classroom environment rests with the faculty. Students who engage in any prohibited or unlawful acts that disrupt a class directed by the faculty may ask students to leave the class. Violation of any classroom or Valencia rules may lead to disciplinary action, including expulsion from Valencia. Disciplinary action could include withdrawal from class with a disciplinary warning, probation, suspension, expulsion, or authorized actions. See the Student Code of Conduct in the current Valencia Student Handbook.
Student Code of Conduct
Student Resources
Valencia College is interested in ensuring all our students have a rewarding and successful college experience. Valencia students are encouraged to get immediate help with stress, anxiety, depression, adjustment difficulties, substance abuse, time management, and relationship problems dealing with school, home, or work. Bay Care Behavioral Health Student Assistance Program (SAP) services are free to all Valencia students and available 24 hours a day by calling (800) 878-5470. Free face-to-face counseling is also available.
Students with Disabilities
Students with disabilities who qualify for academic accommodations must provide a Notification to Instructor (NTI) form from the Office for Students with Disabilities (OSD) and discuss specific needs with the instructor, preferably during the first two weeks. The Office for Students with Disabilities determines accommodations based on appropriate documentation of disabilities. The West Campus Office - Student Services Building (SSB), Room 102. Contact them by phone: 407-582-1523; Fax: 407-582-1326; TTY: 407-582-1222
Distance Tutoring & Technology Support at Valencia: Valencia's free distance tutoring and tech support from computers, laptops, or mobile devices are available. Distance tutoring services are provided entirely online via Zoom. Through this service, receive real-time assistance via a Valencia tutor in mathematics, sciences, accounting & economics, computer programming, EAP, and foreign languages, and writing is available online.
Online Learning Technology Support services are also available. Assistance with navigating: Canvas, OneDrive, Zoom, YouTube, and Microsoft Office (Word, Excel, & PowerPoint). Support is provided for video editing (via iMovie and MovieMaker) and converting documents from a Mac to a P.C. Tech support is available live (on-demand) via Zoom, by appointment, or via email. Students are encouraged to use the 24/7 Canvas Help located inside Canvas by clicking on the "Help" icon.
To get started using the Distance Tutoring and Learning Technology Support services, please visit www.valenciacollege.edu/tutoring (Links to an external site.). This site views the schedule of tutors/tech support assistants, finds available times, learns more about the services, and access a collection of supplemental resources available 24/7.
Valencia I.D. Cards
Valencia ID cards for LRC, Testing Center, and IMC are required. No other form of I.D. at those locations will be accepted. Possession and utilization of a Valencia ID are mandatory to obtain these services.
Disclaimer Statement
Changes in this syllabus and schedule may be made at any time during the semester at the instructor's discretion. The course content may be enhanced and edited throughout the course. Wait to print needed information until the assigned time frame.
IMPORTANT DATES