hitt 1342 ambulatory coding course syllabus … · 2016 step-by-step medical coding...

HITT 1342 Ambulatory Coding

COURSE SYLLABUS COURSE NUMBER AND TITLE: HITT 1342 – Ambulatory Coding COURSE (CATALOG) DESCRIPTION:

This course places emphasis on ambulatory coding with an introduction to Current Procedural Terminology and the use of CMS’ common procedure coding system used for reimbursement.

INSTRUCTOR: Ruby Vallejo, RHIT

OFFICE: D-100F OFFICE HOURS: TBA

CONTACT INFORMATION (TELEPHONE AND EMAIL):

Office Number 364-4794 [email protected]

MAJOR COURSE REQUIREMENTS:

This course has been divided into the following 9 Units: A. Reimbursement B. Introduction to CPT and Level II National Codes (HCPCS) D. Modifiers E. Evaluation and Management Services F. Anesthesia G. Surgery Guidelines and General Surgery In each unit, the student will be given a lecture/demonstration and then be expected to perform the assignments for each unit. Each assignment(s) will be demonstrated and explained so that the student can attempt it. After each unit, there will be a knowledge and/or performance exam. Each exam is based on the information discussed during the lecture, the reading assignments and/or the lab assignments given. Grades for all classwork have a maximum turn-around-time of 48 hours.

LEARNING OUTCOMES: A. Reimbursement

1. Distinguish among Medicare Parts A, B, C, and D. 2. Interpret rules of HIPAA. 3. Locate information in the Federal Register. 4. Explain the RBRVS system. 5. Understand the framework of Medicare fraud programs. 6. Identify the major components of managed health care.

B. Introduction to CPT and Level II National Codes (HCPCS)

1. Identify the uses of the CPT manual.

2. Name the developers of the CPT manual. 3. Know the importance of using the current-year CPT manual. 4. Identify placement of CPT codes on the CMS-1500 insurance form. 5. Recognize the symbols used in the CPT manual. 6. Identify the content of the CPT appendices. 7. List the major sections found in the CPT manual. 8. Interpret the information contained in the section guidelines and notes. 9. Describe the CPT code format. 10. Append modifiers. 11. Describe what is meant by unlisted procedures/services. 12. State the purposes of a special report. 13. Review Category II and III CPT codes. 14. Locate the terms in the CPT index. 15. List the major features of Level II National Codes, HCPCS. 16. Recognize the code groupings within HCPCS. 17. Review Temporary Procedure and Professional Services. 18. Describe the HCPCS code format. 19. Understand the Table of Drugs. 20. Demonstrate the ability to assign HCPCS codes.

C. Modifiers

1. Recognize modifiers. 2. Understand the purpose of modifiers. 3. Assign various modifiers.

D. Evaluation and management services

1. Identify and explain the three factors of E/M code assignment. 2. Differentiate between a new and an established patient. 3. Differentiate between an inpatient and an outpatient. 4. Explain the levels of E/M service. 5. Review the key components. 6. Analyze the key component history. 7. Analyze the key component examination. 8. Analyze the key component medical decision making. 9. List contributory factors. 10. Analyze code information. 11. Analyze the types of E/M codes. 12. Identify CMS Documentation Guidelines. 13. Demonstrate the ability to code E/M services.

E. Anesthesia

1. Define types of anesthesia. 2. Explain the format of the Anesthesia section and subsections. 3. Understand the anesthesia formula. 4. Identify other reporting issues. 5. Demonstrate ability to report anesthesia services.

F. Surgery Guidelines and General Surgery

1. Understand the Surgery section format. 2. Locate notes and guidelines in the Surgery section. 3. State the use of the unlisted procedure codes. 4. Interpret element of special report. 5. Examine the separate procedure designation. 6. Analyze the contents of a surgical package. 7. Determine the contents of the general subsection.

G. System Coding

1. Describe the format of the specified system in the CPT manual. 2. Identify the elements of coding for the specified system. 3. Review the main services in the specified system. 4. Identify the major factors in the specified system. 5. State the important coding considerations in the specified systems. 6. Demonstrate the ability to code specified system services and procedures.

MAJOR COURSE LECTURE, TOPICS DESCRIPTION/REQUIRED/RECOMMENDED READINGS/ELECTRONIC RESOURCES TO VIEW:

Tentative Schedule (Subject to change by your instructor)

Week Topic/Lecture/Event Required/Recommended

Readings/Electronic

Resources to View

1 Review the course syllabus and sign all acknowledgement forms. Introduction to the course Introduction to MOODLE Chapter 1 lecture Assignments/Quiz

Course syllabus Textbook/workbook Moodle

www.mycourses.tstc.edu

2 Tests Course syllabus quiz Daily quiz Chapter 8 lecture Assignments/Quiz

Textbook/workbook Moodle


3 Tests Daily quiz Chapter 9 lecture Assignments/Quiz



4 Tests Course syllabus quiz


http://www.mycourses.tstc.edu/



Daily quiz Chapter 10 lecture Assignments/Quiz








7

Tests Course syllabus quiz Daily quiz Chapter 13 lecture Assignments/Quiz















12

Program survey Final review










Final exams


ASSESSMENT MEASURES:

The daily/weekly quizzes, as well as exercises, will be on Moodle and consist of

some/all of the following:

Multiple choice

Matching

True/False

Fill-in-the-blank

The chapter tests will be on Moodle and consist of some/all the following:

Multiple choice

Matching

True/False

Fill-in-the-blank REQUIRED TEXT AND MATERIALS:

2016 Step-by-Step Medical Coding Textbook/workbook bundle Author: Carol J. Buck ISBN: 978-0-323-39382-9 CPT 2016 Standard Edition Author: American Medical Association ISBN: 978-1-62202-208-3

GRADING: GRADING SCALE:

Daily assignments/quizzes. . . . . . . . . . .20% Unit Tests. . . . . . . . . . . . . . . . . . . . . . . .40% Graded Exercises. . . . . . . .. . . . . . . . . . .20% Final Exam. . . . . . . . . . . . . . . .. . . . . . . . 20%

93 – 100. . . . . . . . . . . . . . . . . .. A 86 – 92. . . . . . . . . . .. . . . . . . . B 78 – 85. . . . . . . . . . .. . . . . . . . C 70 – 77. . . . . . .. . . . . . . . . . . . D 0 - 69. . . . . . .. . . . . . . . . . . . F

DEPARTMENT PARTICIPATION POLICY (revised 03/16/16) Class participation in this course is mandatory and is a part of the Grading Policy. Students must maintain all daily assignments, class discussions, unit tests, lecture and laboratory quizzes, class projects, and all other assignments at the passage rates


located in the GRADING CRITERIA AND SCALE for each activity or face a grade of “F” at the end of the term. Excused absences will not count against the student. In order for an absence to be excused, the student must: A. Notify the instructor of the absence BEFORE the class period. B. Notice may be given by calling/emailing the instructor. THIS NUMBER HAS A

24-HOUR VOICE MAIL, SO CALLS MAY BE RECEIVED AT ANY TIME OF THE DAY OR NIGHT.

C. If a student notifies an instructor before class, this DOES NOT mean the absence will be excused. The course instructor determines whether an absence is excused or unexcused. An excused absence is defined as one due to illness or an emergency situation beyond a student’s control. The student must still contact the instructor prior to missing the class. A satisfactory written explanation from an appropriate authority should be given to the instructor. An absence for any other reason is considered as unexcused.

Students will be referred to their Department chair for advisement if they are unsatisfactorily participating in class. A student is considered unsatisfactorily participating in class when:

The student fails to participate in the class by not completing daily assignments, tests, quizzes, class projects, participating in class discussions, handing in work promptly, and completing any other assignments required by your instructor at the passage rates indicated in the GRADING CRITERIA AND SCALE. Class participation will be recorded in the following manner: A. Class participation begins at the time class is scheduled to begin, the FIRST

DAY OF CLASS.

B. Every day, a daily quiz will be given at the time class is scheduled to begin. This will count as a grade. If the student is tardy, or absent and unexcused, he/she will receive a 0 for the quiz grade.

C. The student will be counted absent from class if the student arrives 15 minutes, or more late for class, leaves the class for an extended period of time (5 minutes or more), leaves the classroom to answer the cell phone (without prior permission from the instructor) or exits the classroom without notifying the instructor. THIS MEANS ALL WORK FOR THAT DAY WILL BE A “0” AS THE STUDENT WILL BE CONSIDERED ABSENT.

D. Students arriving late to class must SIGN IN upon arrival.

If a student fails to adhere to the class participation policy, it will be STUDENT’S RESPONSIBILITY to “W” (withdraw) from the course. This withdrawal process will no longer be initiated by the instructor. Students wishing to withdraw must file a SCHEDULE CHANGE FORM with the Admissions Office. Students may access their grades on Moodle to obtain their course average at any time during the term.

MAKE-UP WORK: A. Tests and/or assignments will be made up for EXCUSED ABSENCES only.

These tests and/or assignments MUST be made up during the next class period.

If these are not made up during the next class period, the student will receive a 0. NO EXCEPTIONS.

B. If a student is not excused, the student will receive a 0 for the missed tests and/or assignments. All assignments are required to be completed (graded or not) as every chapter building on information from the previous chapters.

C. Projects that have deadlines must be turned in by the designated time. NO LATE PROJECTS WILL BE ACCEPTED.

D. Daily quizzes will not count against students with excused absences. E. Students with unexcused absences will receive a 0 for the daily quiz. CLASS RULES: A. All cell phones must be on vibrate and set on the upper corner of the desks,

facing down, during class. Cell phones should remain on for emergency notifications; however, cell phones ringing during class (without instructor’s permission) can result in a deduction of points for the student.

B. Do not bring children to lab or class. CLASS DISRUPTIONS:

As stated in the 2015 Catalog and Handbook under Statement of TSTC Academic

Student Responsibilities, “students have the right to pursue an education

without disruption or interference and to expect enforcement of norms for acceptable

classroom behavior that prevents disruption of the teaching/ learning process”.

Students may not disrupt class or any other college process by any means whatsoever (including sideline conversations, comments, arguments, noise of any kind or other activity which would hinder access to or utilization of academic information). Students disrupting class will be asked to leave the classroom for the day and will be counted as absent. ACADEMIC INTEGRITY:

As stated in the Catalog and Handbook under Academic Integrity, “any student found guilty of scholastic dishonesty is subject to disciplinary action”. TSTC expects all students to engage in scholastic pursuits in a manner that is beyond

reproach. Students are expected to maintain complete honesty and integrity. Any

student found guilty of academic dishonesty is subject to disciplinary action. Academic

dishonesty includes, but is not limited to, cheating on academic work, plagiarism and

collusion.

Cheating on academic work includes, but is not limited to:

copying from another student’s test paper or other academic work;

using materials during a test that have not been authorized by the individual

giving the test;

collaborating with another student, without authorization, during an examination

or in preparing academic work;

• bribing another person to obtain an unadministered test;

knowingly using, buying, selling, stealing, transporting, or soliciting, in whole or in

part, the contents of an unadministered test; and

substituting for another student, or permitting another student to substitute for

oneself, to take a test or prepare other academic work.

Plagiarism means claiming another’s work as one’s own without acknowledging its

origin and doing so for credit.

Collusion means unauthorized collaboration with another person in preparing a written

work offered for credit.

Effective immediately, the procedure for handling academic dishonesty has changed to reflect the following:

Procedures for discipline due to academic dishonesty will first be considered and reviewed by the faculty member.

The faculty member is also responsible for the initial conference with the student where the student tells his/her side of the story. (Get this in writing)

The faculty member must fill out an Academic Dishonesty Reporting Form and submit it to the student Discipline Officer for a centralized reporting mechanism, as well as, give a copy to the student for their records.

Further disciplinary sanctions may occur if circumstances warrant or for multiple academic dishonesty violations.

If the student does not accept the decision of the faculty member, he/she may request a Review with the Student Conduct Review Board.

Procedures for the Review are identical to any other Code violation except the Student Conduct Review Board will give the Campus Academic Officer (CAO) a recommendation and the CAO will make the final decision based off the Review findings and all other information.

The CAO will give the student in writing a justification for his/her decision within five (5) working days of the review.

OPEN LABS: The only open labs will be assigned by the Department Chair at the beginning of the semester. Instructors who will be holding open labs will have the lab hours on the schedules posted outside their door.

TARDINESS:

A. If a student is tardy to class and a daily quiz is being given, the student will not be allowed to take the quiz and will receive a 0 for the quiz grade.

B. If a student is tardy to class on the day a test is given, the student will take the test with 10 points deducted and must complete the test within the allotted time set for the rest of the class. If multiple tests are given that day, the student will receive 10 points off each test and must complete each test within the allotted time set.

ACCOMMODATION STATEMENT: If you have a documented disability which makes it difficult for you to carry out the work as outlined and/or if you need special accommodations due to a disability, please contact the Counseling and Support Services Office at 956.364.4520/phone 956.364.4526/TDD and/or visit the office located in the Consolidated Student Services Center (Bldg. EK Room 216) as soon as possible to make appropriate arrangements. COURSE EVALUATIONS:

Every course and course instructor in the MIT and HIT programs will be evaluated with an evaluation given to the class prior to the final exam. These evaluations are COMPLETELY ANONYMOUS with the results going to the Department Chair and Administration. All comments, good or bad, concerning the course itself and/or the course instructor are strongly encouraged. STUDENT ASSISTANCE: The Supplemental Instruction & Tutoring Program at TSTC offers free tutoring and

academic support services to help you achieve your academic and career goals. You

can access the most up-to-date Supplemental Instruction & Tutoring Schedule, as well

as MyTSTC Video Tutor Library, by visiting the following websites:

https://portal.tstc.edu/student/Student_Learning/Pages/Tutoring.aspx (Tutoring Program

Webpage)

http://www.youtube.com/user/MyTSTCVideoTutor/playlists (MyTSTC Video Tutor

Library)

For more information, please contact the Office of Student Success at

956.364.4163 or the Supplemental Instruction & Tutoring Program at 956.364.4170.

COPYRIGHT STATEMENT:

The materials used in the course [textbooks, handouts, media files (podcast, MP3, Videos, RSS (Feeds), and all instructional resources on the colleges Learning Management System (Moodle)] are intended for use only by students registered and enrolled in this course and are only to be used for instructional use, activities associated

tel:956.364.4520

tel:956.364.4526

https://portal.tstc.edu/student/Student_Learning/Pages/Tutoring.aspx

http://www.youtube.com/user/MyTSTCVideoTutor/playlists

with, and for the duration of the course. All materials generated for this course, which includes but are not limited to syllabi, quizzes, exams, lab problems, in-class materials, review sheets, and any additional materials. These materials may not be retained in another medium or disseminated further. They are provided in compliance with the provisions of the Teach Act. These materials may not be reproduced, displayed, modified or distributed without the express prior written permission of the copyright holder or TSTC. For further information contact your instructor. COMMUNICATING WITH YOUR INSTRUCTOR (MYMAIL E-MAIL SYSTEM): All official college E-mail to students is sent through MyMail, the official student e-mail

system at TSTC Harlingen. When communicating with instructors and/or employees of

the college, you are required to use your TSTC MyMail student e-mail address. If you

choose to forward your e-mail to another account, please be advised that you must

respond from the MyMail account. All responses to student emails will be done

within 24 hours of receipt.

COLLEGE POLICE:

TSTC Harlingen faculty, staff, and students are asked to report all threats, perceived or

real, immediately to College Police located in the Auxiliary Building. If the threat is

imminent, the College Police emergency phone line at 364-4220 or 9-911 should be

called. College Police will then coordinate the proper response in accordance with

State and federal laws and TSTC System/College rules and regulations.

MOODLE: This course may be delivered and taught as a “hybrid” course which is a blend of face-to-face (F2F) and time out of class (TOC) online instruction. Due to the online component of hybrid classes, all students enrolled in a hybrid course must have the following:

Access to a computer that connects to the Internet (preferably a Pentium 4). If the student does not have access at home, access is provided through the TSTC library, the city library and/or the RAHC library, which has extended hours;

Recommended browser (Mozilla Firefox);

Active TSTC account;

Basic e-mail, web skills and computer skills. Students are required to access their “Moodle” account daily for course updates, announcements, assignments, etc.

BUDDY SYSTEM: Students are encouraged to establish a “buddy” in each course. Students choose their own “buddy” and exchange contact information with them. Because students are responsible for completion of all work and meeting all deadlines, this “buddy” will be the contact person for gaining information on any work, assignments, and/or lectures missed during absences. EMERGENCY NOTIFICATION SYSTEM:

Texas State Technical College Harlingen has chosen Everbridge to provide critical notification services during emergencies. Should you receive an emergency notification, you will be told the nature of the emergency and will be prompted to follow simple message confirmation steps.

Accounts with default contact information are automatically created in the ENS for all Employees and registered students. If you do not wish to receive notifications, you may opt-out from the Address Change screen in WebAdvisor through the portal. Students will be required to renew their opt-in/opt-out status once a semester. Employees will be required to renew once a year.

Opt-In/Opt-Out Options

In order for this system to be effective and for your information to be accurate, you

MUST provide your current contact information. You may update your information as

necessary by following this process:

1. Log in to the Portal using your username and password: http://portal.tstc.edu. 2. Visit the WebAdvisor Web part on the bottom left of the landing page. 3. Select the “WebAdvisor for Student” tab. 4. Access the Address Change screen under the User Account tab. 5. Verify and update your email address and phone number. 6. Choose your opt-in status. 7. Save your entries.

Changes will be reflected within 7 days (updates occur every Sunday).

If you have trouble logging in to the portal, please contact the Help Desk at 364-5000. If

you have any problems with the Emergency Notification System, email the administrator

at [email protected].

http://portal.tstc.edu/

mailto:[email protected]

DISCLAIMER:

As a student in the Medical Information Transcriptionist program or the Health

Information Technology program, it is understood there may be exposure to potentially

infectious blood and body fluids during the practicum rotations. As practicum rotations

take place in various medical facilities, Texas State Technical College will not be held

responsible for any injury sustained during these rotations. All students in these

programs are required to purchase Accident insurance through TSTC every semester.

In order to assist with the protection of program students during practicum rotations,

students are required to obtain all of the following vaccinations: influenza, MMR,

Varicella, a TB test, Tdap, Bacterial Meningitis, the Hepatitis B series and any other

vaccinations required by the practicum site. Students will also be required to

successfully pass a drug screen and a criminal background check prior to beginning any

practicum experience with the understanding that the practicum sites have the right to

conduct a random drug screen tests when deemed necessary.

EMERGENCY/SAFETY REQUIREMENT:

In the event of an emergency, students should familiarize themselves with building and classrooms emergency exits/evacuation routes and be able to locate the nearest fire extinguisher. When an emergency alarm is activated, students should immediately leave the classroom, exit the building, and go to a designated safe area until clearance is given to go back into the building. Students should also register and be familiar with the Emergency Notification System. **************************************************************************************************** NOTE: Any changes to this syllabus will be provided in writing to the student and

updated on all posted locations (HB 2504, course Moodle sites, building offices, etc.).

hitt 1342 ambulatory coding course syllabus … · 2016 step-by-step medical coding...

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