| | Searching Current Courses For Fall 2016 |
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Course: |
HIT 231
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Title: | ICD Coding III |
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Long Title: | ICD Coding III |
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Course Description: | Provides an advanced study of ICD coding conventions and principles. DRG and case mix logic along with regulations regarding their use in conjunction with optimization and compliance issues will be discussed. CPT/HCPCS in both the hospital-based outpatient and physician office settings will be studied. |
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Min Credit: | 5 |
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Max Credit: | |
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Origin Notes: | ACC |
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Status Notes: | ACC-Rvisions to descr & title 3/30/10 s@ |
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| S: Revised descptn, comptncy, outln 2.4.16 |
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STANDARD COMPETENCIES:
1. Assign diagnostic/procedure codes using ICD, CPT, HCPCS, and other coding systems.
2. Abstract information from patient records for research, reimbursement, disease/procedure/physician indices, registries, QA/UR/RM, and other uses.
3. Interpret the content of the medical record in order to assign diagnostic and procedure codes using the ICD coding system.
4. Apply Diagnostic/procedural groupings; Evaluate the accuracy of the Diagnostic/procedural groupings.
5. Develop appropriate physician queries to resolve data and coding discrepancies (V.D.2)
6. Determine accuracy of computer assisted coding assignment and recommend corrective action.
7. Identify quality control techniques and methods related to coding and abstracting services.
8. Utilize and understand various encoding software.
9. Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status.
10. Perform edit checks to monitor data accuracy.
11. Identify potential abuse or fraudulent trends through data analysis)
12. Identify and use the outpatient reimbursement systems including the use of chargemasters and superbills.
13. Analyze Policies and Procedures to ensure organizational compliance with regulations and standards.
TOPICAL OUTLINE:
I. ICD Conventions and Guidelines
II. Certain Infectious and Parasitic Diseases
III. Neoplasms
IV. Diseases of the Blood and Blood-forming Organs
V. Endocrine, Nutritional and Metabolic Diseases
VI. Mental, Behavioral, and Neurodevelopmental Disorders
VII. Diseases of the Nervous System
VIII. Diseases of the Eye and Adnexa
IX. Diseases of the Ear and Mastoid Process
X. Diseases of the Circulatory System
XI. Diseases of the Respiratory System
XII. Diseases of the Digestive System
XIII. Diseases of the Skin and Subcutaneous Tissue
XIV. Diseases of the Musculoskeletal System and Connective Tissue
XV. Diseases of the Genitourinary System
XVI. Pregnancy, Childbirth and the Puerperium
XVII. Certain Conditions Originating in the Perinatal Period
XVIII. Congenital Malformations, Deformations and Chromosomal Abnormalities
XIX. Symptoms, Signs and Abnormal Clinical and Laboratory Findings
XX. Injury, Poisoning and Certain Other Consequences of External Causes
XXI. External Causes of Morbidity
XXII. Factors Influencing Health Status and Contact with Health Services
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Arapahoe Community College |
ACC |
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