A comprehensive and intensive study of the financial activities of medical insurance billing. The course reviews medical terminology as it relates to insurance claims, utilizes procedure and diagnostic coding, and provides practice in completing various insurance claim forms to include commercial, Medicare, Medicaid, worker's compensation, and disability insurance, and managed care claims.
This course explores healthcare quality and emerging pay-for-performance reimbursement methodologies. Analyzes the complexities of quality, the measurement and improvement of quality, and explores measures from a variety of organizations and comparison sites. Introduction to key theories and concepts, models of quality improvement as the basis for improved outcomes and reimbursement.
Provide students with advanced, hands-on specialty professional practice experience in performing specific activities in the HIM setting. Emphasis on legal aspects, quality and risk management, utilization review, management and supervision, CPT and ICD coding, DRG assignment, healthcare statistics and electronic health records. One unit of credit is earned for 54 hours of unpaid or paid work.
Provides students with supervised professional practice experience preparation, explores and refines the knowledge and skills for a health Information management student, provides practice reviews for national exam and develops professionalism. This preparation is the first course of a two-part series.The second course is the professional practice experience.
Introductory course on the roots, prefixes, suffixes, and abbreviations used to form and define medical terminology. The systems based terminology covers anatomy, vocabulary, disease states, diagnostic procedures, laboratory findings and standard pharmaceuticals.
Instruction in healthcare delivery systems utilized in health information management practice with emphasis on secondary data sources, accreditation and regulatory requirements, alternative healthcare settings, the electronic health record (EHR), and healthcare information systems.
Provides students with basic International Classification of Disease, 10th Edition, Clinical Modification (ICD-10-CM) coding principles with emphasis on inpatient and outpatient guidelines. The course focuses on format, code conventions, Uniform Hospital Discharge Data Set (UHDDS) guidelines, document sources, code sequencing, and code assignment.
ICD-10-PCS instructs students in the process of building codes in the new procedure coding system. Instruction includes selection of ICD-10-CM and ICD-10-PCS codes for coding cases, regulatory guidelines, an overview of Medical Severity Diagnostic Related Groups (MS-DRGs), and computerized encoders and groupers.
Basic course in medical terminology covering roots, prefixes, suffixes, and abbreviations with emphasis on the gastrointestinal and cardiovascular systems. Recommended for students applying to the medical interpreter program and those exploring entry into health careers.
Continuing medical terminology course with emphasis on the hematology, lymphatic, immune, musculoskeletal, integumentary, and endocrine systems, and the sense organs. Selected terminology and abbreviations used in specialty areas of psychology, oncology, radiology, and nuclear medicine.