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.
The Current procedural terminology (CPT) coding system is used to describe services and procedures provided by health care providers to include evaluation and management, surgery, radiology, pathology, laboratory, and medicine. The class includes an overview of the Health Care Common Procedure Coding System.
Instruction in the introduction to the principles of organization and management functions and theories in various settings, time management and management tools, communication processes, decision making strategies, recruitment and staffing, performance reviews, disciplinary actions, motivating personnel, budget, and grievances and labor unions.
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.
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.
The study of basic hospital and health statistics including sources, definitions, and use of health data. Computerized and manual methods of collecting, processing, and preparing statistical reports and spreadsheets for health care management, including various methods of presenting data, predictability studies, data mining, calculation of common rates and percentages.
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.
Instructs students in the general principles of disease processes with emphasis on the etiologies and anatomical and physiological manifestations. The class focuses on diagnostic studies, procedures, treatments, and medications utilized in the diagnosing and treatment of diseases.