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Apr 25, 2024
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HITT 2109 - CPT/HCPCS, Outpatient Coding-Beginning Credit Hours: 2.00
Prerequisites: Admission into the Health Information Technology Program; HITT 1201, HITT 1209, HITT 1210, and HITT 1211 all with grade C or better
Corequisites: HITT 2105 and HITT 2108
(formerly HITT 2106)
This course uses Current Procedural Terminology (CPT) to prepare the student to code various body systems, disease processes and treatments in the outpatient settings. Billing and insurance procedures as well as chargemaster description and maintenance will be addressed. This course uses encoder and grouping software.
When Offered: Fall semester only
Contact Hours: 3
Billable Contact Hours: 3
OUTCOMES AND OBJECTIVES
OUTCOME 1: Upon completion of this course, students will be able to interpret guidelines of clinical classification systems.
OBJECTIVES:
- Use and maintain electronic applications and work processes to support clinical classification and coding.
- Apply procedure codes using Current Procedural Terminology CPT/Healthcare Common Procedure Coding System (HCPCS).
- Adhere to current regulations and established guidelines in CPT/HCPCS code assignment.
- Use and maintain applications and processes to support other clinical classification and nomenclature systems (such as ICD-10-CM).
- Support coding accuracy using clinical information found in the health record.
- Resolve discrepancies between coded data and supporting documentation.
- Promote ethical standards of practice.
OUTCOME 2: Upon completion of this course, students will be able to interpret different reimbursement methodologies.
OBJECTIVES:
- Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery.
- Define and apply classification systems, such as APC’s, as required.
- Support accurate billing through coding, chargemaster, claims management, and bill reconciliation process.
- Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.
OUTCOME 3: Upon completion of this course, students will be able utilize information and communication technologies.
OBJECTIVES:
- Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
- Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information.
COMMON DEGREE OUTCOMES
(Bulleted outcomes apply to the course)
- 1. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
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- 2. The graduate can demonstrate how to think competently.
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- 3. The graduate can demonstrate how to employ mathematical knowledge.
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- 4. The graduate can demonstrate how to communicate competently.
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- 5. The graduate is sensitive to issues relating to a diverse, global society.
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COURSE CONTENT OUTLINE
- Application to CPT Coding
- Application of the CPT System
- Modifiers
- Surgery - Integumentary
- Surgery - Musculoskeletal
- Surgery - Respiratory, Cardiovascular
- Surgery - Digestive
- Surgery - Urinary, Male Genital, Female Genital
- Surgery - Endocrine, Nervous, Eye, Auditory
- Radiology
- Pathology and Laboratory Services
- Evaluation and Management
- Medicine
- Anesthesia
- HCPCS Level II
- Reimbursement in the Ambulatory Setting
Primary Faculty
Dunsmore, Kristin
Secondary Faculty
Wietecha, Linda
Associate Dean
Primeau, Paula
Dean
Mirijanian, Narine
Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088
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