Jan 23, 2022  
College Catalog 2021-2022 
    
College Catalog 2021-2022
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HITT 2208 - CPT/HCPCS, Outpatient Coding-Intermediate

Credit Hours: 2.00


Prerequisites: Admission into the Health Information Technology Program; HITT 2105 , HITT 2108 , and HITT 2109 all with grade C or better

Corequisites: HITT 2202 , HITT 2203 , and HITT 2204  

This course continues the use of the Current Procedural Terminology (CPT) to prepare the student to code various body systems, disease processes and treatments in the outpatient settings at a more advanced level. Billing and insurance procedures as well as charge-master description and maintenance will be addressed. This course uses encoder and grouping software.

Billable Contact Hours: 3

When Offered: Winter semester only

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OUTCOMES AND OBJECTIVES
OUTCOME 1: Upon completion of this course, students will be able to apply guidelines of clinical classification systems.
 
OBJECTIVES:

  1. Use and maintain electronic applications and work processes to support clinical classification and coding.
  2. Apply procedure codes using Current Procedural Terminology CPT/Healthcare Common Procedure Coding  System (HCPCS).
  3. Adhere to current regulations and established guidelines in code assignment.
  4. Use and maintain applications and processes to support other clinical classification and nomenclature systems (such as ICD-10-CM).
  5. Validate coding accuracy using clinical information found in the health record.
  6. Resolve discrepancies between coded data and supporting documentation.
  7. Apply and promote ethical standards of practice.
  8. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation process.

 
OUTCOME 2: Upon completion of this course, students will be able to explain different reimbursement methodologies.
 
OBJECTIVES:

  1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in outpatient healthcare delivery.
  2. Define and apply classification systems, such as APC’s, as required.
  3. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation process.
  4. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.
  5. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems.

 
OUTCOME 3: Upon completion of this course, students will be able utilize information and communication technologies.
 
OBJECTIVES:

  1. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
  2. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information.

COMMON DEGREE OUTCOMES (CDO)
• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Information Literacy: YES
Quantitative Reasoning: YES
Scientific Literacy: YES

COURSE CONTENT OUTLINE
 

  1. Review of Modifiers
  2. Case scenario practice for the following body systems
    1. Surgery - Integumentary
    2. Surgery - Musculoskeletal
    3. Surgery - Respiratory, Cardiovascular
    4. Surgery - Digestive
    5. Surgery - Urinary, Male Genital, Female Genital
    6. Surgery - Endocrine, Nervous, Eye, Auditory
    7. Radiology
    8. Pathology and Laboratory Services
    9. Evaluation and Management
    10. Medicine
    11. Anesthesia
  3. HCPCS Level II
  4. Reimbursement in the Ambulatory Setting
  5. Charging

Primary Faculty
Dunsmore, Kristin
Secondary Faculty

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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