HITT 2108 - International Classification of Disease (ICD)-Intermediate Coding

Credit Hours: 3.00

Objectives:

1. Use and maintain applications and processes to support other clinical classification and nomenclature systems (such as ICD‐10‐ CM, SNOMED, and so on). (Competency I, C, 7)
2. Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patients progress, clinical findings, and discharge status. (Competency 1, A, 2)
3. Demonstrate ethical application of diagnosis/procedure codes using ICD‐9‐CM. (Competency I, C, 2)
4. Adhere to current regulations and established guidelines in code assignment. (Competency I, C, 5)
5. Discuss the means to resolve coding dilemmas through appropriate channels.
6. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC. (Competency I, C, 4)
7. Validate coding accuracy using clinical information found in the health record. (Competency I, C, 6)
8. Resolve discrepancies between coded data and supporting documentation. (Competency I, C, 8)

Outcome 2: Upon completion of this course, students will be able to differentiate reimbursement methodologies.

Objectives:

1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery. (Competency I, D, 1)
2. Support accurate billing through coding, charge master, claims management, and bill reconciliation processes. (Competency I, D, 2)
3. Students will use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. (Competency 1, D, 3)
4. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems. (Competency 1, D, 4)

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

Objectives:

1. Use and maintain electronic applications and work processes to support clinical classification and coding. (Competency I, C, 1)
2. Use specialized so ware in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. (Competency 4, A, 3)

• 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.

1. Introduction of the Prospective Payment System
2. Uniform Hospital Discharge Data Set
3. Coding Quality
4. Coding Compliance
5. Case Mix Analysis