Students will learn the history, purpose and content as well as professional ethics and legal principles of the medical record and health information. Topics pertaining to the Health Information Management Department including the functions, workflow and quality considerations will be discussed. Students will compare the paper medical record to the electronic health record. Furthermore, course content includes an introduction to Department of Health and Human Services (DHHS), Centers for Medicare and Medicaid Services (CMS), Health Insurance Portability and Accountability Act (HIPAA), Joint Commission, The Office of the National Coordinator for Health Information and professional organizations affiliated with health information, medical coding and medical documentation integrity.
This course provides an overview of all body system diseases and conditions, including etiology, signs and symptoms, diagnostic treatment modalities, prognosis and prevention. This course will provide the student the opportunity to explore basic concepts regarding the most common therapeutic medications prescribed to treat the most common human disease conditions. The five rights of drug administration and causes of medication errors will also be identified in order to enhance medical record review.
This course will introduce students to the structure of the American legal system and the principles of health law, including healthcare case studies. The course surveys the federal and state court structure and legal proceedings pertaining to healthcare. Students will gain a thorough understanding of the role that medical record information has in legal proceedings, healthcare legislation and regulations. Emphasis will be placed on medical record confidentiality, access, release and disclosure and laws pertaining to retention and patient rights. Knowledge of the legal issues surrounding computerized medical records will be explored. Medical professional ethics and HIPAA privacy and security issues will be reinforced.
This course provides an overview of healthcare information systems with a concentration on computerized health information management (HIM) functions. Students will be introduced to common software applications utilized to perform HIM processes. Emerging technology issues in healthcare will be explored. Lab fee required.
This course will provide students with knowledge and understanding of the collection, computation, compilation and presentation of internal and external reporting of statistical healthcare information in the following four categories: administrative, quality, utilization and financial. Topics include the use and application of statistics in healthcare, commonly used healthcare utilization statistical computations, vital statistics, uniform reporting requirements, health information indices, databases and disease registries, Institutional Review Board processes and knowledge-based research methods.
This course provides an understanding of the healthcare reimbursement methodologies and issues including PPS, DRGs, APCs, ASC groups and applicable state and federal regulations related to HIPAA mandated electronic claims transaction and UB-04 claims processing. Requirements for payers and Quality Improvement Organizations (QIO) are discussed. Included is an introduction to regulatory compliance, revenue cycle and Charge Description Master (CDM) maintenance. This course will help prepare the student to pursue a multifunctional career path in areas dealing with health information management, healthcare claim and reimbursement in physician offices and/or acute care facilities.
This course covers advanced medical coding in the integrated use of ICD-10-CM, ICD-10-PCS, CPT and HCPCS. Students will learn the key attributes of ICD-10-PCS, including the organization, structure, conventions and tables. The student will apply the medical coding skills acquired through academic instruction to select diagnoses and procedures based on the Uniform Hospital Discharge Data Set (UHDDS) guidelines. This course is designed to increase the quality and accuracy of coding selection by applying official coding guidelines and policies. Regulatory changes and updates affecting coding and reimbursement will be discussed, including concepts related to hospital MS-DRGs, case mix and APCs. Students will gain hands-on experience in the use of encoders and groupers to code medical charts. This course will also explore the physician query process.
This course develops an understanding of the quality management initiatives in healthcare, including utilization review, case management, risk management, medical staff credentialing and peer review. The study of quality management in healthcare will be based upon the roles and influences of accrediting bodies, regulatory agencies, legislation, society and payers.
This course is an introduction to the management of health information operations. Subjects of focus will be principles of human resources, planning and budgeting, orientation, training and staffing of personnel, organizing work processes, including ergonomics considerations and evaluating and improving work performance.
This course covers advanced medical coding in the integrated use of ICD-10-PCS, CPT and HCPCS. The student will apply the medical coding skills acquired through academic instruction to select diagnoses and procedures based on the UHDDS guidelines. This course is designed to increase the quality and accuracy of coding selection by applying official coding guidelines and policies. Regulatory changes and updates affecting coding and reimbursement will be discussed, including concepts related to hospital MS-DRGs, case mix and ASCs. Students will gain hands-on experience in the use of encoders and groupers to code medical charts. Computer-assisted coding (CAC) will be introduced.
This course is designed to provide a detailed approach to accurately using the physician's current procedural terminology (CPT) for proper coding in an outpatient setting. Students will continue to apply the skills acquired in HIM 2722 ICD-10-CM. Emphasis is placed on practical simulation of computer-assisted activities which are common to the daily routine of the electronic medical office. The practice management system and electronic health record is used as a typical example of computer programs that are available for efficient practice operations. Strong emphasis will be placed on regulatory compliance and auditing. Students who have completed HIM 2253C and HIM 2273 do not need to take this course. Lab fee required.
This course provides a thorough demonstration of the international classification of diseases ICD-10-CM. Students will understand general equivalency mapping for ICD-10 and the use of other vocabulary and classification systems such as SNOMED, DSM IV, ICD-O, RXNORM, and LOINC. Students will gain an in-depth understanding of the organization, structure, conventions and guidelines of ICD-10-CM in order to accurately code and sequence diagnoses. Students will learn the purpose and uses of diagnosis coding. The importance of the standards of ethical coding, coding compliance and maintaining patient privacy will be stressed.
This course provides an introduction to the International Classification of ICD-10-PCS. Students will learn the key attributes of ICD-10-PCS, including the organization, structure, conventions, tables and will interpret healthcare data and apply coding guidelines for ICD-10-PCS code assignment. Students will differentiate between ICD-9-CM procedure codes and ICD-10-PCS codes and understand the use of code mapping between different classification systems for retrieval of historical data. The benefits of ICD-10 for health information exchange standards and interoperability will also be explored.
This course allows the student to use software and other tools and resources to support clinical classification, coding and grouping following regulations and guidelines, validate coding accuracy based on documentation in the health record, apply guidelines applicable to reimbursement methodologies, compile data and review accuracy. The student will be able to demonstrate their employability skills and identify professional standards appropriate to healthcare workers.
This is a capstone course for the Health Information Management A.S. program where students will complete a supervised professional practice experience in a health information management (HIM) department of a hospital and alternative healthcare setting. The student will review HIM workflow and perform advanced HIM functions in order to bridge the academics of HIM to current HIM workforce needs and responsibilities. Emphasis will be placed on records retrieval and retention, assembly, qualitative and quantitative record analysis, inpatient and outpatient coding, abstracting, statistical compiling and reporting of healthcare data, release of information and use of specific HIM software applications.
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Seminole State College Health Career Programs 850 South SR 434 Altamonte Springs FL, 32714