Course Title: Certified Inpatient Coder Prep Course

EA1 03.14.15

My Coding Mentor

Course Instructor: Jill Kulanko, CEO, RHIA, CCS, CPC, CIC, COC, CPC-I

Office Hours: Mondays 6:00 pm – 9:00 pm MST

Thursdays 6:00 pm – 9:00 pm MST

Phone number: 720-352-1291

Email address: [email protected]

Class Meeting Time: Saturdays, from 8:00 am – 12:00 pm MDT, January 9 – May 28, 2016

Prerequisites: 2 years of coding experience, medical terminology and anatomy knowledge. This an intermediate to advanced coding class.

Course Cost:

Cost of the Class: $2400

Included in the cost of the class:

ICD-10-CM: The Complete Code Set, 2016, AAPC $85

ICD-10-PCS: The Complete Official Draft Code Set, 2016 $80

ICD-10-CM and ICD-10-PCS Coding Handbook 2016 by Nelly Leon-Chisen $115

Online Blackboard access $50

DRG Expert: The Complete MS-DRG Using the ICD-10-CM Code Set, 2016 $130

Additional Costs paid by student:

CIC Exam : $325

AAPC Student Registration $70

Course Description: This course is designed to teach the student to code inpatient charts proficiently and includes the content necessary to pass the Certified Inpatient Coder Certification Exam by AAPC. This is an in-depth course that covers inpatient reimbursement, inpatient coding theory and practical application of inpatient coding guidelines in a chapter-by-chapter approach using ICD-10-CM and ICD-10-PCS. The class will be taught via live webinar with assignments, discussions, quizzes and exams provided online. The class size is limited to 25 students. This class is recommended for students who have a solid foundation in ICD-9-CM and 2 years of coding experience.

Course Purpose: The purpose of this class is to prepare the student for the Certified Inpatient Coder Certification Exam and to perform the job duties associated with inpatient coding in an acute care facility and understand inpatient coding reimbursement methodology.

Learning Goals of this Course:

Understand the different types of hospital facilities and their departments including hospitals, teaching hospitals, critical access hospitals, ambulatory surgery centers (ASCs), and outpatient hospital departments

My Coding Mentor Page 1 of 11 EA1 03.14.15

Discuss documentation and coding standards for facilities • Code a wide variety of patient services using ICD- 9-CM coding guidelines

Identify differences between ICD-9-CM and ICD-10-CM coding • Apply coding and conventions when assigning diagnoses and procedure codes

Understand the official ICD-9-CM coding guidelines for diagnoses and procedures

Understand the Uniform Hospital Discharge Data Set (UHDDS) coding guidelines

Develop an understanding of how to code inpatient charts in the facility

Navigate the business side of hospital inpatient services

Differentiate between inpatient and outpatient services and payment services (IPPS and OPPS)

Understand the difference between MS-DRGs and APC assignments, and how those services are reported

Review critical pieces in the billing and revenue cycle management process

Develop an understanding of compliance in the hospital facility

Classroom Procedures: This class requires 4 hours of classroom time weekly via a live webinar setup. Classroom time will consist of lectures, PowerPoint slides, discussion, and coding examples, as well as time to ask questions. There will be approximately 15 hours per week of reading, homework, studying and quizzes that student will complete on their own time. Pretests, homework and reading assignments should be completed PRIOR to class.

Participation: It is expected that each student be prepared for each class period with the required books, finished assignments, and a quiet room in which to hear the lecture. Students are encouraged to ask questions, take notes, and participate in class discussions. It is also recommended that students form study groups on online forums and formats.

Recommended Study Habits: The pretest, homework assignment and reading assignment must be completed prior the lecture each week. It is recommended that students check the learning platform often for updates and announcements. Highlight the textbooks and make notes in your coding books. Take hand-written notes. Students can expect to spend approximately 15 hours per week on homework, reading, and studying. This is an intensive class.

Grading Procedures:

Pretests: 19 pretests, 10 points for completion 190 points

Comprehension Quizzes: 19 quizzes, 25 points per quiz 475 points

Cumulative Quizzes: 8 quizzes, 50 points per quiz 400 points

Homework: 25 points if completed, every week 475 points

Case Studies: 100 case studies, 10 points each 1000 points

Attendance: 10 points per week, 20 weeks 200 points

2740 points

Grades will be determined by dividing the total points earned by the total points possible.

Letter grades are assigned based on the following grade breakdowns:

A = 90% - 100%

B = 80% - 90%

C = 70% - 80%

D = 60% - 70%

Assignment Descriptions:

ICD-10-PCS Weekend Workshops: In order to learn ICD-10-PCS students will be taught during two weekend workshops. ICD-10-PCS will be taught January 30 and February 6, 2016 from 8:00 am – 5:00 pm MST. Please plan accordingly as attendance is required.

Homework: The homework for each module is required to be completed online using the multiple choice format. The homework is found at the end of each chapter. The answers can be written in the book, but must also be entered online.

Pretests: Pretests are required to be completed before reading the material each week. The purpose of the pretest is to sensitize the student to important concepts and aid in memory. These are not graded, per se, but the student is given 10 points for completing the pretest.

Comprehension Quizzes: These quizzes will be completed using the online multiple choice format as soon after the lecture as possible. This will help the student retain what he/she has learned for each week.

Cumulative Quizzes: These quizzes will be completed every other week. These quizzes will test on all prior concepts learned earlier in the course.

Case studies: There will be 5 case studies per ICD-9/10-CM chapter.

Lectures: The lectures will be recorded and student can access them and listen to them at any time.

Exams: There will be 1 exam that includes all the information learned at the end of the course.

Course Schedule*

Date Week# Chapters

01/09/16 1 Introduction to Inpatient Coding Documentation in the Inpatient Record

01/16/16 2 CMS and Inpatient Payment Systems Physician Queries

01/23/16 3 ICD-10-CM Guidelines Principal Diagnosis Selection

01/30/16 4 ICD-10-PCS Weekend Workshop Part 1

02/06/16 5 ICD-10-PCS Weekend Workshop Part 2

02/13/16 6 Certain Infectious and Parasitic Disease Neoplasms

02/20/16 7 Diseases of the blood and blood forming organs Endocrine, nutritional and metabolic diseases

02/27/16 8 Mental, behavioral, and neurodevelopmental disorders Diseases of the nervous system

03/05/16 9 Diseases of the eye and adnexa Diseases of the ear and mastoid process

03/12/16 10 Diseases of the circulatory system

03/19/16 11 Diseases of the respiratory system Diseases of the digestive system

03/26/16 12 Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system

04/02/16 13 Diseases of the genitourinary system Factors influencing health status and contact with health services

04/09/16 14 Pregnancy, childbirth, and the puerperium

04/23/16 15 Certain conditions originating in the perinatal period Congenital malformations, deformations, and chromosomal abnormalities Symptoms, signs and abnormal clinical and laboratory findings

04/30/16 16 Injury, poisoning, and certain other consequences of external causes External causes of morbidity

05/07/16 17 Inpatient Facilities and Related Hospital Departments Regulatory and Payer Requirements

05/14/16 18 Compliance in the Facility Business in the Inpatient Facility Outpatient Prospective Payment System

05/21/16 19 Outpatient Prospective Payment System Pharmacology

05/28/16 20 Exam

*This schedule is subject to change. Due to unforeseen circumstances occasionally the class may be rescheduled to a different day.

Course Policies:

Entrance Requirements The school does not discriminate based on race, sex, religion, ethnic origin, or disability, age, in admission or access to its program.

Prospective students must have a high school diploma or equivalency diploma to be accepted for enrollment. If applicants are beyond the age of compulsory school attendance in Colorado and do not possess a diploma or equivalency diploma, they may complete an ability to benefit test.

Enrollees must be 18 years of age or older at start of program to attend course.

Enrollment Prospective students may enroll anytime. Late enrollments will be accepted only one week into the course, depending on length of the course.

Postponement of Start Date Postponement of a starting date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth:

a. Whether the postponement is for the convenience of the school or the student, and; b. A deadline for the new start date, beyond which the start date will not be postponed.

If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school’s refund policy and all applicable laws and rules concerning the Private Occupational Education Act of 1981.

Placement Assistance

My Coding Mentor does not offer employment assistance to graduates. We will offer advice, but we make no guarantee, expressed or implied, of future employment. Current law prohibits any school from guaranteeing job placement as an inducement to enroll students.

Attendance Requirements

At My Coding Mentor we realize that there are times when circumstances occur that are beyond the control of the student and interfere with the student’s ability to attend class. In these cases, the student must notify the instructor as soon as possible and make arrangements. At times, due to unforeseen circumstances, it may become necessary to cancel class. When this occurs the class will be rescheduled. The instructors will try to notify students promptly when this occurs and do their best to accommodate students when rescheduling classes. If My Coding Mentor cancels a course due to lack of enrollment or any other reason all monies paid will be refunded to students. My Coding Mentor expects students to arrive on time and prepared for each class. Disruptive behavior will not be tolerated in the classroom. Students who dominate discussions to the detriment of others or disrupt the educational atmosphere of the classroom will be given a verbal warning. My Coding Mentor expects that all students will be respectful of the instructor and other students. Discrimination of any kind will not be tolerated. Three (3) absences in a 23 week course are allowed. If the student is absent excessively, My Coding Mentor may ask the student to disenroll from the class. Students must make up all class work during absences. Students who are unable to continue classes for medical reasons or severe personal problems will be required to take a leave of absence until they are able to return to class. Proper documentation will be required to substantiate a student’s withdrawal. Equipment Requirements

All students are required to have computer access with high-speed internet connection, compatibility with Blackboard and printing capabilities.

Students on Leave of Absence If a student must take a Leave of Absence from the course, they must notify the instructor immediately Students will be given one year to re-enroll in course without paying an additional instructor’s fee. Workbooks/Membership non-refundable fee and current year coding manuals cost may be applied. After one year of student absence all course fee will be applied.

Progress Policy

My Coding Mentor will award each student with a certificate of completion including the CEU hours (if applicable) for each course we offer. We will put forth considerable effort as instructors to make sure that each student succeeds. We expect that each student will meet or exceed our expectations. Each student can expect at least 6 – 10 hours of homework per week. A minimum grade of 70% is expected. Chapter assignments, quizzes, discussions and exams all contribute to the final grade. Students must complete the course with a final grade of 70% or higher in order to receive their certificate of completion. The Comprehensive Inpatient Coding Course is a challenging course that requires commitment on the part of each student. Those who do not keep their grades at 70% or above will be placed on probation for 30 days. During the probation period students must raise their grade average to passing or higher. The student may be terminated if grades are not satisfactory at the end of the probationary period. Termination shall be at the school Director’s discretion. The Director has final authority and shall notify the student of the final decision

Conduct Policy

Students are expected to conduct themselves as responsible adults. Students may be dismissed from the class for the following reasons: 1) Attending class while under the influence of alcohol or illegal drugs- immediate dismissal will occur 2) Participating in disruptive behavior in the classroom – one verbal warning will precede dismissal 3) Excessive absences- one verbal warning will precede dismissal; effort will be made to contact the student 4) Failure to pay tuition- one verbal warning will precede dismissal, effort will be made to collect tuition 5) Physical or verbal abuse of another person or discrimination of any kind- immediate dismissal will occur 6) Cheating or dishonesty- immediate dismissal will occur

Dismissal Any student may be dismissed for violations of rules and regulations of the school, as set forth in school publications. A student also may be withdrawn from classes if he or she does not prepare sufficiently, neglects assignments, or makes unsatisfactory progress. The director, after consultation with all parties involved, makes the final decision.

The Director of Education may temporarily suspend students whose conduct is disruptive or unacceptable to the academic setting. After appropriate counseling, students who demonstrate a genuine desire to learn and conform to school standards of conduct, may be allowed to resume attendance. The director will review each case and decide upon re-admittance.

Previous Credits My Coding Mentor does not accept credits from other institutions. My Coding Mentor does not guarantee transferability of our credits to another institution unless there is a written agreement with another institution.

Student Grievance Procedure

All student concerns, complaints or grievances will be handled in the following manner. Students concerns, complaints or grievances should first be brought to the attention of the instructor.

Student will need to address their complaint or grievance in writing to:

Jill Kulanko, Owner, Instructor 425 Pine St. Frederick, CO 80530 Written responses will be given within five business days. If the student feels more resolution is needed, a written request for a formal scheduled appointment with Jill Kulanko must be made within five business days. Send request to above address. Schedule appointment between student and Jill Kulanko will take place within 10 business days upon receiving written request from student.

Student Complaints Student Complaints should be brought to the attention of the School Director to attempt resolution. The Director and student are to follow the grievance procedures according to school policy printed in the school catalog. If satisfactory resolution cannot be reached between the student and the school, the student may file a written complaint online with the Colorado Division of Private Occupational Schools at highered.colorado.gov/dpos or by requesting a complaint form at (303) 866-2723. All student complaints submitted to the Division must be in writing and shall be filed within two years after the student discontinues training at the school.

Refund Policy Students not accepted to the school are entitled to all moneys paid. Students who cancel this contract by notifying the school within three (3) business days are entitled to a full refund of all tuition and fees paid. Students, who withdraw after three (3) business days, but before commencement of classes, are entitled to a full refund of all tuition and fees paid except the maximum cancellation charge of $150.00 or 25% of the contract price, whichever is less. In the case of students withdrawing after commencement of classes, the school will retain a cancellation charge plus a percentage of tuition and fees, which is based on the percentage of contact hours attended as described in the table below. The refund is based on the last date of recorded attendance.

Refund Table

Student is entitled to upon withdrawal/termination Refund Within first 10% of program 90% less cancellation charge After 10% but within first 25% of program 75% less cancellation charge After 25% but within first 50% of program 50% less cancellation charge After 50% but within first 75% of program 25% less cancellation charge After 75% [if paid in full, cancellation charge is not applicable] NO Refund

1.The student may cancel this contract at any time prior to midnight of the third business day after signing the enrollment contract.

2.All refunds will be made within 30 days from the date of termination. The official date of termination or withdrawal of a student shall be determined in the following manner:

My Coding Mentor Page 7 of 11 EA1 03.14.15 a. The date on which the school receives written notice of the student’s intention to discontinue the training program; or b. The date on which the student violates published school policy, which provides for termination. c. Should a student fail to return from an excused leave of absence, the effective date of termination for a student on an extended leave of absence or a leave of absence is the earlier of the date the school determines the student is not returning or the day following the expected return date.

3.The student will receive a full refund of tuition and fees paid if the school discontinues a program/Stand Alone course within a period of time a student could have reasonably completed it, except that this provision shall not apply in the event the school ceases operation.

4.The policy for granting credit for previous training shall not impact the refund policy.

My Coding Mentor: Certified Inpatient Coder Prep Course

ENROLLMENT AGREEMENT

My Coding Mentor

425 Pine Street, Frederick, CO 80530

(720) 352-1291

Approved and Regulated by the Colorado Department of Higher Education,

Private Occupational School Board

General Information Date______

Student’s Name______Address______Street City State Zip

Home Phone______Bus. Phone______

Email address______

Stand Alone Course: Comprehensive Inpatient Coding Course

Start Date: 1/9/16 Estimated Completion: 5/28/16 Meeting Time: Saturdays, 8:00 am – 12:00 pm MDT

Type of Instruction: Live Webinar

Tuition & Fees Tuition $2000.00 Total

Registration Fee +$ 400.00 Due at registration

Total Cost of Course $2400.00

Method of Payment PayPal is available online or Credit Cards payments are accepted by phone.

Schedule of Payments options:

1) Tuition may be paid in one single payment using a credit card prior to the first day of class or

2) Four automatic monthly payments using PayPal.

Deposit $______Date______BALANCE DUE $______

Date Due______$______Recd______Date Due______$______Recd______

Date Due______$______Recd______Date Due______$______Recd______Date______$______

My Coding Mentor Page 9 of 11 By signing below, the student agrees to pay My Coding Mentor the total stated tuition & fees. The school agrees to provide the occupational training in accordance with the provisions of the school’s current Catalog Volume No.1, dated March 2015. Payment of all monies due shall be a condition of continuing enrollment. Upon satisfactory completion of all academic and skill requirements and when all financial obligations to the school have been met the school will award the Certificate of Completion to the student. The student and school understand that this Enrollment Agreement, WHICH INCLUDES THE REFUND POLICY may not be amended except in writing and signed by both parties.

Postponement of starting date, whether at the request of the school or the student, requires a written agreement signed by the student and the school. The agreement must set forth:

a.) Whether the postponement is for the convenience of the school or student; and,

b.) A deadline for the new start date, beyond which the start date will not be postponed.

If the course is not commenced, or the student fails to attend by the new start date set forth in the agreement, the student will be entitled to an appropriate refund of prepaid tuition and fees within 30 days of the deadline of the new start date set forth in the agreement, determined in accordance with the school’s refund policy and all applicable laws and rules concerning the Private Occupational Education Act of 1981.

Complaints, which cannot be resolved by direct negotiation between the student and the school, may be filed online with the Division of Private Occupational Schools of the Colorado Department of Higher Education, at highered.colorado.gov/dpos, 303/866-2723. All student complaints submitted to the Division must be in writing and “shall be filed within two years after the student discontinues training at the school.”

Refund Policy

Students not accepted to the school are entitled to all moneys paid. Students who cancel this contract by notifying the school within three (3) business days are entitled to a full refund of all tuition and fees paid. Students who withdraw after three (3) business days, but before commencement of classes, are entitled to a full refund of all tuition and fees paid except the maximum cancellation charge of $150.00 or 25% of the contract price which ever is less In the case of students withdrawing after commencement of classes, the school will retain the cancellation charge plus a percentage of tuition and fees, which is based on the percentage of contact hours attended in the Program/Stand Alone Course, as described in the table below. The refund is based on the official date of termination or withdrawal. Refund Table

Student is entitled to upon withdrawal/termination* Refund Within first 10% of program (Weeks 1-2) 90% less cancellation charge After 10% but within first 25% of program (Weeks 3 - 5) 75% less cancellation charge After 25% but within first 50% of program (Week 6-10) 50% less cancellation charge After 50% but within first 75% of program (Week 11-15) 25% less cancellation charge After 75% (Week 16) [if paid in full, cancellation charge is not NO Refund applicable]

5. The student may cancel this contract at any time prior to midnight of the third business day after signing this contract.

6. All refunds will be made within 30 days from the date of termination. The official date of termination or withdrawal of a student shall be determined in the following manner:

a. The date on which the school receives notice of the student’s intention to discontinue the training program; or

b. The date on which the student violates published school policy, which provides for termination.

c. Should a student fail to return from an excused leave of absence, the effective date of termination for a student on an extended leave of absence or a leave of absence is the earlier of the date the school determines the student is not returning or the day following the expected return date.

7. The student will receive a full refund of tuition & fees paid if the school discontinues a course/ program within a period of time a student could have reasonably completed it, except that this provision shall not apply in the event the school ceases operation.

8. The policy for granting credit for previous training shall not impact the refund policy.

I HAVE RECEIVED A COPY OF THIS ENROLLMENT AGREEMENT AND A CURRENT SCHOOL CATALOG.

______

Student Signature Date School’s Approved In-state Agent Date