ADVANCED MEDICAL CODING OST 205 3 Credit Hour

SYLLABUS

SPRING 2009 Tuesday and Thursday 9:30-12:15 Room # 225

Savanna Garrity Medical Information Technology Program Coordinator Office # 269 (270) 824-8645 [email protected]

Office Hours Monday and Wednesday 10:00-12:00 Tuesday and Thursday 8:30-9:30 Friday by appointment

Madisonville Community College 2000 College Drive Madisonville KY 42431 (270) 821-2250 COURSE DESCRIPTION

The focus of this course is learning the additional (advanced) coding rules for the CPT, ICD-9- CM, and Level II (HCPCS) coding systems and then applying the rules to code patient services. In addition, a variety of payment systems are presented. The course content will also include the topics of Medicare fraud/abuse, HMOs, and PROs.

PREREQUISITES OR COREQUISITES

OST 204

COURSE OBJECTIVES

 accurately apply advanced procedure coding rules using CPT-4, ICD-9 Vol. III, and HCPCS coding system;  accurately apply advanced diagnostic coding rules using ICD-9 coding system;  complete various insurance billing forms accurately;  list components of the various reimbursement system;  state the framework of Medicare fraud and abuse; and  identify the major components of managed health care.

GENERAL EDUCATION COMPETENCIES

I. Communicate Effectively 1. Read and listen with comprehension.  Assessed with classroom exercises and Textbook CD-Rom exercises. 2 Interact cooperatively with others using both verbal and non-verbal means.  Assessed with in-class group projects. Students will work in teams of two to four members.

II. Think Critically 1. Make connections in learning across the disciplines and draw logical conclusions.  Assessed with final examination that will be a replica of the certification examination give by the American Academy of Professional Coders. 2. Demonstrate problem solving through interpreting, analyzing, summarizing, and/or integrating a variety of materials.  Assessed with various Case studies and final examination. 3. Use mathematics to organize, analyze, and synthesize data to solve a problem.  Assessed with case Studies, in class assignments and examinations.

III. Learn Independently 1. Use appropriate search strategies and resources to find, evaluate, and use information.  Assessed with case studies, in-class assignments and examinations.

INSTRUCTIONAL METHOD

A major part of the class time is used for lecture presentation; however, other methods will be used as an adjunct to lectures in order to clarify technical material and involve the student population. Demonstration is used to clarify difficult concepts and illustrated job skills. There will be time for questions regarding the subject matter, class discussions, games, drills, review of homework, and quizzes, video presentations, and group activities. Homework varies depending on the student and chapter material. Average homework ranges from one to 4 hours per week.

REQUIRED TEXTS

Step-by-Step Medical Coding 2009 edition, Carol Buck, WB Saunders Publishing CPC Coding Exam Review 2009 edition, Carol Buck, WB Saunders Publishing ICD-9-CM HCPCS CPT

RECOMMENDED ADDITIONAL SUPPLIES AND REFERENCES

 Set of highlighter pens  Folders to keep papers organized  A Medical Dictionary

STUDENT RESPONSIBILITES

Each student is responsible to

 Be on time, dependable, reliable, and motivated to learn  Maintain a positive attitude toward the work and be honest in the desire to succeed  Show respect for fellow students and work cooperatively with them when asked to do so on assignments or projects  Avoid gossip. Issues between individuals are to be discussed ONLY between the parties involved and the instructor  All work must have the student’s name, date, class name and the exercise in the upper right corner of the paper.

ATTENDANCE POLICY

Because regular attendance is important to your success, you are expected to attend all class sessions as scheduled. If you know you will be arriving late or need to leave early, please notify me ahead of time. In the event of an absence, you are responsible to obtain the homework assignment(s) and notify me prior to the absence. You may call my voice mail at (270) 824-8645 to leave a message. There are critical times during the course when making up work even from one absence will be extremely difficult. LATE WORK

Lake homework will receive a 10% reduction. You have one week to hand in late work.

EXTRA CREDIT

A variety of extra credit assignments will be offered throughout the course. These assignments are not designed to “make up” missed work. They are designed to give students an opportunity to practice skills and do projects that will help increase their knowledge and boost their grade. Each extra credit assignment has a point value; however, this value should not be confused with other points that are being obtained for regular course work. If you are absent on a day that an extra credit assignment is given then you will not be given the opportunity to make it up.

QUESTIONS

Sometimes questions are not thought of until after the class has been dismissed. If you have a concern or an unanswered question, please drop in during my office hours or call my voice mail (270) 824-8645 and leave your name, date, and time you called, your question, and within the next two days, I will return your call. I will be glad to speak to you regarding you concerns.

WITHDRAWAL POLICY

Students can withdraw from class until the date given in the printed class schedule. If you find it necessary to withdraw form class, please be sure to file an official drop slip with Admissions. You will not be removed from the class roll if you merely stop coming.

GRADING POLICY

ASSIGNMENTS and TESTS 100%

To communicate using Standard English, your writing will be evaluated by utilized various assignments. With further attention to the evaluation of your writing, all faculty are expected to call attention to and penalize for errors in English usage and require the rewriting of paper which do not meet acceptable standards,” (CCS Rules, Section V232)

SUPPORT SERVICES

 Medical dictionaries, CPT and ICD-9-CM resources are available in the classroom for your use. Please see me to reserve these items.  The medical software that accompanies the Work text may be loaded on your home computer and is loaded on computers in the classroom. Disability Services If you have a documented disability and need any type of accommodation, you are required to register with the Disability Resource Coordinator. Contact Valerie Wolfe, Disability Resource Coordinator, Room 112 LRC, 270- 824-1708.

STUDY TIPS

 Review Syllabus and outline often  Read the assigned lecture material prior to the lecture  Find a quiet, comfortable place to study, one that welcomes you and makes you feel ready to learn. Get into a “posture” for study. Do not lie down or get too comfortable  Manage your study time wisely and study in segments. Do not try to read all the material, answer all the questions, or do all the exercises in one session.  Take breaks during your study time  Make flash cards for key terms. By writing them, reading them, and saying them you will learn them quickly. These are also good for a comprehensive review.  Take flash cards and other study materials with you to different places. You never know when you may have a few minutes to learn a term or review a concept  Study with a partner or in a group.  Highlight important information in the textbook. Mark in the margins, note questions, and use the entire book as a study guide.  Take notes as you read, or develop a chapter outline  Seek help if you are having difficulties, consult with your instructor, and do not wait until you fall behind in the class.  Do not cram the night before a test. Study for several days. Learn relaxation techniques to calm yourself if you have test anxiety.

STUDENT RESOURCES

Library http://courses.madcc.kctcs.net/library/loman.html

Job Bank http://www.ajb.dni.us/seeker/seach/

Student Code of Conduct: www.kctcs.edu/student/code.htm COURSE OUTLINE

DATE MATERIAL TO BE DUE DATES COVERED 3/17 Syllabus Chapter11 3/19 Chapter 12 . 3/24 Chapter 13 3/26 Chapter 13 3/31 Chapter 14 Test 11-13 4/2 Chapter 14 4/7 Chapter 14/15 4/9 Chapter 15 4/14 Chapter 15 4/16 Chapter 16 4/21 Chapter 16 4/27 Unit 2 Test 14-16 4/28 Unit 3 4/30 Unit 3 5/5 Unit 4 5/7 Unit 4 Final Exam Due