Catalog Course Search Details

 Department:    AHE

 Course #:    123

 Credits:    5

 Variable:     No

 IUs:    5

 CIP:    510801

 EPC:    381

 REV:    2018

 Course Description  

Application of professional skills in evaluating medical records for accuracy and completeness in the hospital health care setting. Covers assignment of correct code numbers to diagnoses and procedures for data retrieval and UB-04 claim form submission.

 Prerequisite  

Prerequisite: AHE 122 with minimum C grade or department chair permission.

Contact Hours (based on 11 week quarter)

Lecture: 55

Lab: 0

Other: 0

Systems: 0

Clinical: 0

Intent: Distribution Requirement(s) Status:  

Vocational Preparatory Required for certificate  

Equivalencies At Other Institutions

Learning Outcomes

After completing this course, the student will be able to:

1. Become skilled in the use of the Current Procedural Terminology (CPT) manual.
2. Be familiar with selected hospital care codes and modifiers.
3. Become practiced in selecting Evaluation and Management (E/M) codes.
4. Use research techniques to determine accurate coding of unlisted procedures.
5. Demonstrate the ability to code procedures and diagnoses for various procedural studies.
6. Be proficient in the use of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) manual.
7. Demonstrate the ability to code procedures, diagnoses, and HCPCS for use on UB-04 claim forms from selected case studies.

General Education Learning Values & Outcomes

Revised August 2008 and affects outlines for 2008 year 1 and later.

1. Information Literacy

Definition: Recognizing when information is needed and have the ability to locate, evaluate, and use effectively the needed information.

Outcomes: Students will be able to . . .
1.1 Determine the extent of information needed.
1.3 Evaluate information and its sources critically.
1.5 Effectively integrate and use information ethically and legally to accomplish a specific purpose.

2. Critical Thinking

Definition: The ability to think critically about the nature of knowledge within a discipline and about the ways in which that knowledge is constructed and validated and to be sensitive to the ways these processes often vary among disciplines.

Outcomes: Students will be able to . . .
2.1 Identify and express concepts, terms, and facts related to a specific discipline.

10. Technology

Definition: Understanding the role of technology in society and using technology appropriately and effectively.

Outcomes: Students will be able to . . .
10.3 Use technology appropriate to the context and task to effectively retrieve and manage information, solve problems, and facilitate communication.

Course Contents

1. Organizing, analyzing, and technically evaluating hospital health care records for billing purposes.
2. Assignment of correct codes to diagnoses.
3. Assignment of correct codes to procedures.
4. Correct completion of hospital UB-04 claim forms.