MORRISVILLE
Course
Outline/Syllabus
OFFT
200 Medical Coding/Billing Instructor: TBA
Course Description
This
is a beginning medical coding and billing course designed to provide students
with a working knowledge of coding diagnosis and billing to customers or
insurance carriers. The first eight weeks focuses the students with the coding
of medical diagnosis. The second eight
weeks focuses the students in the field of patient billing. MediSoft
software is utilized by the student to simulate the medical billing skills
instructed through the course. The
concepts introduced in this course are general enough to cover most patient
billing and accounting software. The software is a popular patient billing and
accounting software program. It enables health care practices to maintain their
billing data as well as to generate report information. The software handles
all the basic tasks that a medical billing assistant needs to effectively
perform his/her job.
Texts
Step-by-Step Medical Coding, 2005 Edition,
by Carol Buck, Saunders
Workbook to Accompany Step-by-Step
Medical Coding, 2005 Edition, by Carol J. Buck, Saunders
Saunders 2005 ICD-9-CM, Volumes 1, 2,
and 3, and HCPCS Level II, by Carol
J. Buck, Saunders
Current Procedural Terminology, American
Medical Association
Prerequisites: OFFT 116
(Medical Keyboarding); OFFT 250 – Medical Terminology
Offered: Every Spring Semester
Course Objectives: Upon completion of this
course, a student will be able to:
1.
Identify
the purpose of the Current Procedural Terminology (CPT) Manual.
2.
Identify
placement of CPT codes on Insurance forms.
3.
Interpret
terminology and symbols used in CPT Manual
4.
Analyze
key components and contributing factors on medical reports pertaining to
different medical procedures
5.
Identify
critical elements of documentation guidelines.
6.
State
important coding considerations.
7.
Analyze
differences among new, established, inpatient and outpatient
8.
Explain
and apply ICD-9-CM coding conventions
9.
List
uses of ICD-9-CM
10. Understand the
application of the ICD-9-CM Official Coding Guidelines
11. Understand the framework
of Medicare Fraud and Abuse
Course Outline
Week 1 Chapter 1 Introduction
to the CPT
Weeks 2
& 3 Chapter 2 Evaluation
and Management (E/M) Section
Week 4 Chapter 3 Anesthesia
Section and Modifiers
Week 5 Quiz on Chptrs.
1-3
Chapter 4 Introduction to the Surgery Section and
Integumentary System
Week 6 Chapter 5 Musculoskeletal
System
Chapter
6 Respiratory System
Week 7 Quiz on Chptrs.
4-6
Chapter 7 Cardiovascular System
Week 8 Chapter 8 Female
Genital System and Maternity Care and
Delivery
MIDTERM EXAM (on first 8 Chptrs.)
Week 9 Spring Break
Chapter 9 General Surgery I
Chapter
10 General Surgery II
Week 10 Chapter 11 Radiology
Section
Chapter
12 Pathology/Laboratory Section
Week 11 Chapter 13 Medicine
Section and Level II National Codes
Quiz on Chptrs 9-13
Weeks 12
& 13 Chapter 14 An Overview
of the ICD-9-CM
Weeks 14
& 15 Chapter 15 Using the ICD-9-CM
Quiz on ICD-9-CM
Weeks 16 Chapter 16 Third-party
Reimbursement Issues
Review for Final Exam
Final Exam – given during Final Exam Week.
Evaluation and Grading
Grades
are calculated by grades received on Midterm Exam, Final Exam, homework
assignments, and Chapter quizzes.
The
letter grade is based on the following scale:
A 100
– 95
A- 94 – 90
B+ 89 – 85
B 84 – 80
B- 79 – 76
C+ 75 – 70
C 69 – 65
C- 64 – 60
D+ 59 – 55
D 54 --50
F Below
50
·
60% of the final grade is based on chapter
quizzes that evaluate knowledge of the text information and ability to code
patient services.
·
20% of the final grade is based on the homework,
outside assignments, and/or quizzes.
·
20% of the final grade is based on the Midterm
and Final Exam
Homework assignments are taken from the Workbook that accompanies textbook. It includes matching terminology with coding, as well as problem solving within coding scenarios (determining primary codes to be used within scenarios).
Midterm, Quizzes and Final Exam – any codes and terminology utilized within the Chapters previously covered (as outlined above). Short answer questions will also be included on these quizzes so as to strengthen student’s medical vocabulary and terminology.
Attendance is expected at all class
sessions. Penalties procedures for not attending class stipulate that if you
miss more than 3 (three) classes, for any reason, you may be asked to withdraw
from the class or you may be given an automatic F. Please note, if you
are late for class, it is your responsibility to ensure that the instructor has
marked you present in class at the end of that session. Your attendance for
that day will be added; however, it will be noted as a Late Arrival. The student should contact the instructor in
advance when an absence is necessary.
The student is responsible for all material covered and assignments
given when absent from class will still be due within the original homework due
date. (No homework extensions are
granted due to class absence.) You may go
to www.eclass.morrisville.com
(or go to Morrisville’s homepage and click on WebCT
link) to get homework assigned for that day.
Passwords are the same as what you type in to log into the campus
system.
Students with Disabilities:
If you are a
student with a documented disability, who wishes to use academic
accommodations, you should do the following:
1). Speak with me
during the first two weeks of class.
2). Speak with faculty at the
Academic Honesty
Please refer to the Code of Academic Honesty and the Student Code of Conduct (items six, eight, and ten) in the Morrisville State College Handbook to identify violations of and penalties for academic dishonesty. The instructor will adhere to these Codes should circumstances warrant their use. Academic honesty promotes continued academic and occupational success. Maintenance of academic honesty and quality education is the responsibility of both faculty and students. Any written assignments (including all electronic media) submitted by a student must be original authorship. Representation of another’s work as his/her own shall constitute plagiarism. See the student handbook for more information.