HIT Health Information Mgt Tec (HIT)

This course helps develop a broader understanding of professional billing careers by delving into the intricacies of Managed Care Organizations and the differences among them. The course covers the foundations of insurance, billing, coding, and reimbursement.

This course focuses on the completion of medical claims forms and resolution of claim rejection using government billing guidelines for inpatient, outpatient, and physician services with a dedicated focus on Medicare, Medicaid, TRICARE, and workers compensation claim submission using the UB-04 or CMS-1500 billing forms. The student will understand the appeal process, Explanation of Benefits form, Electronic Remittance Advice form, Medicare Fee schedule, and revenue based hospital billing. The course requires the use of problem-solving and communication skills to answer questions and to write letters of appeal for denied claims. Students will be able to accurately complete claims forms without omission of data.

Organization of health care delivery in the United States including providers and professionals; role of government and external agencies; accreditation and regulatory requirements and issues; structure and function of the American Health Information Management Association; the functions of an HIM department; emphasis on the content and structure of health records and documentation requirements; introduction to electronic health records and use of HIM application software. CTHIM001 effective Spring 2016

Structure and function of non-acute healthcare facilities; accreditation and regulatory requirements; reimbursement and funding; content and structure of health records and documentation requirements; information management and the role of the HIM professional; overview of health registries with emphasis on cancer registry; students will spend observation time in a non-acute healthcare setting.

Legal aspects of health information management practice; overview of judicial system and processes; importance of the health record as a confidential and legal document; practice in the release of information function; record retention and destruction of records are studied; current legal issues, compliance, privacy and security; professional and practice related ethical issues and laws are discussed. TAG approved Spring 2012 OHL021. CTAG approved - CTHIM002 effective Spring 2012.

ICD coding systems and the professional standards for coding and reporting diagnostic inpatient and outpatient services and inpatient procedure services; coding characteristics, conventions and guidelines will be applied in identifying and accurately assigning codes; manual and electronic applications and coding references will be utilized in the coding process; study of various nomenclature and classification systems used in the healthcare field.

CPT/HCPCS coding system and its application in coding procedures; applying coding guidelines with accuracy and completeness using manual and computerized encoding systems; applying coding guidelines of previously learned coding principles; review of the outpatient prospective payment system.

Collection, organization, analysis and presentation of healthcare data; vital and public health statistics; computation and interpretation of healthcare statistics; data retrieval of clinical information from specialized databases; abstracting and maintaining data; importance of data quality and validity; reviewing Institutional Review Board processes.

Introduction to the concepts and practices of management and the role of the supervisor as it relates to the Health Information Management department; strategic planning and developing goals and objectives; importance of leadership and working in teams; orientation and training; monitoring resources and budgeting; study of practical problems in supervision.

Components of quality management in healthcare including quality assessment and improvement; utilization review; risk management and credentialing; use of quality improvement tools and techniques to assess, monitor, and report performance improvement activities; accreditation and regulatory requirements; outcome measures and patient safety.

Supervised professional practice experience in a healthcare facility which is designed to allow students to apply HIM technical knowledge and skills learned in the classroom. Students complete additional assignments and meet in seminar to discuss the HIM profession and share practicum experiences.

Supervised professional practice experience in a healthcare facility which is designed to allow students to apply advanced HIM technical knowledge and skills learned in the classroom. Students complete additional assignments and meet in seminar to discuss issues and trends in the healthcare field which impact HIM practice; career management strategies and preparing for the national RHIT examination.

Use of information technology in healthcare; computer concepts, communication and network technology; data quality and databases; data security; planning, evaluation and selection of information systems; HIM specialty systems, healthcare information systems; emerging technologies; emphasis on the electronic health record.

This course focuses on the structure and process of health care in the United States. Topics include the historical development of the health care delivery system; types of facilities, services, agencies and personnel that constitute the system, critical policy and regulatory issues the system confronts; health care financing and reimbursement; and the role of government in health care.

This virtual coding lab allows the student to apply previously learned coding skills in a simulated workplace setting; under direction of coding experts in the field, the student will practice technical, research and auditing skills while building accuracy and speed; coding a variety of authentic paper, electronic and hybrid records, using electronic applications and work processes.

Healthcare reimbursement methodologies in health care settings; healthcare insurance plans and reimbursement systems; applying methodologies such as DRG's, APC's, RBRVS, etc.; the billing process as it relates to health information management; charge master, revenue cycle management; coding compliance and data quality. TAG approved OHL022 effective spring 2018

Applying coding guidelines of previously learned coding principles through advanced coding practices with accuracy and completeness, using manual and computerized encoding systems; clinical coding and applying reimbursement methodologies; health information management; coding compliance and data quality.