Maricopa Community Colleges  HIM216   20066-20066 
Official Course Description: MCCCD Approval: 12/13/05
HIM216 20066-20066 LAB 1 Credit(s) 5 Period(s)
Professional Practice in Hospital-Based Coding
Practical application of coding guidelines for hospital-based medical coding. Use of International Classification of Diseases and Current Procedural Terminology systems to code services for hospital patients.
Prerequisites: (HIM209, HIM211, and HIM214), and permission of Program Director. Corequisites: HIM215 or permission of Program Director.
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MCCCD Official Course Competencies:
 
HIM216   20066-20066 Professional Practice in Hospital-Based Coding
1. Follow professional practice guidelines for hospital-based medical coding. (I)
2. Complete professional practice documentation including practice summaries and evaluations. (I)
3. Code patient diagnoses using the International Classification of Diseases (ICD) guidelines. (II)
4. Code inpatient procedures using International Classification of Diseases (ICD) guidelines. (II)
5. Code outpatient procedures using Current Procedural Terminology (CPT) guidelines. (II)
6. Attach modifiers to outpatient codes when applicable. (II)
7. Attach evaluation and management coding when applicable. (II)
8. Attach Healthcare Common Procedure Coding System (HCPCS) codes when appropriate. (II)
9. Describe the flow of patient documentation within a hospital setting. (III)
10. Describe the use of coded information from initial patient encounter through the billing process. (III)
11. Describe the techniques used to ensure coding quality as part of a compliance program. (IV)
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MCCCD Official Course Outline:
 
HIM216   20066-20066 Professional Practice in Hospital-Based Coding
    I. Professional Practice
        A. Guidelines
        B. Summaries
        C. Evaluations
      II. Hospital-Based Coding Practice
          A. ICD codes
            1. Patient diagnoses
            2. Inpatient procedures
          B. CPT codes
            1. Outpatient procedures
            2. Outpatient code modifiers
          C. Evaluation and management codes
          D. HCPCS codes
        III. Hospital-Based Data Development
            A. Patient documentation
            B. Coded information
          IV. Coding Quality Compliance Techniques
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