Medical Records (530)

530-120. Intro to Medical Reimbursement. (2 Credits)

Investigates key trends that impact healthcare costs and reimbursement systems, including prospective payment methods and value-based purchasing. Learners compare government and non-government payers, explore payment methods, and apply systems to maximize reimbursement. Additionally, learners will gain skills in managing claim processes and advocating for patients navigating healthcare services.

Prerequisites: 530-180 with a minimum grade of C and 530-197 with a minimum grade of C and 530-184 with a minimum grade of C and 530-199 (may be taken concurrently) with a minimum grade of C and 530-171 (may be taken concurrently) with a minimum grade of C

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530-121. Intro to Health Data Analytics. (3 Credits)

Covers essential healthcare data analytics skills, including using statistics, secondary data sources, and database design. Students will collect and analyze data, create visualizations, and report findings. Practical exercises and real-world examples prepare students to excel in healthcare analytics.

Prerequisites: 530-180 with a minimum grade of C and 801-197 with a minimum grade of C and 530-190 (may be taken concurrently) with a minimum grade of C

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530-157. Revenue Cycle Management. (2 Credits)

Develops skills in managing the revenue cycle by collaborating with teams, ensuring compliance, and applying measures to improve efficiency. Learners will evaluate coding practices for fraud and abuse, conduct audits, and handle appeals. Additionally, learners will analyze utilization data, manage the charge description master (CDM), and conduct clinical documentation improvement (CDI) activities to enhance documentation and reimbursement accuracy.

Prerequisites: 530-197 with a minimum grade of C and 530-171 with a minimum grade of C and 530-184 with a minimum grade of C and 530-199 with a minimum grade of C and 530-120 with a minimum grade of C and 530-165 (may be taken concurrently) with a minimum grade of C

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530-158. Healthcare Law. (3 Credits)

Develops skills to maintain a legally defensible health record, differentiate between legal health records, and ensure compliance with regulations related to patient rights and confidentiality. Learners will interpret laws affecting health information, process requests for health data, and prepare records for legal proceedings. Additionally, learners will analyze organizational policies for regulatory compliance, evaluate risk management data, and recommend responses to breaches of professional ethics.

Prerequisites: 530-180 with a minimum grade of C and 801-197 (may be taken concurrently) with a minimum grade of C

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530-159. Healthcare Revenue Management. (3 Credits)

Learn to compare and contrast healthcare payers, illustrate the reimbursement cycle and comply with regulations related to fraud and abuse. Assign payment classifications with entry-level proficiency using computerized encoding and grouping software.

Prerequisites: 530-184 with a minimum grade of C and 530-197 with a minimum grade of C and 530-199 with a minimum grade of C and 530-162 (may be taken concurrently) with a minimum grade of C

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530-161. Health Quality Management. (3 Credits)

Explores the programs and processes used to manage and improve healthcare quality. Addresses regulatory requirements as related to performance measurement, assessment, and improvement, required monitoring activities, risk management and patient safety, utilization management, and medical staff credentialing. Emphasizes the use of critical thinking and data analysis skills in the management and reporting of data.

Prerequisites: (501-307 with a minimum grade of C or 501-107 with a minimum grade of C) and 530-163 with a minimum grade of C and 530-167 (may be taken concurrently) with a minimum grade of C

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530-162. Foundations of HIM. (3 Credits)

Introduces learners to the healthcare delivery system, and the external forces that influence healthcare delivery. Sets an understanding for the expectations and standards related to professional ethics, confidentiality and security of health information. Differentiates the use and structure of healthcare data elements, data standards, and the relationships between them. Prepares learners to collect and maintain health data to ensure a complete and accurate health record.

Prerequisites: (501-307 (may be taken concurrently) with a minimum grade of C or 501-107 (may be taken concurrently) with a minimum grade of C)

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530-163. Healthcare Stats and Analytics. (3 Credits)

Explore the management of medical data for statistical purposes, focusing on descriptive and inferential statistics including definition, collection, calculation and compilation of numerical data. Examine data analytics, retrieval, presentation and research methodologies.

Prerequisites: 530-162 with a minimum grade of C and 530-165 (may be taken concurrently) with a minimum grade of C and 801-197 (may be taken concurrently) with a minimum grade of C

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530-164. Intro to Health Informatics. (3 Credits)

Emphasizes the role of information technology in healthcare through an investigation of the electronic health record (EHR), business, and health information software applications. Learners will develop skills to assist in enterprise information management and database architecture design and implementation.

Prerequisites: (501-307 with a minimum grade of C or 501-107 with a minimum grade of C) and 530-157 with a minimum grade of C and 530-190 with a minimum grade of C and 530-158 with a minimum grade of C and 530-121 with a minimum grade of C and 530-179 (may be taken concurrently) with a minimum grade of C

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530-165. Intermediate Coding. (3 Credits)

Prepares students to assign ICD and CPT/HCPCS codes supported by medical documentation and official coding guidance to support appropriate reimbursement. Students will participate in CDI activities, including preparation of appropriate physician queries in accordance with compliance guidelines.

Prerequisites: 530-180 with a minimum grade of C and 530-184 with a minimum grade of C and 530-197 with a minimum grade of C and 530-171 with a minimum grade of C and 530-199 (may be taken concurrently) with a minimum grade of C and 530-120 (may be taken concurrently) with a minimum grade of C

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530-166. HIT Capstone. (1 Credit)

Explore technical skills and professional attributes desired for the HIM profession, and conduct activities to assess one’s own readiness to enter the health information industry.

Prerequisites: 530-196 (may be taken concurrently) with a minimum grade of C

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530-167. Management of HIM Resources. (3 Credits)

Examines the principles of management to include planning, organizing, human resource management, directing, and controlling as related to the health information department.

Prerequisites: (530-159 with a minimum grade of C and 530-178 (may be taken concurrently) with a minimum grade of C and 530-163 (may be taken concurrently) with a minimum grade of C and 809-172 (may be taken concurrently) with a minimum grade of C)

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530-171. ICD Diagnosis Coding 2. (2 Credits)

Prepare to assign ICD diagnosis codes to case studies with increasing complexity, building on the skills demonstrated in ICD Diagnosis Coding. Gain an introduction to concepts and coding practices that will be further developed in Intermediate Coding.

Prerequisites: 530-182 with a minimum grade of C and 530-180 with a minimum grade of C and 530-197 with a minimum grade of C

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530-178. Healthcare Law & Ethics. (2 Credits)

Examine regulations for the content, use, confidentiality, disclosure and retention of health information. Get an overview of the legal system and ethical issues.

Prerequisites: (530-162 (may be taken concurrently) with a minimum grade of C and 801-197 (may be taken concurrently) with a minimum grade of C)

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530-179. Management & Performance Improvement. (3 Credits)

Compares management theories and leadership styles while investigating the role of the HIM Manager. Learners will conduct operational and human resource management activities and explore project management and performance improvement tools. Additionally, learners will utilize data analytics for strategic planning, evaluate performance data for trends, and report outcomes to external agencies.

Prerequisites: 530-190 with a minimum grade of C and 530-158 with a minimum grade of C and 530-121 with a minimum grade of C and 530-157 (may be taken concurrently) with a minimum grade of C and 809-172 (may be taken concurrently) with a minimum grade of C and 809-199 (may be taken concurrently) with a minimum grade of C

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530-180. Intro to Health Information. (2 Credits)

Investigates the external forces shaping the healthcare delivery system, differentiating between types of organizations across the continuum of care. Learners will explore the roles and responsibilities of various healthcare providers and the interrelationships among them, as well as the specific duties of health information professionals. Additionally, learners will demonstrate professional ethical standards and examine both paper and electronic health records.

Prerequisites: (501-301 (may be taken concurrently) with a minimum grade of C or 501-101 (may be taken concurrently) with a minimum grade of C or 501-150 with a minimum grade of C and 501-151 (may be taken concurrently) with a minimum grade of C) and (501-307 (may be taken concurrently) with a minimum grade of C or 501-107 (may be taken concurrently) with a minimum grade of C)

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530-182. Human Diseases for Hlth Profes. (3 Credits)

Become familiar with the common diseases encountered in all types of healthcare settings by health information professionals. Examine the causes, signs and symptoms, diagnostic tests and treatment of each disease.

Prerequisites: (501-301 with a minimum grade of C or 501-101 with a minimum grade of C or 501-150 with a minimum grade of C and 501-151 with a minimum grade of C) and (806-189 with a minimum grade of C or 806-177 with a minimum grade of C) and (501-307 (may be taken concurrently) with a minimum grade of C or 501-107 (may be taken concurrently) with a minimum grade of C)

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530-184. CPT Coding. (3 Credits)

Learn how to assign Current Procedural Terminology – CPT codes – supported by medical documentation, with entry-level proficiency. Apply CPT instructional notations, conventions, rules and official coding guidelines when assigning CPT codes to case studies and actual medical record documentation.

Prerequisites: (501-301 with a minimum grade of C or 501-101 with a minimum grade of C or 501-150 with a minimum grade of C and 501-151 with a minimum grade of C) and (806-189 with a minimum grade of C or 806-177 with a minimum grade of C) and 530-182 (may be taken concurrently) with a minimum grade of C and 530-180 (may be taken concurrently) with a minimum grade of C

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530-185. Healthcare Reimbursement. (2 Credits)

Prepares learners to compare and contrast health care payers, illustrate the reimbursement cycle, and to comply with regulations related to fraud and abuse. Learners assign payment classifications with entry level proficiency using computerized encoding and grouping software.

Prerequisites: 530-197 with a minimum grade of C and 530-199 (may be taken concurrently) with a minimum grade of C and 530-162 with a minimum grade of C and (530-184 with a minimum grade of C or 530-159 with a minimum grade of C)

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530-190. Data Management in HIM. (2 Credits)

Evaluate compliance with documentation requirements, comparing standards from various accreditors. Perform record completion processes, including quantitative and qualitative analysis, while monitoring compliance with documentation standards. Learn to utilize secondary data sources, manage the master patient index, and apply retention and destruction policies for electronic health information. Build essential skills for effective data management in healthcare.

Prerequisites: 530-180 with a minimum grade of C and 801-136 (may be taken concurrently) with a minimum grade of C and 801-196 (may be taken concurrently) with a minimum grade of C

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530-196. Professional Practice. (3 Credits)

Apply previously acquired skills and knowledge through clinical experiences in the technical procedures of health record systems and discussion of clinical situations. You may participate in a supervised clinical experience in healthcare facilities.

Prerequisites: (530-165 with a minimum grade of C and 530-167 (may be taken concurrently) with a minimum grade of C and 530-164 (may be taken concurrently) with a minimum grade of C and 530-161 (may be taken concurrently) with a minimum grade of C)

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530-197. ICD Diagnosis Coding. (3 Credits)

Learn to assign ICD diagnosis codes supported by medical documentation with entry-level proficiency. Apply instructional notations, conventions, rules and official coding guidelines when assigning ICD diagnosis codes to case studies and actual medical record documentation.

Prerequisites: (501-301 with a minimum grade of C or 501-101 with a minimum grade of C or 501-150 with a minimum grade of C and 501-151 with a minimum grade of C) and (806-189 with a minimum grade of C or 806-177 with a minimum grade of C) and 530-182 with a minimum grade of C and 530-180 (may be taken concurrently) with a minimum grade of C

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530-198. Professional Practice 2. (3 Credits)

This is the second of a two-semester sequence of supervised technical and managerial clinical experiences in healthcare facilities. It provides application of previously acquired skills and knowledge and discussion of clinical situations, preparation for the certification examination and pre-graduation activities.

Prerequisites: 530-196 with a minimum grade of C and (530-190 with a minimum grade of C or 530-160 (may be taken concurrently) with a minimum grade of C) and (530-193 with a minimum grade of C or 530-161 (may be taken concurrently) with a minimum grade of C) and 530-195 (may be taken concurrently) with a minimum grade of C and 530-194 (may be taken concurrently) with a minimum grade of C

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530-199. ICD Procedure Coding. (2 Credits)

Learn to assign ICD procedure codes supported by medical documentation with entry-level proficiency. Apply instructional notations, conventions, rules and official coding guidelines when assigning procedure codes to ease case studies and actual medical record documentation.

Prerequisites: (501-301 with a minimum grade of C or 501-101 with a minimum grade of C or 501-150 with a minimum grade of C and 501-151 with a minimum grade of C) and (806-189 with a minimum grade of C or 806-177 with a minimum grade of C) and 530-182 (may be taken concurrently) with a minimum grade of C and 530-180 (may be taken concurrently) with a minimum grade of C

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