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HIMT 2208 (formerly HIT 2240) Syllabus

Course Syllabus

HIMT 2208 (formerly HIT 2240) - Professional Practice Experience II

2 Credit Hours

Course Information

Course Description:

This course is a study of supervisory and management functions. There is a focus on planning, organizing, staffing, directing and controlling in healthcare organizations. Special emphasis will study managerial techniques to supervise, motivate, counsel, lead, train and communicate with staff in health information services.

Course Outcomes:

Upon successful completion of this course, the student will be able to:

  • Apply policies and procedures to ensure the accuracy of health data.
  • Apply organization-wide health record documentation guidelines.
  • Use electronic applications and work processes to support clinical classification and coding.
  • Apply diagnosis/procedure codes using ICD-9-CM and CPT/HCPCS.
  • Assign DRGs and APCs.
  • Adhere to current regulations and established guidelines in code assignment.
  • Validate coding accuracy using clinical information found in the health record.
  • Validate discharge dispositions (status) abstracted on patient’s accounts.
  • Explain what processes a coding manager uses to monitor coding accuracy.
  • Resolve discrepancies between coded data and supporting documentation.
  • Review Local Coverage Determinations (LCDs) and determine applicability to clinical documentation.
  • Demonstrate an understanding of admission, continued stay, and medical necessity criteria for inpatient, observation, and outpatient services.
  • Observe and work with coders to review the process for obtaining a diagnosis on a delinquent record and to observe/assist in the billing office to follow the flow of information from coding to abstracting to billing.
  • Assess the status of unbilled accounts at an acute care facility.
  • Compare the differences and similarities of release of information in an acute care facility and a psychiatric/drug abuse rehabilitation setting.
  • Demonstrate an understanding of the completion of utilization/continued stay reviews by observing activities performed by a utilization review coordinator/case manager.
  • Summarize the role of health information services in relation to risk management. 

Assist in a quality management project in a healthcare facility. 

Prerequisites & Co-requisites:

Pre- and co-requisites should be defined by individual institutions and must be courses from General Education Requirements - Core and Major Field Core Courses.

Course Topics:
  • ICD-9-CM and CPT/HCPCS coding
  • Clinical documentation
  • National Correct Coding Initiative
  • Medical necessity/admission criteria (Intensity of Service/Severity of Illness criteria)
  • Revenue cycle
  • Confidentiality, HIPAA, and release of information
  • Records management for psychiatric/drug abuse rehabilitation facility
  • Work teams
  • Utilization management
  • Risk management
  • Quality management/performance improvement 

    HIM Associate Degree Entry Level Competencies: Domains, Subdomains, and Tasks

    I.A.2. Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status.
    I.A.4. Contribute to the definitions for and apply clinical vocabularies and terminologies used in the organization’s health information systems.
    I.A.5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries, and/or databases.
    I.C.1. Use and maintain electronic applications and work processes to support clinical classification and coding.
    I.C.2. Apply diagnosis/procedure codes using ICD-9-CM.
    I.C.3. Apply procedure codes using CPT/HCPCS.
    I.C.4. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and so on.
    I.C.5. Adhere to current regulations and established guidelines in code assignment.
    I.C.6. Validate coding accuracy using clinical information found in the health record.
    I.C.8. Resolve discrepancies between coded data and supporting documentation.
    I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery.
    I.D.2. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes.
    I.D.3. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative.
    I.D.4. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems.
    II.A.1. Abstract and maintain data for clinical indices/databases/registries.
    II.A.2. Collect, organize, and present data for quality management, utilization management, risk management, and other related studies. 
    II.B.1. Abstract and report data for facility-wide quality management and performance improvement programs.
    III.B.2. Apply policies and procedures for access and disclosure of personal health information.
    III.B.3. Release patient-specific data to authorized users.
    III.B.4. Maintain user access logs/systems to track access to and disclosure of identifiable patient data.
    IV.A.3. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
    IV.D.1. Apply confidentiality and security measures to protect electronic health information.
    V.A.2. Organize and contribute to work teams and committees.
    V.A.8. Use quality improvement tools and techniques to monitor, report, and improve processes.
    V.B.3. Monitor coding and revenue cycle processes. 

Specific Course Requirements:

This course requires students to work on assignments scheduled at a healthcare facility during daytime hours under the supervision of a credentialed health information professional or someone with comparable expertise. Students must be assigned to a facility in accordance with Health Information Technology (HIT) program policy which requires an affiliation agreement between the facility and sponsoring college. If an affiliation agreement cannot be obtained, then professional practice experiences will be simulated. The student must behave in a professional, ethical manner in the manner expected for a health information management professional.

Students will apply and practice skills that have been learned in health information management courses. These practice activities are intended to build proficiency in coding, abstracting, and release of information responsibilities. Further, students will experience the value of risk management and quality management/performance improvement activities and the contribution of health information services in a healthcare facility’s revenue cycle.

Prior to placement in a professional practice assignment, a student must pass the required background check and health requirements as outlined in the Health Information Technology program policies. 

Textbooks, Supplementary Materials, Hardware and Software Requirements

Required Textbooks:

Please visit the Virtual Bookstore to obtain textbook information for this course. Move your cursor over the "Books" link in the navigation bar and select "Textbooks & Course Materials." Select your Program, Term, Department, and Course; then select "Submit."

Supplementary Materials:

Students must obtain liability insurance offered through a group policy at the sponsoring college. If more than one year has elapsed since the student was given clearance to participate in professional practice experiences, then the student must meet the requirements for another background check, immunizations, physical examination, and other requirements stipulated by the professional practice site.

Student membership to the American Health Information Management Association (AHIMA). 

Practice Briefs published by AHIMA. Subscription and access to AHIMA’s virtual lab. 

Hardware and Software Requirements:

Minimum hardware requirements can be found here.

Minimum software requirements can be found here.

Common applications you might need:

Web Resources:

Purdue OWL Online Writing Lab (for APA, MLA, or Chicago style)

The Writing Center Online Writer's Handbook

Student Resources:
  • Technical support information can be found on the TN eCampus Help Desk page.
  • Smarthinking virtual tutoring is available FREE of charge. to access Smarthinking, visit the course homepage and select Smarthinking under Course Resources. You also view sample sessions to see what Smarthinking offers and how it works.
  • Information on other student issues or concerns can be located on the TN eCampus Student Resources page.

Instructor Information

Please see "Instructor Information" in the Getting Started Module for instructor contact information, virtual office hours, and other communication information. You can expect to receive a response from the instructor within 24-48 hours unless notified of extenuating circumstances.

Participation, Assessments, & Grading

Testing Procedures:

No test will be administered for this course. The degree of success in meeting the learning objectives of this course will be determined by the assessment of the student’s clinical participation and written reports by the student, professional practice supervisor, and professional practice coordinator. 

Grading Procedures:
  • Projects, case studies, and/or simulated practices = 40%
  • Participation in course discussion threads = 10%
  • Professional practice supervisor’s evaluation of student = 20%
  • Student’s completion of professional practice summary of activities = 30% 
Grading Scale:

Assignments will be averaged according to the grading procedure outlined above. Overall course grade will be computed as below according to the RODP HIT program policy: 

93-100A
85-92B
77-84C
70-76D
69 and belowF

 

Assignments and Projects:

A detailed description and schedule of assignments including due dates may be found under the Weekly Class Schedule within the course module. A general overview is listed below:

Week 1 – Introduction to acute care hospital.
Release of information activities
Inpatient and outpatient coding for acute care

Week 2 – Release of information activities

Week 3 – Outpatient diagnostic coding at acute care facility
Application of Local Coverage Determinations
Review of medical necessity for outpatient diagnostic services

Week 4 – Inpatient coding and DRG assignment

Week 5 - Ambulatory surgery coding and APC assignment

Week 6 -- Ambulatory surgery coding and APC assignment

Week 7 – Inpatient coding and DRG assignment
Review unbilled account status with coding manager and learn how coding quality is monitored

Week 8 – Shadow a utilization review/case manager for a day

Week 9 – Work with quality improvement coordinator and assist in collection of data for a performance improvement study

Week 10 - Finish performance improvement study
Work with coding manager to see how PEPPER reports are monitored and evaluated

Week 11 – Meet with risk manager
Work on assignments as needed

Week 12 – Work on assignments as needed

Week 13 – Work on assignments as needed

Week 14 – Complete professional practice notebook

The actual weeks assigned for scheduled activities are subject to change to meet the needs of the professional practice site. 

Class Participation:

Students must communicate with the instructor regarding any issues they have regarding the course, schedule and assignments. If a student is having difficulty with any concept being taught, it is the student’s responsibility to contact the instructor for assistance. To be successful, the student should make regular contact with the instructor. Students must check the course discussions for discussion topics/questions. Students should check course announcements and updates on a regular basis, at least three times per week. Students must actively participate in threaded discussion events. 

Late Policy:

Professional practice supervisors volunteer their time to manage students’ experiences. Therefore, punctuality and regular attendance is imperative in order to successful complete the course.

Late submission of assignments may be allowed based on extenuating circumstances at the instructor’s discretion and are subject to grade reduction. It is the responsibility of the student to contact the instructor about late submissions or circumstances interfering with the ability to complete course work on schedule.

Course Ground Rules

The following two statements (1., 2.) were derived from the TBR System-wide Student Rules document, released January 2012:

RULES OF THE TENNESSEE BOARD OF REGENTS STATE UNIVERSITY AND COMMUNITY COLLEGE SYSTEM OF TENNESSEE SYSTEMWIDE STUDENT RULES CHAPTER 0240-02-03 STUDENT CONDUCT AND DISCIPLINARY SANCTIONS

Read the document in its entirety here.

1. Standards of Conduct:

  • Students are required to adhere to the same professional, legal and ethical standards of conduct online as on campus. In addition, students should conform to generally accepted standards of "netiquette" while sending e-mail, posting comments to the discussion board, and while participating in other means of communicating online. Specifically, students should refrain from inappropriate and/or offensive language, comments and actions.

2. Review the TN eCampus Academic Integrity/Academic Honesty Policy:

  • In their academic activities, students are expected to maintain high standards of honesty and integrity. Academic dishonesty is prohibited.

Such conduct includes, but is not limited to:

  • an attempt by one or more students to use unauthorized information in the taking of an exam
  • to submit as one's own work, themes, reports, drawings, laboratory notes, computer programs, or other products prepared by another person,
  • or to knowingly assist another student in obtaining or using unauthorized materials.

Plagiarism, cheating, and other forms of academic dishonesty are prohibited.

Students guilty of academic misconduct, either directly or indirectly through participation or assistance, are subject to disciplinary action through the regular procedures of the student’s home institution.  Refer to the student handbook provided by your home institution to review the student conduct policy.

In addition to other possible disciplinary sanctions that may be imposed, the instructor has the authority to assign an "F" or zero for an activity or to assign an "F" for the course.

Other Course Rules:

Students are expected to:

  • Participate in all aspects of the course
  • Communicate with other students
  • Learn how to navigate in Brightspace
  • Keep abreast of course announcements
  • Use the assigned course management (Brightspace) email address rather than a personal email address
  • Address technical problems immediately:
  • Observe course netiquette at all times.

Guidelines for Communications

Email:

  • Always include a subject line.
  • Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your emails. Use of emoticons might be helpful in some cases.
  • Use standard fonts.
  • Do not send large attachments without permission.
  • Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication.
  • Respect the privacy of other class members

Discussions:

  • Review the discussion threads thoroughly before entering the discussion. Be a lurker then a discussant.
  • Try to maintain threads by using the "Reply" button rather starting a new topic.
  • Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of other’s ideas.
  • Be patient and read the comments of other group members thoroughly before entering your remarks.
  • Be cooperative with group leaders in completing assigned tasks.
  • Be positive and constructive in group discussions.
  • Respond in a thoughtful and timely manner.

Library

The Tennessee Virtual Library is available to all students enrolled in TN eCampus programs and courses. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading will be included within the course modules. To access the Virtual Library, go to the course homepage and select the Virtual Library link under Course Resources.

Students with Disabilities

Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with their home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor.

Syllabus Changes

The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual email communication and posting both notification and nature of change(s) on the course bulletin board.

Disclaimer

The information contained in this syllabus is for general information purposes only. While we endeavor to keep this information up-to-date and accurate, there may be some discrepancies between this syllabus and the one found in your online course. The syllabus of record is the one found in your online course. Please make sure you read the syllabus in your course at the beginning of the semester. Questions regarding course content should be directed to your instructor.


Last Revised on October 16, 2018