HIM215 - Billing and Reimbursement
2 Credits

Focus is on issues of billing and reimbursement for health care facilities. Includes an overview of the role of the health insurance specialist; third party payers such as Medicare, Medicaid, workers compensation and disability, Tricare and commercial insurance claims. Legal and regulatory considerations and ambulatory ICD-9 are covered. Students will complete a project focused on coding and reimbursement issues.
Prerequisite: HIM 190

HIM190 - CPT Coding
3 Credits

Review of alternative classification systems with major emphasis on HCPCS/CPT-4 ambulatory care coding. A required clinical lab at an ambulatory care setting will be required. Brief overview of Ambulatory Visit Groups (AVGs) and Resource Based Relative Values (RBRVs). Evaluation will be based on class participation, site visit, completion of unit assignments, tests and final examination.
Prerequisite: Medical Terminology; Anatomy & Physiology; or consent of instructor.

HIM260 - Data Quality & Reimbursement
2 Credits

A continuation of HIM 210 with in-depth focus on coding issues. Introduction to data quality issues including coding validation, data accuracy, coding guidelines and training, and reimbursement issues including Diagnostic Related Groups (DRGs), Ambulatory Patient Classifications (APCs); Resource Based Relative Value Scales (RBRVs). Impact of coding accuracy and correct DRG assignment on financial stability of facility. Overview of specialist credentials: CCS and CCS-P.
Prerequisite: HIM 210 (Students with required prerequisites, not enrolled in either the HIM degree or coding specialist certificate will be admitted on a space available basis only.)

HIM210 - ICD-9-CM Coding
3 Credits

Introduction to International Classification of Diseases Ninth Revision, Clinical Modification (for use in the United States). Use of integrated learning materials. Instruction in coding diagnoses and procedures, sequencing, and coding conventions. Review of complications and co-morbidities. Clinical Lab: Students will complete a required lab at an acute care clinical site which will provide an overview of DRGs, interface between business office and HIM, optimizing reimbursement, coding quality studies, and working with physicians for DRG management. Introduction to coding software. Evaluation will be by means of class participation, unit and lab assignments, tests and/or final examination.
Prerequisite: Medical Terminology; Anatomy and Physiology

HIM135 - Medical Terminology
3 Credits

Designed to provide students with a basic understanding of the language used within healthcare settings. It gives students a foundation for communication with health care professionals and lay people. Focus is on terminology of body systems related to symptomatology, diseases and treatment. Evaluation by means of assignments, tests and a comprehensive final examination. Cross-listed as HS 135
Prerequisite: Regular admission status and co-requisite placement at ENGL 110 or higher.

HIM270 - Pathophysiology
3 Credits

Introduction to the basic concepts underlying various pathological processes. Students will draw on their knowledge of normal anatomy and physiology to understand how pathogenesis of disease occurs. Discussion of diseases, diagnostic process, appropriate testing, and various treatment options. Class will require both independent online work and class attendance. Lectures, discussions, assigned independent readings, use of online references, independent research, and student projects will be utilized. May not meet requirements for nursing programs. Evaluations will be through participation and attendance, assignments, and tests.
Prerequisite: BIOL 111 and BIOL 112. Co-requisite: HIM 135 or permission. Cross listed as HS 270.

HIM271 - Pharmacology
1 Credits

Introduction to drug terminology, administration, toxicity, vocabulary, standards and references.
Prerequisite: HIM 135 Medical Terminology