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\nCredit Hours: 6 Lec/Lab: 6  \nPREREQUISITE: AHE 101 and BIO 160  \nCOREQUISITE: MCB 130 and MCB 160  \nCOURSE DESCRIPTION  \nIn this course students will learn principles of medical coding related to the three main code books: CPT, ICD-10-CM Code Set and HCPCS Level II. This course also provides the foundation for understanding the legal and ethical aspects of health information management, which includes the principles of health law and the structure of the American legal system. Students will gain an in-depth understanding of the role that medical record specialist has in healthcare legislation and regulations. Topics include legal terminology, Health Information Portability and Accountability Act (HIPAA) privacy and security of health information, patient rights, and the role of health information management professionals in risk management and compliance programs.  \n1.  COURSE GOAL  \nTo prepare students who want a career in medical coding for a physician’s office and for taking the AAPC’s CPC certification examination. To provide students with the foundation for understanding the legal and ethical aspects of the health information management system in the healthcare industry. To provide students with the knowledge to recognize when there is a healthcare data breach and the policies set in place to keep health information secured.  \n2.  OUTCOMES  \nUpon successful completion of this course, students will be able to:  \n2.1 Identify the purpose of the CPT, ICD-10-CM, and HCPCS Level II code books.  \n2.2 Understand and apply the official ICD-10-CM coding guidelines.  \n2.3 Apply coding conventions when assigning diagnoses and procedure codes.  \n2.4 Identify the information in appendices of the CPT code book.  \n2.5 Explain the determination of the levels of E/M services.  \n2.6 Code a wide variety of patient services using CPT, ICD-10-CM, and HCPCS Level II codes.  \n2.7 List the major features of HCPCS Level II codes.  \n2.8 Provide practical application of coding operative reports and evaluation and management services.  \n2.9 Apply legal healthcare terminology that influences health information.  \n2.10 Describe the various government and regulatory agencies that influence health information and protected health information, such as the Centers for Medical and Medicaid (CMS), the Office of the Inspector General (OIG), and the Department of Health and Human Services (HHS) .  \n2.11 Identify and assess the four types of health data collected (personal, social, medical, and financial) and give examples of each.  \n2.12 Determine the property rights of a medical record.  \n2.13 Evaluate the documentation in health records to ensure it is timely and complete.  \n2.14 Identify the essential elements of a valid authorization for the release of medical information.  \n2.15 Identify the importance and responsibility for securing patient informed consent in treatment within healthcare institutions.  \n2.16 Examine the components ofa compliance program regarding healthcare providers.  \n2.17 Identify the definition of the HIPAA and understand the regulatory obligation of a business associate.  \n2.18 Identify security and breach issues of HIPAA.  \n2.19 Identify a hospital’s expectations, rights and responsibilities of the patient care partnership according to the American Hospital Association (AHA) .  \n2.20 Identify and demonstrate an understanding of compliance and regulations that pertain to services covered under Medicare Parts A, B, C and D; applying coding to payment policy, place of service reporting, fraud and abuse, NCCI edits, NCD/LCD, HIPAA, ABNs, and RVUs.  \n3.  METHODS OF INSTRUCTION  \n3.1 Lecture  \n3.2 Multi-media Presentations  \n3.3 Reading Assignments  \n4.  LEARNING ACTIVITIES  \n4.1 Assigned Readings  \n4.2 Assignments  \n4.3 Practice Exercises  \n5.  EVALUATION  \n5.1 Quizzes/Exams  \n5.2 Assignments  \n5.3 Participation  \n6.  STUDENT RESPONSIBILIT","cbCais4dLuqc6zpq","https://ap.wps.com/l/cbCais4dLuqc6zpq","pdf",103184,"English","# Course Description\n## Course Goal\n## Outcomes\n## Methods of Instruction\n## Learning Activities\n## Evaluation\n## Student Responsibilities\n### Attendance and Assignments\n### ADA Accommodations\n### Academic Integrity\n### Textbooks and Materials","[{\"question\":\"What coding systems does the course cover?\",\"answer\":\"Students learn medical coding principles related to CPT, ICD-10-CM, and HCPCS Level II, including practical application of diagnosis and procedure code assignment.\"},{\"question\":\"What legal and ethical topics are emphasized?\",\"answer\":\"The course provides a foundation in health law and ethical aspects of health information management, including health law terminology, HIPAA privacy and security, patient rights, and compliance concepts.\"},{\"question\":\"What kinds of outcomes will students be able to demonstrate?\",\"answer\":\"Students can identify coding book purposes and ICD-10-CM guidelines, apply coding conventions and E/M level determination, code services using the three code sets, and evaluate documentation for timeliness and completeness.\"}]","MCB 200 - CPC Medical Coding and Billing Training - Health Law | PDF",1790298119]