Dec 08, 2023
BTAC 257 - Intermediate ICD Coding Credits: 5
Focuses on intermediate coding using the International Classification of Diseases (ICD) diagnostic classification coding system. Students assign accurate codes to complex authentic case studies, applying compliance strategies, performing auditing procedures and maintaining quality monitor reports. Teaches students to abstract and assign valid diagnostic codes and verify code selection using real-life challenging coding cases.
Enrollment Requirement: BTAC 145 and BTAC 146 with a grade of 2.0 or higher; or concurrent enrollment in BTAC 146 ; or instructor consent.
Students who successfully complete this class will be able to:
- Build and improve upon previously learned ICD knowledge including the application of ICD guidelines for all forms of diagnostic and therapeutic medical reports.
- Abstract diagnostic terminology from intermediate coding cases.
- Assign and appropriately sequence ICD codes accurately to abstracted terminology, ensuring compliance and accuracy.
- Compare and contrast ICD-9-CM and ICD-10-CM code assignments and conventions.
- Utilize coding crosswalks and maps used in the clinical coding process.
- Apply Prospective Payment Systems (PPS) examples including Diagnostic Related Group (DRG’s), Resource Utilization Groups (RUG’S) and Home Health Resource Groups (HHRG’s).
- Define the concept of case mix analysis for a given patient population using the average diagnosis-related group weight.
- Describe the standards and impact of ethical coding using advanced coding cases and applying Correct Coding Initiative (CCI) edits.
- Explain the role of the Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) in the healthcare delivery systems as the basis for an electronic health record (EHR).
- Outline the relationship of SNOMED-CT to administrative code sets used for billing and statistics.
- Abstract diagnostic and procedural terminology to accurately assign ICD-10-CM, CPT-4 and HCPCS level II codes.
- Utilize a computerized encoder to determine procedure values based on RBRVS (resource based relative value scale), coding guidelines based on LCD (local coverage determination), NCD (national coverage determination) and CCI (correct coding initiative) edits.
- Critical Thinking - Critical thinking finds expression in all disciplines and everyday life. It is characterized by an ability to reflect upon thinking patterns, including the role of emotions on thoughts, and to rigorously assess the quality of thought through its work products. Critical thinkers routinely evaluate thinking processes and alter them, as necessary, to facilitate an improvement in their thinking and potentially foster certain dispositions or intellectual traits over time.
- Responsibility - Responsibility encompasses those behaviors and dispositions necessary for students to be effective members of a community. This outcome is designed to help students recognize the value of a commitment to those responsibilities which will enable them to work successfully individually and with others.
- Quantitative and Symbolic Reasoning - Quantitative Reasoning encompasses abilities necessary for a student to become literate in today’s technological world. Quantitative reasoning begins with basic skills and extends to problem solving.
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