Course Descriptions

HIT 100 - Introduction to Health Information Management

1. Explain mechanisms and elements used in the collection and maintenance of health data in data management.
2. Identify and use secondary data presentations.
3. Validate the reliability and use of secondary data sources.
4. Explain usability and accessibility of health information by patients, including current trends and future challenges.
5. Explain current trends and future challenges in health information exchange.
6. Summarize a collection methodology for data to guide strategic and organizational management.
7. Apply knowledge of database architecture and design.

1. Introduction and History of Modern Healthcare in the U.S.
   1. Health Information Management Profession
   2. Healthcare delivery systems
   3. Health Information functions, purpose, and users
2. Delivering Healthcare
   1. Organization of healthcare at the federal, state, and local levels
   2. Structure and function of hospital clinical and administrative units
   3. Different types of long term care facilities, with an emphasis on their function
   4. Organization of health care delivery in the outpatient setting, including ancillary services
   5. Role of healthcare providers, including delivery of care, education and licensing requirements
3. Financing Healthcare
   1. Models of health care financing in the U.S.
   2. Organization and function of Medicate and Medicaid
   3. Organization and structure of network-based managed care health insurance programs
   4. Concepts of billing and reimbursement in medicine
   5. Concepts of coding and billing
   6. Methods to control medical costs
4. Regulating Healthcare
   1. Role of the Department of Health and Human Services
   2. Role of JCAHO and the process of accreditation and certification of health care organizations in the U.S.
   3. Major health care regulatory bodies in the U.S.
   4. Key processes in regulating the confidentiality and safety of the patient in the health care environment
   5. Legal aspects of medicine
      1. Medical malpractice
      2. Tort reform
5. Data Content Structures and Documentation
   1. Health record content and documentation
   2. Clinical Terminologies, classifications, and code systems
   3. Data Management
   4. Secondary data sources
6. Information Protection: Access, Disclosure, and Archival Privacy and Security
   1. Health law
   2. Data privacy confidentiality
   3. Data security
7. Informatics, Analytics, and Data Use
   1. Health information technologies
   2. Healthcare information
   3. Database architecture and design
8. Leadership
   1. Performance improvement
   2. Management

HIT 101 - Introduction to ICD Coding

1. Explain principles of classification systems, nomenclatures, and vocabularies.
2. Explain the organization of the ICD-10-CM/PCS tabular lists, indices, tables, and guidelines.
3. Apply ICD-10-CM and PCS codes according to current guidelines. 
4. Explain ethical standards of practice.

1. Discuss the overview of coding; career opportunities, professional organizations, classification systems, and HIPAA.
2. Explain principles of ethics.
3. Explain the principles and components of the ICD-10-CM/PCS classification system.
4. Discuss the use of the ICD-10-CM Official Guidelines for Coding and Reporting
5. Explain ICD-10-CM coding conventions
6. Apply the steps to coding.
7. Explain the ICD-10-PCS coding conventions.
8. Apply codes to ICD-10-CM/PCS hospital inpatient coding and reporting.
9. Apply codes ICD-10-CM/PCS outpatient and physician office coding and reporting.
10. Describe the principles of HCPCS; assign procedure and service codes and claims.

1. Overview of Coding
   1. Career opportunities
   2. Professional associations and networking
   3. Classification systems, nomenclatures, and vocabularies
   4. Health Information Portability and Accountability Act (HIPAA)
2. Code of Ethics
   1. Ethical Principles
   2. American Health Information Management Association (AHIMA) Code of Ethics
3. Principles and Components of ICD-10-CM/PCS Classification Systems
   1. Uniform Hospital Discharge Data Set (UHDDS)
   2. Overview of ICD-10-CM/PCS
   3. ICD-10-CM/PCS tabular list of diseases and injuries
4. ICD-10-CM Official Guidelines for Coding and Reporting
   1. Organization of the official guidelines for coding and reporting
   2. General ICD-10-CM diagnosis coding guidelines
   3. Chapter-Specific ICD-10-CM diagnosis coding guidelines
   4. Application of General ICD-10-CM coding guidelines to code assignments
   5. Application of chapter-specific ICD-10-CM coding guidelines to code assignments
5. ICD-10-CM Coding Conventions
   1. Format
   2. Eponyms, abbreviations, and punctuation
   3. Tables and boxed notes
   4. Other, other specified and unspecified codes
   5. Instructional notes
6. ICD-10-CM Code Book Navigation
   1. Steps to proper coding
   2. ICD-10-CM index to disease and injuries
   3. ICD-10-CM index and tables
7. ICD-10-CM-PCS Coding Conventions
   1. Overview of ICD-10-PCS
   2. ICD-10-PCS Official Guidelines
   3. Root operation groups
   4. ICD-10-PCS Sections
   5. ICD-10-PCS Index
   6. ICD-10-PCS Tables
8. ICD-10-CM/PCS Hospital Inpatient Coding and Reporting 
   1. Acute care inpatient settings
   2. Inpatient diagnosis and procedure coding and reporting guidelines
   3. Assigning ICD-10-CM/PCS diagnosis and/or procedure codes for acute care inpatient cases
9. ICD-10-CM/PCS Outpatient and Physician Office Coding and Reporting
   1. Outpatient and physician office care
   2. Diagnostic coding and reporting guidelines for hospital-based and physician office outpatient services
   3. Coding guidelines for outpatient diagnostic tests
   4. Assigning ICD-10-CM diagnosis codes for outpatient and physician office care
10. Introduction to the Healthcare Common Procedure Coding System (HCPCS)
    1. Overview of HCPCS
    2. HCPCS levels and their components
    3. Assigning HCPCS Level II procedure and services codes for outpatient care
    4. Assigning claims according to HCPCS Level II code number

HIT 102 - CPT Coding

1. Explain the history, purpose, and structure of CPT Coding System.
2. Explain the organization, format, and Guidelines of the CPT code.
3. Apply principles and applications of CPT to CPT coding.

1. Discuss the history, purpose and structure of the CPT Coding System.
2. Explain the organization, format, content and Guidelines of the CPT Evaluation and Management section and subsections and assign CPT evaluation and management service codes for patient care.
3. Explain the organization, format, content and Guidelines of the CPT Anesthesia section and subsections and assign CPT Anesthesia codes.
4. Explain the CPT Surgery Section organization, format, content and Section Guidelines.
5. Assign CPT Surgery codes from each Surgery Section and subsection.
6. Explain the organization, format, content and Guidelines of the CPT Radiology section and subsections and assign CPT Radiology codes.
7. Explain the organization, format, content and Guidelines of the CPT Pathology and Laboratory section and subsections and assign CPT Pathology and Laboratory codes.
8. Explain the organization, format, content and Guidelines of the CPT Medicine section and subsections and assign CPT Medicine codes.

1. Introduction to CPT Coding
   1. History and overview
   2. Organization of CPT
   3. Index, appendices and symbols
   4. Sections, subsections, categories, and subcategories
   5. CPT modifiers
   6. The National Correct Coding Initiative (NCCI)
2. CPT Evaluation and Management (E/M)
   1. Overview of the E/M section
   2. E/M section guidelines
   3. Levels of E/M services, categories and subcategories
   4. Assigning CPT E/M service codes
3. CPT Anesthesia
   1. Overview of the anesthesia section
   2. Anesthesia section guidelines, notes and modifiers
   3. Assigning CPT anesthesia service codes
4. CPT Surgery
   1. Overview of the surgery section
   2. Organization, format and content of the CPT surgery section
   3. Surgery section guidelines and modifiers
   4. Surgery subsections
5. Surgery Subsections Code Assignments
   1. General and integumentary system subsections
   2. Musculoskeletal and respiratory system subsections
   3. Cardiovascular subsection
   4. Hemi and lymphatic system subsections
   5. Mediastinum and diaphragm system subsections
   6. Digestive and urinary system subsections
   7. Male and female genital and reproductive system subsections
   8. Maternity care and delivery subsections
   9. Endocrine and nervous system subsections
   10. Eye, ocular adnexa and auditory subsections
   11. Operating microscope subsections
6. CPT Radiology
   1. Overview of the radiology section
   2. Radiology section guidelines and notes
   3. Radiology subsections
   4. Assigning CPT radiology codes
7. CPT Pathology and Laboratory
   1. Overview of the pathology and laboratory section
   2. Pathology and laboratory section guidelines and notes
   3. Pathology and laboratory subsections
   4. Assigning CPT pathology and laboratory codes
8. CPT Medicine
   1. Overview of the medicine section
   2. Medicine section guidelines and notes
   3. Assigning CPT medicine codes

HIT 105 - Medical Terminology

1. Explain common Latin and Greek singular nouns and form their plurals.
2. Apply word structures to divide and build medical words.
3. Describe body systems within the body as a whole.
4. Apply medical terminology to each body system.
5. Describe diseases pertaining to body systems.
6. Explain medical specialties pertaining to body systems

1. Apply basic word structures
2. Define terms pertaining to the body as a whole.
3. Apply terminology to the anatomy, conditions and medical specialties of the digestive system.
4. Apply terminology to the anatomy, conditions and medical specialties of the urinary system.
5. Apply terminology to the anatomy, conditions and medical specialties of the female reproductive system.
6. Apply terminology to the anatomy, conditions and medical specialties of the male reproductive system.
7. Apply terminology to the anatomy, conditions and medical specialties of the nervous system.
8. Apply terminology to the anatomy, conditions and medical specialties of the cardiovascular system.
9. Apply terminology to the anatomy, conditions and medical specialties of the respiratory system
10. Apply terminology to the anatomy, conditions and medical specialties of the blood system.
11. Apply terminology to the anatomy, conditions and medical specialties of the lymphatic and immune system.
12. Apply terminology to the anatomy, conditions and medical specialties of the musculoskeletal system.
13. Apply terminology to the anatomy, conditions and medical specialties of the integumentary system.
14. Apply terminology to the anatomy, conditions and medical specialties of the sensory organs.
15. Apply terminology to the anatomy, conditions and medical specialties of the endocrine system.

1. Basic Word Structures
   1. Latin and Greek origin
   2. Component parts, prefixes and suffixes
   3. Using component parts to build medical words
   4. Spelling and pronunciation
2. Terms Pertaining to the Body as a Whole
   1. Structural organization of the body
   2. Abdominopelvic regions and quadrants
   3. Division of the spinal column
   4. Planes of the body
   5. Positional and directional terms
3. Digestive System
   1. Organs of the digestive system
   2. Anatomy
   3. Disease processes and symptoms affecting the digestive organs
   4. Combining forms, prefixes and suffixes of digestive system terminology
4. Urinary System 
   1. Organs of the urinary system
   2. Anatomy
   3. Clinical procedures, tests and abbreviations pertaining to the urinary system
   4. Combining forms, prefixes and suffixes of urinary system terminology
5. Female Reproductive System
   1. Organs of the female reproductive system.
   2. Abnormal conditions of the female reproductive system and of the unborn child.
   3. Laboratory tests and procedures used in gynecology and obstetrics.
   4. Combining forms, prefixes and suffixes of the female reproductive system
   5. Use of medical terminology of the female reproductive system in medical reports and records.
6. Male Reproductive System
   1. Organs of the male reproductive system
   2. Abnormal conditions and infectious diseases that affect the male reproductive system.
   3. Combining forms used to describe the male reproductive system
   4. Laboratory tests and procedures pertinent to disorders of the male reproductive system
   5. Use of medical terminology of the male reproductive system in medical reports and records.
7. Nervous System
   1. Major organs and parts of the nervous system
   2. Combining forms and word parts pertaining to the nervous system
   3. Conditions pertaining to the respiratory system
   4. Laboratory tests, clinical procedures and abbreviations pertaining to the nervous system
   5. Use of medical terminology of the nervous system in medical reports and records.
8. Cardiovascular System
   1. Blood vessels and circulation
   2. Anatomy of the heart
   3. Conditions pertaining the cardiovascular system
   4. Combining forms and word components pertaining to the cardiovascular system
   5. Laboratory tests, clinical procedures and abbreviations pertaining to the cardiovascular system
9. Respiratory System
   1. Organs of the respiratory system
   2. Conditions pertaining to the respiratory system
   3. Combining forms and word components pertaining to the respiratory system
   4. Laboratory tests, clinical procedures and abbreviations pertaining to the respiratory system
   5. Proper application of medical terminology within medical reports and records
10. Blood System
    1. Terms relating to the composition, formation and function of blood
    2. Blood clotting, types and conditions affecting blood.
    3. Combining forms and word components pertaining to the blood system
    4. Laboratory tests, clinical procedures and hematologic disorders
    5. Proper application of medical terminology within medical reports and records
11. Lymphatic and Immune Systems
    1. Terms related to the structures involving the lymphatic and immune systems.
    2. Combining forms and word components pertaining to the lymphatic and immune systems
    3. Disorders of the lymphatic and immune systems
    4. Laboratory tests, clinical procedures, and abbreviations pertaining to the lymphatic and immune systems.
    5. Proper application of medical terminology within medical reports and records
12. Musculoskeletal System
    1. Terms related to the structures involving the musculoskeletal system
    2. Combining forms and word components pertaining to the musculoskeletal system
    3. Conditions affecting the musculoskeletal system, including fractures
    4. Laboratory tests, clinical procedures, and abbreviations pertaining to the musculoskeletal system
    5. Proper application of medical terminology within medical reports and records
13. Integumentary System
    1. Terms related to the structures involving the integumentary system
    2. Combining forms and word components pertaining to the integumentary system
    3. Structure and conditions affecting the integumentary system, including lesions
    4. Laboratory tests, clinical procedures, and abbreviations pertaining to the integumentary system
    5. Proper application of medical terminology within medical reports and records
14. Sensory Organs
    1. Terms related to the structures and functions involving the eye and ear
    2. Combining forms and word components pertaining to the eye and ear
    3. Anatomy and conditions affecting the eye and ear
    4. Laboratory tests, clinical procedures, and abbreviations pertaining to the eye and ear
    5. Proper application of medical terminology within medical reports and records
15. Endocrine System
    1. Terms related to the structures involving the endocrine system
    2. Combining forms and word components pertaining to the endocrine system
    3. Structure and conditions affecting the endocrine system, including hormones and glands
    4. Laboratory tests, clinical procedures, and abbreviations pertaining to the endocrine system
    5. Proper application of medical terminology within medical reports and records

HIT 108 - Health Information Employment Policies

1. Identify and apply appropriate study strategies to successfully complete course assignments and exams.
2. Locate and use relevant in-person and online college resources.
3. Analyze and develop productive time management strategies.
4. Identify the importance of CPR training, Immunizations, Criminal Background Checks for HIM professionals.
5. Discuss resources and requirements for HIM professions and develop a resume.
6. Discuss the Privacy and Security Act.

1. Study Strategies
   1. Textbook reading approach(es)
   2. Memory and concentration
   3. Attentive listening
   4. Organization of lecture/text material
   5. Note taking system(s)
   6. Test taking strategies
2. College Resources
   1. College catalog
   2. Schedule of classes
   3. Academic advising
   4. Counseling services
   5. Library and Learning Center
   6. PCC online resources
   7. My Pima
   8. Student handbook
   9. Academic Computer Commons
   10. Financial Aid
3. Time Management
   1. Personal analysis
   2. Creating a realistic balance
   3. Procrastination
   4. Using calendars, schedules, to-do lists, etc.
4. Life Choices
   1. Goals – academic, career, personal
   2. Level of commitment and motivation
   3. Growth mindset – emotional, intellectual, and personal
5. CPR Certifications, Immunizations, and Criminal Background Checks
   1. Resources
   2. Employer requirements
6. Employment Resources for HIM Professions
   1. HIM organizations and certifications
   2. Networking
   3. Volunteer opportunities
   4. Interning
7. Resume Development
   1. Organization
   2. Employment history
   3. Education
   4. References
8. Privacy and Security
   1. Employer liability
   2. Government regulations
   3. Confidentiality

HIT 112 - Health Insurance and Medical Billing

1. Apply policies and procedures for the use of data required in health care reimbursement.
2. Evaluate the revenue cycle management process.
3. Describe the differing types of organizations services, and personnel and their interrelationships across the health care delivery system.
4. Comply with ethical standards of practice.

1. Principles of Health Insurance and Medical Billing
   1. Introduction to health insurance
   2. Overview of medical billing and HIPAA
2. Health Insurance Contracts
   1. Characteristics of a valid insurance contract
   2. Federal, State, and private insurance plans
   3. Importance of insurance claims completion, coding, and billing
   4. Insurance problem solving
   5. Common insurance terms
3. Claims Process
   1. Procedural and diagnostic coding
   2. Importance and usage of modifiers in procedural coding
   3. Insurance claims register or log
   4. Submit claims and know time limits for submitting claims
   5. Claim form preparation
   6. CMS claim form
   7. Importance of documentation
4. Insurance Terminology, Abbreviations, and Symbols
   1. Common insurance terms
   2. Common diagnostic and legal terms
   3. Abbreviations
   4. Symbols used in codebooks
5. Diagnostic and Procedural Coding
   1. Define Current Procedural Terminology (CPT) and International Classification of Diseases terminology
   2. Accurate codes using CPT procedural coding and codebooks
   3. Accurate codes using diagnostic coding and codebooks
   4. Understand the relationship of anatomy/physiology and coding principals
6. Client Eligibility and Reimbursement Processes
   1. Medical billing software
   2. Medical billing procedures
   3. Encounter forms and updates
   4. Submitting claims and EDI
   5. Collection processes and strategies
   6. Charge, bill, and receive
   7. Co-payments

HIT 125 - Pathophysiology and Pharmacology for HIT

1. Define Pharmacology and its major subdivisions.
2. List drug products and describe the effect of pharmacokinetic factors.
3. Solve basic mathematical problems pertaining to drug formulas and dosage.
4. Describe the pathophysiology of eight body systems and those pertaining to infectious diseases, aging and cancer.

1. Define Pharmacology and its major subdivisions.
2. List drug products and describe the effect of pharmacokinetic factors.
3. Solve basic mathematical problems pertaining to drug formulas and dosage.
4. Explain pharmacology and pathophysiology pertaining to the peripheral nervous system.
5. Explain pharmacology and pathophysiology pertaining to the central nervous system.
6. Explain pharmacology and pathophysiology pertaining to the cardiovascular system.
7. Explain pharmacology and pathophysiology pertaining to the vascular and renal systems.
8. Explain pharmacology and pathophysiology pertaining to the respiratory system.
9. Explain pharmacology and pathophysiology pertaining to the gastrointestinal (GI) tract.
10. Explain pharmacology and pathophysiology pertaining to the endocrine system.
11. Explain pharmacology and pathophysiology pertaining to infectious diseases.
12. Explain pharmacology and pathophysiology pertaining to geriatric conditions and aging.
13. Explain pharmacology and pathophysiology pertaining to cancer.
14. Explain pharmacology and pathophysiology pertaining to the immune system.

1. Introduction to Pharmacology
   1. Definition
   2. Dosage
   3. Terminology and nomenclature
   4. Guidelines for drug safety and FDA approval
2. Pharmacokinetics
   1. Drug products and formularies
   2. Drug absorption, distribution, metabolism and excretion
   3. Drug interactions
   4. Chronic use and dependence
3. Dosage Calculations
   1. Basic arithmetic
   2. Ratios and proportions
   3. Drug mixtures and solid dosage forms
   4. Pediatric dosing
4. Pharmacology and Pathophysiology of the Peripheral Nervous System
   1. Introduction to the autonomic nervous system (ANS)
   2. The sympathetic nervous system
   3. The parasympathetic nervous system
   4. The autonomic ganglia
   5. Skeletal muscle
   6. Local anesthetics
5. Pharmacology and Pathophysiology of the Central Nervous System
   1. Introduction to the central nervous system
   2. Sedative-hypnotic drugs and alcohol
   3. Antipsychotic and antianxiety drugs
   4. Antidepressants and psychomotor stimulants
   5. Psychotomimetic drugs of abuse
   6. Antiepileptic drugs
   7. Antiparkinson Drugs
   8. Anesthetics and analgesics
6. Pharmacology and Pathophysiology of the Cardiovascular System
   1. Cardiac physiology and pathology
   2. Treatment of heart failure
   3. Antiarrhythmic drugs
   4. Antianginal drugs
7. Pharmacology and Pathophysiology of the Vascular and Renal Systems
   1. Diuretics
   2. Antihypertensive drugs
   3. Anticoagulants and coagulants
   4. Nutrition and therapy
   5. Hypolipidemic drugs
   6. Antianemics
8. Pharmacology and Pathophysiology of the Respiratory System
   1. Antihistamines
   2. Treatment of asthma and chronic obstructive pulmonary disease
9. Pharmacology and Pathophysiology of the GI Tract
   1. Gastrointestinal disorders
   2. Therapy
   3. Colon function and treatments
10. Pharmacology and Pathophysiology of the Endocrine System
    1. Introduction to the endocrine system
    2. Adrenal steroids
    3. Reproductive system and hormones
    4. Thyroid and parathyroid glands
    5. Pituitary and pancreatic hormones
11. Pharmacology and Pathophysiology of Infectious Diseases
    1. Antibacterial agents
    2. Antifungal and antiviral drugs
    3. Parasitic infections and treatments
    4. Antiseptics and disinfectants
12. Geriatric Pharmacology and Pathophysiology
    1. Health factors affecting the elderly
    2. Nutrition
    3. Pharmacokinetics
13. Pharmacology and Pathophysiology of Cancer
    1. Types
    2. Treatments
14. Pharmacology and Pathophysiology of the Immune System
    1. Introduction to the immune system
    2. Pharmacokinetics

HIT 150 - Introduction to Health Management Information Systems

1. Apply policies and procedures to ensure the accuracy and integrity of health data.
2. Apply system security policies according to departmental and organizational data/information standards.
3. Apply policies and procedures surrounding issues of access and disclosure of protected health information.
4. Utilize software in the completion of HIM processes.
5. Explain policies and procedures of networks, including intranet and Internet to facilitate clinical and administrative application.
6. Explain the process used in the selection and implementation of health information management systems.

1. Overview of Electronic Health Records
   1. Interoperability
   2. Federal Regulations
   3. Benefits
   4. Barriers to implementation
2. Content of the Health Record
   1. History and purpose
   2. Health record data, format and content
   3. Documentation in the Health record
   4. Health record standards
   5. Ownership
3. Introduction to Health Record Software
   1. Information processing Cycle
   2. Privacy and security
4. Administrative Management
   1. Healthcare settings
   2. Initial patient contact, new and established patients
   3. Master patient index
   4. Insurance information
5. Scheduling and Patient Management
   1. Facility schedule
   2. Appointment scheduling
6. Privacy and Security of Health Information
   1. HIPAA Privacy Rule
   2. Privacy Rule enforcement
   3. Brach Notification Rule
   4. HIPAA Security Rule
   5. HIPAA Security Rule enforcement
7. HIM Roles and Functions
   1. Chart tracking
   2. Coding
   3. Transcription
   4. Protected Health Information
   5. Analyzing the HER for completeness
8. Clinical Inputs and Outputs
   1. Data collection
   2. E-Prescribing
   3. Clinical results reporting
   4. Meaningful use
9. Coding, Billing, and Reimbursement
   1. Nomenclature systems
   2. Classification Systems
   3. Code assignment
   4. Coding and the EHR
   5. Billing and reimbursement
10. Clinical Decision Support Systems and Quality Improvement
    1. Clinical Decision Support
    2. Common uses
    3. Meaningful use requirements
11. The Personal Health Record and Patient Portal
    1. Personal Health Record (PHR)
    2. General types of PHRs
    3. Evaluation of PHRs
    4. Patient portal
12. HIMS Adoption and Implementation
    1. Initial steps
    2. Migration plan
    3. Workflow analysis
    4. Vendor selection
    5. Cost of ownership
    6. Implementation

HIT 175 - Health Information Statistics and Research

1. Apply report generation technologies to facilitate decision-making
2. Utilize basic descriptive, institutional, and healthcare statistics
3. Analyze data to identify trends
4. Explain common research methodologies and why they are used in healthcare
5. Explain usability and accessibility of health information by patients, including current trends and future challenges
6. Summarize a collection methodology for data to guide strategic and organizational management

1. Explain how statistics are used in healthcare
2. Identify sources of data and resources used to collect and report healthcare data
3. Describe the purpose and process of health research
4. List and explain the steps in research design and development
5. Describe and demonstrate methods used to identify the study question
6. Describe common types of study approaches and applicable goals for each
7. Develop and implement a detailed study design
8. Identify resources for data collection
9. Compile and analyze data for reporting.
10. Report research findings.
11. Use software to display healthcare data using tables, charts, and graphs.

1. Statistical Approach to Healthcare
   1. Descriptive and Inferential Statistics
   2. Statistical Terminology
   3. Graphic Display of Data
2. Data Collection and Resources in Healthcare
   1. Primary and Secondary Data Sources
   2. The Health Record
   3. Hospital Statistics
   4. Healthcare Databases
3. The Purpose and Process of Health Research
   1. Types of Health Research
   2. The Goal of Health Research
   3. The Research Process
4. Research Design and Development
   1. The Study Question
   2. The Study Approach
   3. Study Design
   4. Data Collection
   5. Data Analysis
   6. The Final Report
5. Identifying a Study Question
   1. Brainstorming and Topic Mapping
   2. The Literature Review
   3. Refining the Research Focus
6. Defining a Study Approach
   1. Overview of Study Approaches
   2. Primary and Secondary Studies
   3. Systematic Reviews and Meta-Analysis
   4. Case Studies
   5. Surveys
   6. Experimental Studies
   7. Qualitative Studies
7. Designing the Study
   1. Funding Sources
   2. Timelines
   3. Writing the Proposal
   4. Developing the Protocol
8. Data Collection
   1. Primary Studies
   2. Secondary Studies
9. Data Analysis
   1. Data Management
   2. Statistical Applications
10. Reporting Findings
    1. Article Structure
    2. Citations
    3. Writing Strategy and Revisions
11. Data Presentation
    1. Tables
    2. Charts and Graphs
    3. Presentation Software

HIT 201 - Advanced ICD Coding

1. Apply diagnosis/procedure codes according to current guidelines.
2. Evaluate the accuracy of diagnostic and procedural coding.
3. Interpret Present on Admission guidelines.
4. Develop appropriate physician queries to resolve data and coding discrepancies.
5. Evaluate the consequence of a breach of healthcare ethics.

1. Interpret the ICD-10-CM Guidelines for Coding and Reporting (OGCR)
2. Apply ICD-10-CM OGCR chapter specific guidelines to inpatient diagnostic code assignments and code sequence.
3. Utilize the ICD-10-CM Index and Tabular to correctly interpret principal diagnoses codes and additional diagnoses.
4. Apply ICD-10-CM Official Guidelines for Coding and Reporting (OGCR) and chapter specific instructions to outpatient diagnostic code assignments and code sequence.
5. Interpret ICD-10-PCS Code Book Structure.
6. Utilize the ICD-10-PCS Index and Tabular to correctly assign procedure codes.
7. Abstract data from medical chart in order to select proper diagnostic codes.
8. Interpret Present on Admission (POA) guidelines.
9. Perform auditing and analysis of reports and patient charts to ensure quality control and management including reference to fraud and abuse issues utilizing the National Correct Coding Initiative.

1. ICD-10-CM Official Guidelines
   1. Conventions
   2. General guidelines
   3. Chapter-specific guidelines
2. Diagnostic Coding for Inpatient Services Principal Diagnosis
   1. Selection
   2. Uniform Hospital Discharge Data Set (UHDDS)
   3. Criteria
   4. Sequencing
   5. Admissions and encounters
3. ICD-10 Index and Tabular
   1. General rules
   2. Signs and symptoms
   3. Previous conditions
   4. Abnormal findings
   5. Uncertain diagnosis
4. Diagnostic Coding for Outpatient Services
   1. First-listed condition
   2. Accuracy
   3. Signs and symptoms
   4. Reason for encounter
   5. Level of detail
5. ICD-10 Procedural Coding System (PCS) Structure
   1. Guidelines
   2. Root operation groups
   3. Index and Tabular
   4. Code sections        
6. ICD-10 PCS Official Guidelines
   1. Selection of principal procedure
   2. Body System
   3. Root operation
   4. Body part
   5. Approach
   6. Device
7. Patient Records
   1. Diagnostic statements
   2. Procedural statements
   3. Patient records and source documents
8. Present on Admission (POA) Reporting Guidelines
   1. General reporting
   2. Timeframe
   3. POA indicator
   4. Acute and Chronic conditions
   5. Obstetrical conditions
9. Audit and Analysis          
   1. Quality control
   2. Fraud and abuse
   3. National Correct Coding Initiative

HIT 202 - Advanced Classification Systems Applications

1. Apply and evaluate the accuracy of diagnosis/procedural coding according to current guidelines.
2. Apply and evaluate the accuracy of diagnostic/procedural groupings.
3. Analyze current regulations and established guidelines in clinical classification systems.
4. Determine accuracy of computer assisted coding assignments and recommend corrective action.
5. Develop appropriate physician queries to resolve data and coding discrepancies.

1. Use reference materials and other resources to ensure coding accuracy.
2. Identify appropriate code sets and guidelines used in a variety of health care settings.
3. Analyze a coding compliance program.
4. Analyze current regulations in clinical classification systems.
5. Apply guidelines in selecting a principal diagnosis, principal procedure, and sequencing codes.
6. Assign diagnosis and procedure codes in a variety of health care settings.
7. Analyze surgical, laboratory, therapeutic and other hospital source documents to determine services that can be coded.
8. Abstract data from medical chart in order to select proper diagnostic and procedure codes.
9. Evaluate the accuracy and completeness of diagnostic and procedural coding.
10. Apply diagnostic and procedural groupings.
11. Evaluate the accuracy of diagnostic and procedural groupings.
12. Develop physician queries to resolve data and coding discrepancies.

1. Coding Reference Materials
   1. Coding Clinic
   2. Official Guidelines for Coding and Reporting
   3. Federal regulations
   4. Professional resources
2. Clinical Classification Systems
   1. ICD-10-CM and PCS
   2. ICD for Oncology (ICD-0)
   3. Healthcare Common Procedure Coding System (HCPCS)
   4. CPT
   5. Systemized Nomenclature of Medicine Clinical Terminology (SNOMED)
   6. Diagnostic and Statistical Manual of Mental Disorders (DSM)
3. Coding Compliance Program
   1. Coding and corporate compliance
   2. Compliance guidelines
   3. Policies and procedures
   4. Auditing tools
   5. Physician queries
4. Current Regulations in Clinical Classification Systems
   1. Medicare Severity Diagnosis-Related Groups (MS-DRGs)
   2. Resource-Based Relative Value Scale (RBRVS) System
   3. Skilled Nursing Facility Prospective Payment System (SNF PPS)
   4. Outpatient Prospective Payment System (OPPS)
   5. Ambulatory Surgery Center Prospective Payment System (ASC PPS)
   6. Home Health Prospective Payment System (HH PPS)
   7. Long-Term Care Hospital (LTCH) Prospective Payment System (PPS)
5. Coding Guidelines
   1. Interpretation of guidelines
   2. Principal diagnosis
   3. Sequencing
   4. Reporting additional diagnoses
6. ICD Coding
   1. Diagnosis coding
   2. Procedure coding
7. Abstracting Data
   1. Medical chart content
   2. Chart content
   3. Use of medical record and reports to ensure quality control and management
8. Diagnosis-Related Groups
   1. MS-DRG Assignment
   2. Complications and Comorbidities
   3. Case-Mix Index
   4. Present on Admission

HIT 210 - Medical Quality Assurance and Supervision

1. Analyze policies and procedures to ensure organizational compliance with HIPAA regulations, accreditation standards, and licensure
2. Apply health information leadership principles to the roles and functions of teams and committees
3. Utilize data and techniques for quality management and performance improvement
4. Report staffing levels and productivity standards for health information functions
5. Adhere to work plans, policies, procedures and resource requisitions in relation to job functions
6. Apply information and utilize resources in support of organizational strategies and objectives

1. History of Management and Quality Improvement
   1. Classical management in the United States
   2. Quality Improvement
   3. Dimensions of quality
2. Accreditation and Licensure
   1. Maintain standards
   2. Peer Review Organizations (PROs)
   3. Joint Commission and HIPAA regulations
3. Required Management Skills
   1. Decision making and delegation
   2. Conflict resolution
   3. Time management
4. Preparation and Professionalism
   1. Employee behavior, attitudes, and personalities
   2. Leadership and Mentors
   3. Teamwork and team performance
5. Health Information Management
   1. Management styles and theories
   2. Leadership styles
   3. Supervisory principles
6. Human Resources Supervisory Role
   1. Employee supervision
   2. Work schedules and work flow plan
   3. Disciplinary action
7. Performance Improvement Models
   1. PDSA, Lean Six Sigma, and Flowcharts
   2. Identifying opportunities for improvement
   3. Teamwork in performance improvement
8. Collecting and Presenting Data for Quality Improvement
   1. DMAIC
   2. Concepts for collecting data
   3. Checksheets
9. Management Planning and Procedures
   1. Strategic plans
   2. Data analysis
10. Continuum of Care
    1. Continuum of care success planning
    2. Utilization review
    3. Indicators and Gantt Charts
11. Managing the Environment of Care
    1. Safe medication management systems
    2. Decreasing risk exposure
    3. Preventing and controlling infectious disease
12. Customer Service Satisfaction
    1. Data and measures
    2. Internal and external customers
    3. Customer complaints
    4. CMS Quality Star Rating
13. Evaluating Performance Improvement Programs
    1. Program Review
    2. Surveys

HIT 211 - Medicolegal Aspects in Health Information Management

1. Apply healthcare legal terminology, legal concepts and principles to the practice of HIM
2. Identify the use of legal documents, potential abuse or fraudulent trends through data analysis
3. Apply retention and destruction policies for health information to data storage and retrieval
4. Interpret legal requirements to ensure compliance with local, state, and federal labor regulations
5. Comply with ethical standards of practice

1. Describe basic laws, legal system, requirements, patient rights, legal vocabulary, which govern health care.
2. Describe court systems, legal procedures, regulatory requirements, and agencies which relate to health care professionals, occupations, and facilities, including licensure and accreditation and the role of the health information manager within those processes.
3. Identify legal guidelines related to liability, documentation, authenticating, and correcting the medical record.
4. Apply federal, state, and legal guidelines to patient medical record and other health care situations, including legislative processes, statutes and regulations governing retention of health records and health information to ensure compliance.
5. Explain policies and procedures to ensure patient confidentiality with regard to appropriate authorizations and consents to include release of information, particularly with respect to Health Insurance Portability and Accountability Act (HIPAA).
6. Explain informed consent and the institutional policies and procedures to protect electronic health information (EMR-electronic medical record).
7. Explain the judicial process affecting health information management within the medical and legal fields, including advance directives.
8. Identify and explain the application of current legislation, standards, and security of specialized patient records.
9. Explain risk management and quality management including quantitative and qualitative analyses of health records to evaluate compliance and how to ensure facility-wide compliance.
10. Discuss standards, procedures, and confidentiality regarding HIV information.
11. Explain liability issues with computerized patient records (EMRs)
12. Explain health care fraud and abuse.
13. Discuss ethics and explain policies to ensure ethical practices.

1. American Legal System
   1. Public and private Law
   2. Sources of law
   3. Branches of government
   4. Quasi-legal requirements
   5. Patient rights
2. Court Systems and Legal Procedures
   1. Court systems
   2. Legal process
   3. Alternative dispute resolutions
3. Principles of Liability
   1. Healthcare relationships
   2. Theories of liability
   3. Defenses and limitations on liability
4. Patient Record Requirements
   1. Function and use of the medical record
   2. Legal requirements for the medical record content
   3. Retention requirements
   4. Record destruction
5. Access to Health Information
   1. Ownership of health information
   2. Notice of use and disclosure
   3. Access by or on behalf of the patient
6. Patient Rights and Confidentiality
   1. Patient rights          
   2. Confidentiality
   3. Informed consent
   4. Release of information
7. Judicial Process of Health Information
   1. Medical records as evidence
   2. Responses to legal process
   3. Advance directives
8. Specialized Patient Records
   1. Drug and alcohol abuse
   2. Mental health and developmental disability care
   3. Home health care
   4. Genetic information
9. Risk Management and Quality Management
   1. Risk management
   2. Quality management
   3. Quantitative and qualitative analyses
10. HIV Information
    1. Testing
    2. Patient confidentiality
    3. Legal challenges
11. Computerized Patient Records
    1. Accreditation and licensure issues
    2. Liability issues
    3. Electronic health record issues
12. Health Care Fraud and Abuse
    1. Fraud and abuse
    2. Compliance programs
13. Ethics
    1. Medical ethics
    2. Policies and ethical guidelines 

HIT 225 - Advanced Health Management Information Systems

3 Credits, 5 Contact Hours
2 lecture periods 3 lab periods

Continuation of HIT 150 . Applied concepts in Health Information Management (HIM) Systems. Includes the evolution of healthcare legislation and standards; and health records content and documentation. Also includes electronic health record system legislation and implementation; and health information technologies and data analytics.

Prerequisite(s): HIT 150  
  

2.        Identify a complete health record according to organizational policies, external regulations, and standards.

3.        Differentiate the roles and responsibilities of various providers and disciplines to support documentation requirements throughout the continuum of healthcare.

4.        Apply confidentiality, privacy, security measures, and policies and procedures for internal and external use, and exchange to protect electronic health information.

5.        Utilize software in the completion of HIM processes.

6.        Explain analytics and decision support.

1. Discuss the history of federal legislation and regulations related to healthcare delivery.
2. Evaluate documentation standards.
3. Analyze policies and procedures for electronic health record regulatory compliance.
4. Evaluate key components of health information technology.
5. Evaluate the policies and processes of EHR implementation.
6. Explain the role of data analytics in healthcare information.

1. Evolution of Healthcare Legislation and Standards
   1. The American Recovery and Reinvestment Act (ARRA)
   2. Institutional Review Boards
   3. World Health Organization’s Framework for E-Health Development
   4. Health Level Seven
   5. Institute of Medicine (IOM) Reports
2. Documentation Standards
   1. Medical staff bylaws
   2. Patient safety and quality
   3. Content of the health record
   4. Health information media
   5. Documentation requirements
   6. Documentation by setting
   7. Analyze the EHR for completeness
   8. Content and Ownership
3. Electronic Health Record Federal Regulation
   1. Meaningful Use
   2. HITECH
   3. Federal Health IT Strategic Plan
   4. Nationwide Interoperability Roadmap
   5. Health Insurance Portability and Accountability Act (HIPAA)
   6. Electronic Health Records (EHR) System Certification
4. Health Information Technologies
   1. Scope of Health IT systems
   2. Systems Development Life Cycle
   3. Challenges to EHR implementation
   4. Technologies designed to support the EHR
   5. Health Information Exchange
   6. The Personal Health Record (PHR)
5. Implementation of an EHR System
   1. Steps in implementation
   2. Migration plan
   3. Workflow analysis
   4. Vendor selection
   5. Cost analysis
6. Data Analytics in Healthcare Information
   1. Clinical measures
   2. Decision support
   3. Quality measurement and improvement
   4. Clinical research
   5. Data collection

HIT 290 - Health Information Technology Internship

1. Apply principles and knowledge to real-world health IT applications
2. Demonstrate professional communications
3. Set and achieve goals
4. Demonstrate professional values and ethics
5. Apply health information technology to complete tasks

1. Identify project site or proposal
2. Develop professional networks within the healthcare industry
3. Communicate professionally 
4. Evaluate current health information technologies
5. Utilize health information technology resources
6. Develop HIT concepts through real-world applications
7. Demonstrate HIT ethics and values
8. Set and achieve goals
9. Evaluate employment strategies
10. Demonstrate awareness of HIT employment practices and policies
11. Demonstrate awareness of professional values and ethics
12. Apply health information technology to complete tasks
13. Use HIT resources to develop solutions

1. Project Identification
   1. Worksite or proposal
   2. Define goals and objectives
   3. Create a timeline
2. Professional Networking and Communications
   1. Organizational structure
   2. HIT professional roles
   3. Professional associations
   4. Written and oral communications
   5. Relationship building
   6. Established procedures unique or common to various job sites
   7. Job site rules and regulations (dress code, working conditions)
3. HIT Industry Developments
   1. Information Technology
   2. Meaningful Use
   3. Electronic health records
   4. Vendors and software
   5. Federal, state, and local regulations
   6. Privacy and security
   7. Protected information
   8. Current issues
4. HIT Industry Resources
   1. Practical investigation
   2. File organization and records analysis
   3. Registries
   4. Secondary data sources
   5. Government agencies
   6. Statistics
5. HIT Industry Skills
   1. HIT skill development
   2. Problem solving
   3. Accuracy and competence
   4. Workplace collaboration
   5. Professional growth
6. HIT Ethics and Values
   1. AHIMA Code of Ethics
   2. Cultural and global diversity
   3. Work values
   4. Responsibility
   5. Accountability
7. Professional Development
8. Job Seeking Strategies
   1. Resume update
   2. Skills assessment
   3. Successful interviews
   4. Cover letters
   5. Job search techniques
   6. Bridging the gap from student to professional
   7. Developing job advancement opportunities
9. Final Evaluation
   1. Student review of performance
   2. Job-site supervisor review of student’s performance