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Administrative Master Syllabus (Wharton County Junior College)

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Administrative Master Syllabus
Administrative Master Syllabus
Revised February 2016 Page 1 of
5
Purpose: It is the intention of this Administrative Master Syllabus to provide a general description of the course, outline the
required elements of the course and to lay the foundation for course assessment for the improvement of student learning, as
specified by the faculty of Wharton County Junior College, regardless of who teaches the course, the timeframe by which it
is instructed, or the instructional method by which the course is delivered. It is not intended to restrict the manner by which
an individual faculty member teaches the course but to be an administrative tool to aid in the improvement of instruction.
Course Title:
Course Prefix & Number:
Division & Department:
Course Type
Academic General Education Course (from ACGM, but not WCJC Core)
Academic WCJC Core Course
WECM Course
This course is a Special Topics or Unique Needs Course.
Semester Credit Hours (SCH): Lecture Hours: Lab/Other Hours _____:_____:_____
Equated Pay Hours:_____
Catalog Course Description:
Pre-Requisites:
Co-Requisites:
Signature Date
Prepared by:
Department Head:
Division Chair:
Dean/VPI:
Approved by CIR:
List Lab/
Other Hours
Lab Hours
Clinical Hours
Practicum Hours
Other (List)
Coding & Insurance
HITT 1313
Allied Health: Health Information Technology
✔
3
3
3.5
An overview of skills and knowledge in ICD and CPT coding and
claims forms for reimbursement of medical services.
1
N/A
N/A
Carol J. Derkowski
Digitally signed by Carol J. Derkowski
Date: 2017.12.15 11:36:43 -06'00'
Leigh Ann collins
Digitally signed by Leigh Ann collins
DN: cn=Leigh Ann collins, o=WCJC, ou=VPI,
email=lacollins@wcjc.edu, c=US
Date: 2018.02.16 15:21:22 -06'00'
2-16-18
Emmons, Tracy
Digitally signed by Emmons, Tracy
DN: cn=Emmons, Tracy, email=EmmonsT@wcjc.cc.tx.us,
o=Wharton County Junior College
Date: 2018.01.22 15:43:25 -06'00'
11/27/17
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Administrative Master Syllabus
Administrative Master Syllabus
Revised February 2016 Page 2
of 5
I. Topical Outline: Each offering of this course must include the following topics (be sure to include
information regarding lab, practicum, clinical, or other non-lecture instruction).
The following topics will be covered in this course:
1. Introduction to Health Insurance
2. Managed Health Care
3. Processing an Insurance Claim
4. Legal and Regulatory Issues
5. ICD-10 Coding
6. CPT Coding
7. HCPCS Level II Coding
8. CMS Reimbursement Methodologies
9. Coding for Medical Necessity
10. Essential CMS-1500 Claim Instructions
11. Commercial Insurance
12. Blue Cross Blue Shield
13. Medicare
14. Medicaid
15. TRICARE
16. Workers' Compensation
Administrative Master Syllabus
Administrative Master Syllabus
Revised February 2016 Page 3
of 5
__________________________
Administrative Master Syllabus
Administrative Master Syllabus
Revised February 2016 Page 4
of 5
II. Course Learning Outcomes
Learning Outcomes: Upon successful
completion of this course, students will:
Methods of Assessment:
- Apply ICD and CPT rules and guidelines
to complete claims forms for submission
- Written Exam
- Assignment to identify CMS-1500 Claims
Completion Errors
Administrative Master Syllabus
Administrative Master Syllabus
Revised February 2016 Page 5
of 5
III. Required text(s), optional text(s) and/or materials to be supplied by the student:
IV. Suggested course maximum: ________
V. List
any specific or physical requirements beyond a typical classroom required to teach
the course.
VI. Co
urse Requirements/Grading System—Descri
be any course specific requirements such as
research papers or reading assignments and the generalized grading format for the course.
VII. Curriculum Checklist
Acad
emic General Education Course (from ACGM-but not in WCJC core)
• No additional documentation needed.
Academic WCJC Core Course. Attach the Core Curriculum Review Forms.
Critical Thinking
Communication
Empirical & Quantitative Skills
Teamwork
Social Responsibility
Pers
onal Responsibility
WECM Course
• If needed, revise the Program SCANS Matrix and Competencies Checklist.
Green, Michelle. Understanding Health Insurance: A Guide to Billing &
Reimbursement. 14. Clifton Park: Delmar Cengage Learning, 2018.
20
Regular access to appropriate technology for www.courses
Final evaluation will be based on grades achieved
during the semester and the final exam.
Daily Grade Average 30%
Test Average 50%
Final Exam 20%
Grading format
93—100% A
85—92% B
78—84% C
70—77% D
69—0% F
✔
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Completed 8 October 2020

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