ID
7756

Clinical Procedures

Instruction in clinical procedures to include aseptic techniques, sterilization and maintenance of equipment, instruction in and collection of lab specimens, patient preparation for specific examinations, selection of medical instruments for procedures, administration of injections, and electrocardiograms. Charting patient history, vital signs and progress notes in medical records. Instruction in medical calculations, prescriptions, and commonly prescribed medications.

CPT Coding

An overview of the Current Procedural Terminology (CPT) coding system, including the Healthcare Common Procedure Coding System (HCPCS) used to describe services and procedures with emphasis on evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and medicine.

ICD-10-CM Coding

Provides students with basic International Classification of Disease, 10th Edition, Clinical Modification (ICD-10-CM) coding principles with emphasis on inpatient and outpatient guidelines. The course focuses on format, code conventions, Uniform Hospital Discharge Data Set (UHDDS) guidelines, document sources, code sequencing, and code assignment.

Legal Aspects Of HIM

Overview of the fundamentals of law, U.S. legal system, consents, confidentiality, release of information, use of patient records during proceedings, and health information practice, ethics, regulatory requirements, compliance, risk management, and quality improvement. Emphasis on privacy and security rules from the Health Information Portability and Accountability Act (HIPAA).