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HIM 300: Medical Vocabularies and Classification Systems

Course Description

The course will focus on common coding, terminologies and vocabularies used in the healthcare delivery and management. This include International Classification of Diseases (ICD) coding, Healthcare Common Procedures Coding System (HCPCS), Current Procedural Terminology (CPT) coding, National Drug Codes (NDC), Systematized Nomenclature of Medicine Clinical Terms (SNOMED), Logical Observation Identifiers Names and Codes (LOINC), Drug Terminology Systems, and Data Interchange Standards (DIS). (3 credits)

This course meets certain CAHIIM competencies for HIM Majors.

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • HCA 105: Medical Terminology

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Discuss the purpose and function of the International Classification of Diseases.
  2. Identify the functions and relationships between healthcare classification systems and taxonomies.
  3. Describe the uses and functions of ICD, CPT, SNOMED-CT, DSM and RxNorm.
  4. Demonstrate ability to map terminologies, vocabularies and classification systems from one to another.
  5. Construct and maintain the standardization of data dictionaries to meet the needs of a healthcare organization.
  6. Demonstrate compliance with internal and external data dictionary requirements.
  7. Manage health data so that it is useful, accurate and appropriate.
  8. Research electronic applications for clinical classification and coding.
  9. Manage applications and processes for clinical classification and coding.
  10. Maintain processes, policies and procedures to ensure the accuracy of coded data.
  11. Analyze the need to monitor the use of clinical vocabularies and terminologies used in the organizatgion's health information systems.

General Education Outcomes (GEOs)

Please check the applicable GEOs for this course, if any, by outcomes at GEO Category Search, or by subject area at GEO Discipline Search.

Course Activities and Grading

AssignmentsWeight

Discussions (Weeks 1-8)

15%

Assignments - Chapter Review Questions (Weeks 1-7) and Chapter 1 Assignment

50%

Competency Assignment (Week 7)

10%

Final Exam (Week 8)

 25%

Total

100%

Required Textbooks

Available through Charter Oak's online bookstore

  • Giannagelo, Kathy. Healthcare Code Sets, Clinical Terminologies, and Classification Systems - with Access Code. 3rd ed. AHIMA Publications, 2015. ISBN-13: 9781584261049
    Note: Students must purchase this book NEW to ensure the use of an Access Code needed for online resources.

Additional Resources

  • Internet access to online Medical Dictionary and reference of previous Medical Terminology book.

Course Schedule

(Note: Course week runs Monday 12:00 am EST - Sunday 11:59 pm EST)

WeekSLOsReadings and ExercisesAssignments

1

1,2,3,8,9

Topics: Standards: Healthcare Code Sets & Classifications Commonly Used for Administrative and Statistical Reporting - ICD and the US Modifications

  • Reading:
    • Introduction
    • Chapter 1
  • Read assigned chapters
  • Participate in the Discussions (Initial post must be completed by Wednesday at 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - ICD-10-PCS Review (Due by Sunday 11:59 pm EST)
  • Complete Week 1 Practice Quiz (Not graded)

2

2,3,8,9

Topics: Standards: Healthcare Code Sets & Classifications Commonly Used for Administrative and Statistical Reporting - CPT and HCPCS

  • Reading:
    • Chapter 2
    • Chapter 3
  • Read assigned chapters
  • Participate in the Discussions (Initial post must be completed by Wednesday at 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 2 & 3 Student Workbook Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 2 Practice Quiz (Not graded)

3

3,4,5

Topics: Standards: Healthcare Code Sets& Classifications Used for Administrative and Statistical Reporting - Dental and Mental Health Codes

  • Reading:
    • Chapter 5
    • Chapter 9
  • Read assigned chapters
  • Participate in the Discussions (Initial post must be completed by Wednesday at 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 5 & 9 Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 3 Practice Quiz (Not graded)

4

3,4,5

Topics: Terminologies - Drug Systems

  • Reading:
    • Chapter 4
    • Chapter 8
  • Read assigned chapters
  • Participate in the Discussions (Postings must be completed on three separate days throughout the week by Sunday 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 4 & 8 Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 4 Practice Quiz (Not graded)

5

3,6,8,9

Topics: Terminologies - SNOMED CT and ICD-11, LOINC and Nursing

  • Reading:
    • Chapter 6
    • Chapter 7
    • Chapter 10
    • Chapter 12
  • Read assigned chapters
  • Participate in the Discussions (Postings must be completed on three separate days throughout the week by Sunday 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 6, 7, 10 & 12 Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 5 Practice Quiz (Not graded)

6

3,7,8

Topics: Other Vocabulary, Terminology, and Classification Systems, Data Set Standards

  • Reading:
    • Chapter 11
    • Chapter 13
    • Chapter 14
  • Read assigned chapters
  • Participate in the Discussions (Postings must be completed on three separate days throughout the week by Sunday 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 11, 13 & 14 Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 6 Practice Quiz (Not graded)

7

2,4,5,6,7

Topics: Health Data Standards: Data Interchange; Applications: Databases and Data Mapping; Using the Terminology, Vocabulary and Classification Systems

  • Reading:
    • Chapter 15
    • Chapter 16
    • Chapter 17
    • Chapter 18
  • Read assigned chapters
  • Participate in the Discussions (Postings must be completed on three separate days throughout the week by Sunday 11:59 pm EST)
  • Review the Lecture material
  • Submit Assignment - Chapters 15, 16 & 17 Review Questions (Due by Sunday 11:59 pm EST)
  • Complete Week 7 Practice Quiz (Not graded)
  • Submit Competency Assignment: Mapping Terminologies and Classifications (Due by Sunday 11:59 pm EST)
  • Prepare for Final Exam

8

10

Topic: Final Exam

  • Reading:
    • Review all chapters to prepare for the final exam
  • Review previous chapters
  • Complete Final Exam (Due by Saturday 11:59 pm EST)
  • Complete Course Evaluation

Final Exam
Chapters 1-18
SLOs 1-10

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.