HIM 371: Revenue Cycle and CDI

Course Description

In this course students will focus on the revenue cycle that will include the study of the relationship between financials and clinical documentation that drives the operational revenue cycle performance. Topics to be covered include clinical documentation excellence, adapting to third party payer requirements, and where CDI falls in the revenue cycle. Students will explore designing, planning, operationalizing and implementing an effective CDI program. Lastly, the vision and mission of CDI will be studied along with partnerships required and the team approach.

(3 credits)

Prerequisites

  • BIO 212: Anatomy and Physiology
  • BIO 215: Pathophysiology
  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • HCA 105: Medical Terminology
  • HIM 205: Reimbursement Methodologies

Student Learning Outcomes (SLOs)

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

  1. Explain the components of CDI.
  2. Analyze MS-DRG, case-mix, and reimbursement principles related to CDI.
  3. Analyze the significance of CDI, coding, and providers within the CDI process.
  4. Develop knowledge and skills required to implement a new CDI program.
  5. Justify a CDI program and its value to organizational stakeholders.

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

Assignments

Weight

Discussions (Weeks 1-8)

24%

Project Plan (Weeks 1-7)

35%

Quizzes (Weeks 2-7)

12%

Interview Status Check (Week 4)

2%

Interview (Week 7)

12%

Final Report (Week 8)

15%

Total

100%

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Hess, P.C. (2015). Clinical documentation improvement: Principles and Practice. 1st. ed. AHIMA, American Health Information Management Association ISBN-13: 978-1-58426-502-3

Additional Resources

  • Additional supplemental readings will be located in the course

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,2,3,5

Topics: Introduction to Clinical Documentation (CDI) and Revenue

  • Readings:
    • Textbook, Chapter 1
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned course materials
  • Review lecture material
  • Introduce yourself in discussion forum
  • Participate in the Discussions
  • Submit Project Plan assignment

2

1,3,4,5

Topic: Clinical Documentation Excellence

  • Readings:
    • Textbook, Chapters 7-9
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned course materials
  • Review lecture material
  • Participate in the Discussions
  • Complete Quiz
  • Submit Project Plan assignment

3

2,3,4,5

Topics: Overview of MS-DRGs and Reimbursement Related to CDI

  • Reading:
    • Textbook, Chapter 3
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned chapter
  • Review lecture material
  • Participate in the Discussions
  • Complete Quiz
  • Submit Project Plan assignment

4

3,4,5

Topic: Moving Forward with a CDI Program

  • Readings:
    • Textbook, Chapter 6 (pg 103-109)
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned chapter
  • Review lecture material
  • Participate in the Discussions
  • Complete Quiz
  • Interview assignment check-in
  • Submit Project Plan assignment

5

3,4,5

Topics: Staffing and Training of the CDI Program

  • Reading:
    • Textbook, Review Chapters 7-9
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Review assigned chapters
  • Review lecture material
  • Participate in the Discussions 
  • Complete Quiz
  • Submit Project Plan assignment

6

1,3,4,5

Topics: Core Operational Components of a CDI Program

  • Readings:
    • Textbook, Chapter 10
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned chapter
  • Review lecture material
  • Participate in the Discussions
  • Complete Quiz
  • Submit Project Plan assignment

7

1,3,4,5

Topic: Creating and Maintaining a Compliant CDI Program

  • Readings:
    • Textbook, Chapter 12 (pg 207-211 & 219-222)
    • Supplemental articles located in course content
    • PowerPoint lecture
  • Read assigned chapter
  • Review lecture material
  • Participate in the Discussions
  • Submit Interview Assignment
  • Complete Quiz
  • Submit Project Plan assignment
 8 1-5

Topic: Course Wrap-Up

  • Reading:
    • PowerPoint lecture
  • Participate in the Discussions
  • Review lecture material
  • Submit Final Project Plan
  • Complete Course Evaluation

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.