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:
- Explain the components of CDI.
- Analyze MS-DRG, case-mix, and reimbursement principles related to CDI.
- Analyze the significance of CDI, coding, and providers within the CDI process.
- Develop knowledge and skills required to implement a new CDI program.
- Justify a CDI program and its value to organizational stakeholders.
Course Activities and Grading
Note: A "C" grade or higher must be earned to pass this course.
| Letter Grade | Percentage |
| A | 93.0-100.0 |
| A - | 90.0-92.9 |
| B+ | 87.0-89.9 |
| B | 83.0-86.9 |
| B - | 80.0-82.9 |
| C + | 77.0-79.9 |
| C | 73.0-76.9 |
| F | 72.99% and below |
| 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
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2 | 1,3,4,5 | Topic: Clinical Documentation Excellence
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3 | 2,3,4,5 | Topics: Overview of MS-DRGs and Reimbursement Related to CDI
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4 | 3,4,5 | Topic: Moving Forward with a CDI Program
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5 | 3,4,5 | Topics: Staffing and Training of the CDI Program
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6 | 1,3,4,5 | Topics: Core Operational Components of a CDI Program
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7 | 1,3,4,5 | Topic: Creating and Maintaining a Compliant CDI Program
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| 8 | 1-5 | Topic: Course Wrap-Up
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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.