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偿付与分类系统简介(4学分)

先决条件:老师批准。

介绍医疗保健报销方法和医疗保健分类(编码)系统。提供了解医疗保健融资和报销的基本技能。介绍分类系统的使用，重点介绍当前程序术语和国际疾病分类的临床修改。

介绍报销和分类系统

https://catalog.cocc.edu/course-outlines/him-182/

成绩单标题简介课程体系学分4等级模式标准字母等级联系时数总计50课时30其他时数20先决条件讲师批准。描述介绍医疗保健报销方法和医疗保健分类(编码)系统。提供了解医疗保健融资和报销的基本技能。介绍分类系统的使用，重点介绍当前程序术语和国际疾病分类的临床修改。学习成果1。区分政府资助的医疗计划和商业保险公司使用的报销系统。2.识别在美国医疗保健中使用的分类系统。将报销方法与分类标准联系起来。4. Differentiate the use, format, and structure of Current Procedural Terminology and the International Classification of Diseases Clinical Modification. Content outline Reimbursement systems concepts Reimbursement methodologies Group and individual health Insurance, government-sponsored health plans and workers’ compensation Classification systems concepts Classification systems: Current Procedural Terminology (CPT), International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Introduction to additional classification systems (ICD-10-PCS, HCPCS Level II/National Codes, DSM-5, ICD-O, ICF, NDC) Required materials Required textbook(s) and the purchase of the current year CPT and ICD-10-CM codebooks. Computer and reliable internet access.

编码分类2

https://catalog.cocc.edu/course-outlines/him-284/

成绩单标题编码分类II学分5等级模式标准字母等级联系时数共80讲座时数20其他时数60前提条件教师批准基于完成第一学年HIM课程。描述发展先进的技能，应用当前的程序术语和国际疾病分类临床修改。介绍根据健康记录文件和HCPCS二级和国际疾病分类程序分类的编码标准、指南和公约的应用进行正确编码分配所需的技能。学习成果1。将高级编码应用于“当前过程术语”代码集，并将健康记录摘要作为代码分配的基础。2.将先进编码应用于国际疾病分类临床修改编码集，以健康记录摘要为编码赋值基础。3.在医疗保健通用程序编码系统II级和ICD-PCS代码集中采用符合规范的编码惯例、指南和标准。4. Apply correct code for the purpose of identifying additional services, supplies, DME, transport, and/or drugs used during the course of patient services and procedures. 5. Use the ICD-PCS code set to correctly code for the purpose of identifying the inpatient procedures that have been rendered during an inpatient admission. Content outline Advanced coding using ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) Advanced coding using CPT (Current Procedural Terminology) CPT Category II and Category III Format and structure of ICD-10-PCS (ICD-10 Procedure Coding System) Indexing in ICD-10-PCS ICD-10-PCS Appendixes ICD-10-PCS guidelines for coding and reporting Required materials Required textbook(s) and the CPT and ICD-10-CM codebooks purchased in HIM 182. Current year HCPCS Level II and ICD-10-PCS codebooks. Computer and reliable internet access.