Medical Office

Medical Office Short-term Training program at SSCC.

Monday, October 08, 2007

Medical Communications Syllabus

SSCC / SST Medical Office Clerk Program / Fall Quarter 2007

Medical Communication Syllabus

Course Number
This class supplements AHE104 and AHE105

Instructor
Erik Gimness, (206) 769-1904; egimness@sccd.ctc.edu

Time
Monday-Thursday, 9:00 a.m.-11:00 a.m.

Room
TEC 133A

COURSE OBJECTIVES
Students will improve their ability to apply basic English grammar and punctuation rules appropriately and effectively in written medical communications
Students will expand and retain their knowledge of mathematical concepts relevant to medical office usage
Students will evaluate and develop their oral and non-verbal communication skills in giving and receiving information in person and by telephone in a medical-office setting
Students will prepare for their job search by composing a cover letter and a model resume, clearly presenting personalized information and geared towards the position of their choice


COURSE DESCRIPTION*
Schedule and topics are subject to change based on student needs and skills.

Week 1: Learning styles and study methods, written versus spoken English,
writing rules, punctuation rules review
Week 2: Punctuation exercises, cover letter; math
Week 3: Letter/memo assignments, citations; math
Week 4: Grammar exercises (TBA), spelling; math
Week 5: AHE104 Style Guide review, math
Week 6: Editing and proofreading cover letter, review of job requisitions; math
Week 7: Proofreading exercises; math
Week 8: Grammar review; math
Week 9: Customer / co-worker relations; math
Week 10: Resume; math
Week 11: Final exam, interview practice with resume and job target

It is the student’s responsibility to find out missed assignments and obtain materials if absent from class.


TEXT
Course materials will be supplied by the instructor.


ATTENDANCE
Your ultimate success will depend on regular attendance and punctuality. If you must be absent, please leave a phone message for or send an e-mail to both the instructor – (206)769-1904, egimness@sccd.ctc.edu – and program coordinator (see AHE105 syllabus) with a reason for the absence.

*All absences, leaving early, or coming late will be appropriately documented with your caseworkers, funding source, or Workforce Education.


GRADING
Grades received in this class will contribute to your overall grades for AHE104 and AHE105.

· Attendance: 25%
· Resume and cover letter: 25%
· Math: 25%
· Written exercises/grammar: 25%

*Assignments 1 day late will be assessed a 20% penalty; thereafter, assignments will not be accepted.


DISABILITIES
Any student with a documented disability condition who requires accommodations, please inform the instructor, and Disability Support Services (Main Campus, Robert Smith Building, Room RS12, (206) 763-5137).





* After week 1, these are considered supplemental exercises. You will not receive any assignments.

Friday, October 05, 2007

AHE 104 Syllabus

SSCC
AHE 104
Medical Office
Medical Administrative Procedures I
SYLLABUS
FALL QUARTER 2007

Syllabus: All or part of this syllabus is subject to change depending upon instructor’s perception of overall class benefit.

Prerequisites: Acceptance into the Medical Office Program

Instructor Information:
Name
Jessie McDonald
Office
AMT 102c
Phone
206/768-6496
Email
jmcdonal@sccd.ctc.edu

Text: Copies of required texts will be distributed during class.

Attendance will be approximately 25 percent of your overall grade.

Course Description: This course has one major focus: Portfolio development. Components will include:
· Office Procedures
§ Handling correspondence
§ Managing supplies
§ Creating and maintaining patient records
§ Scheduling appointments
§ Documenting patient contact
· Document Generation
§ Letters
§ Memos
§ Forms
§ Medical Records
· Professional Objectives
§ Self-discipline and positive attitude by being in class, being on time, being prepared for class, and handing in assignments on time in a neat and professional manner.
§ Good listening skills by participating in class discussion, problem solving, and following verbal instructions.
§ Accuracy by following directions explicitly when completing assignments.
· Keyboarding
· Computer Software
§ Word
§ Excel

Course Content
This course will be comprised of the above components aimed at developing a job-search portfolio.

Timed Writings: Throughout the course, you will be given timed writings. These assignments will be used to increase your speed and accuracy keying medical information as well as improve your proofreading skills.

Professional Objectives – upon completion of this course, you develop your proficiency in the following Professional Objectives.
· Critical Thinking Ability (page 15)
§ Evaluating/Analyzing Circumstances and information
§ Solving Problems
· Attention to Detail (page 15)
§ Accuracy
§ Completeness
· Willingness to Learn (page 16)
§ Being in class every day
§ Being on time
§ Being prepared for class
§ Submitting neat and professional looking assignments on time
§ Communicating in an appropriate manner with classmates and instructors
§ Participating in class discussion
· Flexibility (page 16)
· Self-Motivation (page 16)
· Professionalism (page 16)
· Courtesy
· Conscientiousness
· Businesslike Manner
· Attitude (page 17)
§ Positive and Professional
§ Respond to criticism as a learning experience
§ Take direction from instructor without complaining
§ Respecting others’ rights to a productive learning environment
· Integrity (page 17)
· Honesty
· Doing your own work
§ Not giving your work to others unless it is a team assignment
§ Reliability
§ Dependability
· Diplomacy (page 17)
· Proper Judgment (page 18)
· Appropriate Communication Skills (page 18)
· Self-discipline
· Positive attitude
· Good Listening Skills
· Meeting deadlines

SUPPORTING Classroom Objectives
1. Give examples of effective communication strategies with patients.
2. Discuss ways to establish positive communication with coworkers and supervisors.
3. Identify the types of correspondence used in medical office communications.
4. Compose a business letter.
5. Describe the process of handling incoming and outgoing mail.
6. Describe supplies used in a typical medical office and their proper storage.
7. Discuss systems for tracking and maintaining supplies inventory.
8. Follow procedures for ordering supplies, checking the supply order, and paying for the supplies.
9. Explain the purpose of compiling patient records.
10. Describe the procedures for creating and maintaining patient records.
11. Explain how to correct, update, and release a medical record.
12. Discuss the equipment and supplies needed for the various types of filing systems and the benefits of each.
13. Describe the filing process and the steps taken in locating a misplaced file.
14. Describe the various file storage options and the criteria for determining whether files should be retained, stored, or discarded.
15. Effectively manage incoming telephone calls.
16. Maintain an office appointment book including setting up a system and scheduling appointments that are outside the medical office.
17. Describe how to schedule appointments that are outside the medical office.
18. Demonstrate proficiency in correctly creating and formatting a variety of medical documents, including simple to complex medical correspondence, tables, and reports
19. Exhibit accuracy in editing and proofreading documents
20. Demonstrate awareness of the importance of grammar and punctuation
21. Demonstrate improved keyboarding skills, document and 10-key
22. Demonstrate professional work habits of efficiency and organization
23. Demonstrate awareness of safety and health issues in the office
24. Describe how the office policy and procedures manual is used as a communication tool in the medical office.
25. List educational resources that are available for use in the medical office.

Policies:
Attendance: Refer to Attendance and Grading Policy presented first day of class. Students will sign or clock in each morning and each afternoon. If you cannot attend class on any given day, please call or e-mail the Coordinator.

Courtesy
When the instructor is presenting information to the class (lecturing or demonstrating), please refrain from conducting personal conversations with your classmates. If you are unsure about what the instructor is saying or cannot hear her, please raise your hand and ask for clarification. If you are simply not interested, please allow those around you who are interested, to hear. Thank you. You will extend these same courtesies to your classmates.

When you have to speak with a classmate, do so by walking over to that person, not calling across the room. Don’t do this until the instructor is finished.

Academic Integrity: Integrity is a crucial quality for employees in the allied health care field. Therefore, students must maintain the highest standard of individual honor and integrity in their work. Unless otherwise directed, students are expected to do their own work in this course. This includes, but is not limited to, homework, papers, written reports, tests, and exams. If the instructor believes that students are sharing files or not adhering to this policy in any other manner, the instructor will meet with the students. If it is determined that cheating has taken place, the Program Coordinator will be notified and all participants will be barred from class for a period of one week; all assignments due during that time will receive a zero and students will not be able to make up the grades. Repeated offences may result in dismissal from the program.

Maintaining academic integrity is in your best interests. If you observe cheating taking place in class and do not report it, then you are as much a participant as those who actually did the cheating. You must have the courage to tell your classmates when they are acting inappropriately or let your instructor know. However, this is a serious accusation and must be supported by more than one witness.

ADA Compliance: If you have a documented disability that will require accommodations in this course, please register with Disability Support Services in the Robert Smith Building, Room RS 12 (763-5137) for assistance in developing a plan to address your academic needs.

Grades: You will given grading criteria for various assignments. Late assignments—I will accept them the beginning of class next class day after the original due date. That is, if the assignment is due on Friday, I will accept at the beginning of class on Tuesday. You will automatically lose 20 percent. So, if an assignment is worth 100 points, you will automatically lose 20 points—any errors will then be deducted from 80 rather than 100. Got it? J

PLANNED DAILY STRUCTURE
10:00 – 11:00 Math/Medical Office Communications
11:00 – 12:30 Lab
12:30 – 1:30 Lunch
1:20 – 2:00 Timings
2:00 – 2:50 Computers
3:00 – 4:30 Yellow Book Chapters

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Sunday, December 31, 2006

Appendix A - Clinic Physician File

Appendix A - Clinic Physician File

College Clinic
Address:
4567 Broad Avenue
Woodland Hills, XY 12345-0001
Telephone Number:
(555) 486-9002
Fax:
(555) 487-8976
Practice Number:
366401CC (group employer tax identification number)
Medicaid:
HSC 12345F (clinic’s Medicaid provider number)


College Hospital

Address:
4500 Broad Avenue
Woodland Hills, XY 12345-0001
Telephone:
(555) 487-6789
Fax:
(555) 486-8900
Practice Number:
95-0731067 (hospital provider number)
Medicaid:
HSP43700F (Medicaid hospital provider number)
Medicare:
HSP43700F (Medicare hospital provider number)








Dr. No.
Name and Specialty
State License #
Fed. Tax
ID #
UPIN/PIN/
NPI #
1
Antrum, Concha, MD
Otolarynoloogist
C016020
74-1064000
1245897700
2
Atrics, Pedro, MD
Pediatrician
D060120
71-3206100
3764001700
3
Ceasar, Bertha, MD
Obstetrician/Gynecologist
A018170
72-5713000
4305675700
4
Cardi, Perry, MD
Internist/Cardiologist
C021400
70-6421700
6780502700
5
Coccidioides, Brady, MD
Internist/Pulmonologist
C048210
75-6732100
6421106700
6
Cutis, Vera, MD
Dermatologist
C060020
71-8056100
7056871700
7
Cutler, Clarence, MD
General Surgeon
B076000
71-5737200
4305004700
8
Practon, Gerald, MD
General Practitioner
C014020
70-3459700
4627889700
9
Skeleton, Raymond, MD
Orthopedist
C045610
74-6541200
1267854700
10
Ulibarri, Gene MD
Urologist
C064300
77-8653100
2567883100

Accessing the Server and good stuff to know

Accessing the Server and other good stuff to know

Email Accounts
If you don’t have an email account, please go to either http://www.hotmail.com/ or www.yahoo.com/mail and get a free email account. If you need to communicate absences or anything else with the Program Coordinator and Insurance and Medical Terminology Instructor, contact Jennifer Evans at jevans@sccd.ctc.edu , Jessie McDonald, Administrative and Document Processing Instructor, jmcdonal@sccd.ctc.edu or Erik Gimnesss, Medical Communications Instructor, egimness@sccd.ctc.edu. Having and using an email account will be invaluable.

Websters.com
If you don’t have a paper dictionary, you can go online to http://www.websters.com/ and look up words using their on-line dictionary. There is also a link to a Medical dictionary from there.

Coursedata Server
I generally put all of the PowerPoint presentations from AHE 105 on the Coursedata server (I: ), as I cover them. To access this server:
Double click on “My computer” ; double click on the I: drive; double click on the folder labeled “coursedata”; double click on the folder labeled “jevans”; double click on the folder labeled either Insurance or Medical Terminology for PowerPoints and other useful documents.

The blog
The blog contains the syllabi, attendance policy and assignments. You can also email me from the blog, if you have a blog account. Blog accounts are free, so feel free to set one up by following the directions on the homepage. To access the blog, type in http://www.medoffice.blogspot.com/ from Internet Explorer.

Cell Phones
Cell phones have become commonplace and while we all realize that it’s important for you to be accessible. During class time, it is the campus’ policy that cell phones be placed on silent, or vibrate, as to not detract from the learning process. It is vital that you do NOT take calls during class time. Please return calls only at break time.

MediSoft
There are two versions of MediSoft being used on campus. In the 133A classroom, to access the proper version of MediSoft, you must double click on either the MAPI icon, if it is on your desktop, or NDC Medidata. If it is not on your active toolbar, double click on the folder icon, and then double click on the MAPI icon. The book will indicate that you should press your F7 key while double clicking on the MediSoft icon. DO NOT DO THIS or the data will revert to the wrong MediSoft data. We will also cover this together.

MediCare/Medicaid
http://www.cms.hhs.gov/ - To access Medicare/Medicaid information, POS and TOS codes

Flashcode
http://www.flashcode.com/ - You must have an email address in order to access the web based flash code. We will do this together. Please do not access this until after we have covered ICD and CPT coding.

CMS Forms – On the “coursedata” server, there is a copy of on-line CMS forms that you will use for insurance processing. Paper copies can be printed from here, but for homework, all CMS forms must be filled out using this on-line form. If you have not saved a copy of this form to your USB, you may also go on-line for copies at
http://www.cigna.com/, click on the link for Important Forms, then click on the link for Medical Reimbursement forms After you access this file, you can save a copy of it to your USB and then use it when needed. This form does not allow for saving to assist with fraud prevention, but you can fill out and print.

What's due/When

MT Homework
Medical Terminology quiz schedule
MediSoft Assignments
MIHB and MediSoft homework
MIHB and MediSoft quiz schedule

Monday
Wednesday

Week 1
10/1/ None
None
None
10/3/07 None
None
Week 2
Monday October 8
Wednesday - October 10

10/8/07 Med Term Chapters 1 and 2 - How to use text, exercises 1-5 and Chapter 2 - exercises 1-9 due
Quiz over MT Chapts 1-2
TBA
10/10/07 MIHB Chapter 1 and Chapter 2 assignments Due
MIHB Chapter 1 Quiz
Week 3
Monday October 15


Wendsay October 17


10/15/07 Chapter 3 - Musculoskeletal system - excercises 1-20, pages 41-71 due
MT Quiz over Chapter 3 - Chapter Review Questions for Extra Credit Points
TBA
10/17/07 MIHB Chapter 2 Due
MIHB Chapter 2 Quiz,
Week 4
Monday October 22


Wednesday - October 24


10/22 Chapter 4 - Integumentary system - exercises 1-13, pages 81-105
MT Quiz over Chapter 4, Chapter Review Questions for Extra Credit Points
TBA
MIHB Chapter 3 and 4 Due
MIHB Quiz over Chapter 3 & 4
Week 5
Monday October 29


Wednesday October 31


Chapters 5 & 6 - Gastrointestinal system Exercises 1-15, pages 117-141 and Urinary system, Exercises 1-9, pages 154-172 - due
MT Quiz over chapters 5 and 6 -Chapter Review Questions for Extra Credit Points
TBA
MIHB Chapter 5 - Coding Diagnoses - codes - Due Extra assigments TBA
MIHB - no quiz this week
Week 6
Monday November 5


Wedesday - November 7


Chapters 7 & 8 Male reproductive systems, exercises 1-7, pages 183-192 & female reproductive systems, exercises 1-17, pages 201-226 - Due
MT Quiz over Chapters 7 and 8 on November 10 - Chapter Review Questions for Extra Credit Points
TBA
MIHB Chapter 6 - Coding Procedures
MIHB take home quiz this week
Week 7
Monday November 12


Wednesday - November 14


Chapter 9 - Blood, lymphatic and immune systems Exercises 1-13, pages 239-264 and Chapter 16 - Oncology Exercises 1-6, pages 474-482 Due
MT Quiz over Chapter 8 and 16- Chapter Review Questions for Extra Credit Points
TBA
MIHB Chapter 7 and 8 due
Quiz -over Chapters 7 & 8
Week 8
Monday November 19


Wednesday November 21


Chapter 10 -Cardiovascular system Exercises 1-16, pages274-302 &
MT Quiz over Chapter 10 - Chapter Review Questions for Extra Credit Points
Work on Project
Chapter 9 Receiving payments and Chapter 10 Office collections.
Quiz over Chapters 9 and 10
Week 9
Monday - November 26


WednesdayNovember 28


Chapter 11 - Respiratory system, Exercises 1-8, pages 316-335
MT Quiz over Chapter 11- Chapter Review Questions for Extra Credit Points
Work on Project
Chapter 11- Blue plans and managed care
Quiz over Chapter 11
Week 10
Monday December 3


Wednesday - December 5


Chapters 12 Nervous system, Exercises 1-12, pages 345-369; and Chapter 15 Endocrine system, Exercises 1-10, pages 444-458 due
MT Quiz over Chapter 12 and 15 Chapter Review Questions for Extra Credit Points

Turn in all final work for AHE 105 - Chapters 12 -16
Week 11
Monday December 10


Wednesday December 12
GRADUATION - December 14

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Wednesday, March 29, 2006

Medical Office Attendance Policy

South Seattle Community College/ Medical Office Short-term Training Program
Student Conduct and Attendance Policy

I. Attendance Policy and general information

Consider your training a priority. Treat it as a job.

Be on time. An Instructor must approve any tardiness from breaks or lunch.

If you know you are going to be absent, need to come in late or leave early, the Coordinator must be aware of it and approve it by written authorization (either a note or email), or called in to (206) 768-6646 or a voice mail left to (206) 228-7561 prior to 10:00am. If you are unable to make a phone call at the appointed times, please call in during the day of the absence, or the assumption will be that you do not intend to return to class and will be dropped.

There will be NO late homework accepted, nor any late tests administered. Early homework and tests administered is at the discretion of the instructor.

Missing one full daily session, 10am-12:30, 1:00-2:00 or 2:00-4:30, constitutes a half-day’s absence. Your grades and program success will suffer greatly by missing time in class.

This program is your full-time job for the next 90 days, and most employers do not allow any time off during the first 90 days of employment. We understand that there may be at least one day during the week when you might need to take care of your personal business. You must call or email the Coordinator if you need to be out of class or any reason. After 3 full-day absences, regardless of the reason, you will need to meet with the Instructor/ Coordinator, to discuss your performance and progress in the program. In addition to attendance, dismissal from the program is at the discretion of the Program Coordinator and instructors.

No cell phones will be permitted in class, unless on vibrate or silent. No calls will be taken during class.

Due to the fact that we are in a computer lab, there is no eating at the computer stations. Drinks are only permitted in closed air-tight containers, to avoid spillage.

Under NO circumstances, will there be any personal email, MSN Instant Messaging, Internet surfing, computer games or work on anything that is not expressly class-work related allowed during class time. Dismissal from the program may result from the use of personal email, non-class-work related internet surfing, instant messaging or computer games done during class time.

Any student with a documented disability condition (e.g., physical, learning, psychiatric, vision, hearing, etc.) who needs to arrange reasonable accommodations must contact the instructor and Disability Support Services in the Robert Smith Building, Room RS 12 (763-5137) for assistance in developing a plan to address your academic needs.

Any student who engages in any “Student Misconduct” activity (as described below), may be either removed from the Program by the Program Coordinator and/or sent to the Director of Workforce Education and the Vice President of Student Services for further disciplinary action.

II. Student Conduct (WAC 375.30 Student Misconduct):
Misconduct for which the campuses may impose sanctions includes but is not limited to any of the following (please see the SSCC student handbook or website for further details):
a. The intentional or repeated obstruction or disruption of teaching, research, administration, disciplinary proceedings or other campus activities, including public service functions and other authorized activities on campus premises;
b. Physical abuse, verbal abuse threats, intimidation, harassment, coercion and/or other conduct which threatens or endangers the health or safety of any person on campus premises or at any campus-sponsored or campus-supervised function;
c. Academic dishonesty, to include cheating, plagiarism, or knowingly furnishing false information to any campus or district employee;
d. The intentional making of false statements and/or filing of false charges against the colleges and/or members of the District community;
e. Forgery, alteration or misuse of district documents, records, funds or instruments of identification with the intent to defraud;
f. Attempted or actual damage to or theft of property of the college or of a member of the College community or other personal or public property;
g. Hazing - Hazing means any method of initiation into a student organization or any pastime or amusement engaged in with respect to such an organization that causes, or is likely to cause, bodily danger or physical harm, or serious mental or emotional harm to any student or other person attending any college of the Seattle Community College District.
h. Possession of explosives, dangerous chemicals or illegal weapons. Illegal possession of weapons or unauthorized use of possession of any device or substance which can be used to inflict bodily harm or to damage real or personal property;
i. Alcoholic beverages: Being demonstrably under the influence of any form of alcoholic beverage. Possessing or consuming any form of liquor or alcoholic beverage except as a participant of legal age in a student program, banquet or educational program which has the special written authorization of the college president or his/her designee.
j. Controlled substances: Using, possessing, selling or being under the influence of any narcotic drug or controlled substance as defined in chapter 69.50 RCW. 101 as now law or hereafter amended, except when the use or possession of a drug is specifically prescribed as medication by an authorized medical doctor or dentist. For the purpose of the regulation[,] "sale" shall include the statutory meaning defined in [RCW 69.50.410] [RCW 69.04.005] as now law or hereafter amended.
Thank you,
Jennifer Evans – Coordinator/Instructor
Jessie McDonald - Instructor
Afke deJong-Keefe – Instructor



South Seattle Community College/ Medical Office CJST Program
Student Conduct and Attendance Policy

************************************************************************
(Place in student’s file)

I have read, understand and will be accountable to the Medical Office Student Conduct and Attendance Policy.

Name: ________________________________________________________
Print Name: ____________________________________________________

AHE 105 Winter Syllabus

Syllabus for Medical Front Office Customized Job Skills Training –
AHE 105 – Insurance Billing and Coding, Medisoft and Medical Terminology
Fall Quarter 2006
________________________________________
Class begins – January 2, 2007
Class Ends – March 15, 2007
Student Coordinator/Instructor: Jennifer Evans
Office location: Aviation Building
Office phone number: 206-768-6646
Cell phone number: 206-228-7561
Email: jevans@sccd.ctc.edu
Office hours: Due to schedule, by appointment only
Program hours: 9:00-4:30 Monday through Thursday and 9:00-12:00 on Friday
AHE 105 Class Hours:
Monday and Wednesday 10:00 – 12:30 and 1:00-4:30 Lunch is from 12:30-1:00
Go to www.medoffice.blogspot.com for copies of policies.



Absenteeism:
All absences must be called into either office or cell number before the start of class or emailed to Jennifer Evans Coordinator/Instructor.

Accommodations:
If you have a documented disability and are in need of support services or accommodations, please contact Disability Support Services in the Robert Smith Building, Room RS 12 (763-5137) for assistance in developing a plan to address your academic needs.

Course Description:
This course develops vocabulary skills of pronunciation, meaning, and spelling of common medical terms. Students will acquire a vocabulary of common medical terms by learning to identify root forms, prefixes, suffixes, combining forms and abbreviations for medical terms, medical procedures and therapeutic interventions used in medicine.

This course also provides a foundation in the principles and practices of medical billing and insurance processing, using ICD-9, CPT codes and HCPCS codes, to complete insurance forms, and medical record information to complete appropriate patient paperwork. This course also utilizes MediSoft for electronic billing and coding management. Work will be completed by hands-on in both classroom and lab setting.

Prerequisites: A keyboarding score of 35 wpm or better, or by Coordinator approval. Students must be able to read and understand college level text and follow both written and oral instructions. If a student is in need of tutoring due to a documented learning or physical disability, please contact Special Student Services and the Instructor.


Required texts and materials:
Medical Insurance Billing and Coding – An Essentials Worktext, by Marilyn T. Fordney and Linda L. French, Saunders, 2003
Patient Billing – Using MediSoft Advanced 4th Edition, Susan Sanderson, Glencoe, 2003
Mastering Healthcare Terminology, Betsy Shiland; Mosby; 2004

Outline of topics in AHE 105 Introduction to Medical Insurance, Coding, MediSoft and Medical Terminology

Medical Insurance, Billing and Coding
1. Career and Professionalism
a. Roles and Responsibilities
b. Confidentiality
c. Liability
2. Patient Scheduling
a. Check in patients
b. The steps in scheduling patient appointments
c. Determine urgency of appointment.
d. Handling cancellations.
e. Understand the appointment matrix.
3. Basics of Medical Insurance
a. Understand the types of reimbursement.
b. Knowledge of insurance vocabulary.
c. Be familiar with insurance forms and how to complete them.
d. Medicare and Medicaid basics
e. Insurance abuse and fraud implications
f. Documents and the Insurance Claim Cycle.
g. The reimbursement cycle
h. Types of office documents in insurance
4. Medical Insurance Coding
a. Vocabulary of coding
b. Be familiar with ICD-9CM codes and CPT codes.
c. Be familiar with how to complete the HFCA-1500 form.
d. Seriousness of coding errors
e. Confidentiality
5. Coding Procedures
a. Evaluation and Management
b. Anesthesia, surgery and radiology
c. Pathology/Laboratory and Medicine
6. Claim Submission
a. Billing cycle.
b. Legal ramifications of overdue accounts.
c. Aging accounts.
d. Truth in Lending
e. Data Storage
f. Auditing
7. CMS 1500 forms Completion and Submission
8. Managed Care and Private Insurance
9. Government Insurance Programs
a. Medicaid
b. Medicare
c. TRICARE and CHAMPVA
d. Worker’s Comp and Disability Programs
10. Billing and Collections
11. Tracking Reimbursement
12. Medical Practice Simulations
13. Insurance Software Challenge
MediSoft
Work with Medisoft software and be able to navigate through the various databases with confidence.
1. Enter and edit new patient records.
2. Input and edit patient cases.
3. Enter insurance information.
4. Input data based on codes and information from the superbill.
5. Make deposits from patients and insurance companies.
6. Apply payments to patient accounts.
7. Print receipts.
8. Print reports.
9. Schedule appointments on the computer.
11. Reschedule.
12. Search for appointment dates.
13. Print appointment reports.
Medical Terminology
1. Understand connotations of Greek and Latin prefixes, suffixes, and combining forms.
2. Identify plural forms.
3. Know abbreviations.
4. Use a medical dictionary and other reference sources proficiently.
5. Pronounce words correctly.
6. Importance of correct spelling and pronouncing of terms.
7. Have a working knowledge of the body system and the applicable medical terms.
8. Know common medical terms associated with the integumentary system, musculoskeletal system, gastrointestinal system, urinary system, male and female reproductive systems, blood, lymphatic and immune systems, cardiovascular system, respiratory system, nervous system, mental and behavioral health, eyes and ears, endocrine systems and oncology, as well as diagnoses, procedures, pathology, surgical, and pharmacology areas.
9. Identify and use appropriate medical terms and Medical Abbreviations in other medically related paperwork
SSCC STUDENT LEARNING OUTCOMES are the knowledge and abilities every student graduating with a certificate or degree from South Seattle Community College will have. Students will achieve these outcomes as well as the specific curriculum outcomes for their academic or technical area of study.
1. Communication
o Read and listen actively to learn and communicate
o Speak and write effectively for personal, academic, and career purposes
2. Computation
o Use arithmetic and other basic mathematical operations as required by program of study
o Apply quantitative skills for personal, academic, and career purposes
o Identify, interpret, and utilize higher level mathematical and cognitive skills (for those students who choose to move beyond the minimum requirements as stated above)
3. Human Relations
o Use social interactive skills to work in groups effectively
o Recognize the diversity of cultural influences and values
4. Critical Thinking and Problem-Solving
º Think critically in evaluating information, solving problems, and making decisions
5. Technology
o Select and use appropriate technological tools for personal, academic, and career tasks.
6. Personal Responsibility
o Be motivated and able to continue learning and adapt to change
o Value one's own skills, abilities, ideas, and art
o Take pride in one's work
o Manage personal health and safety
o Be aware of civic and environmental issues
7. Information Literacy
o Access and evaluate information from a variety of sources and contexts, including technology
o Use information to achieve personal, academic, and career goals, as well as to participate in a democratic society.
Grading and evaluations
Grading is based on the following grading system for all insurance forms:
Each form related assignment will have a number grade of 0-100 based on the amount of errors per document.

0 errors = 100
1 error = 90
2 errors = 80
3 errors = 70
4 errors = 60
5 errors = 50
6 errors = 40
7 errors = 30
8 errors = 20
9 errors = 10
10 errors = no credit

Quizzes, projects/portfolios and exams equal 50% of your overall grade
All homework and in class assignments equal 50% of your overall grade.

Quizzes and Exams will be either on computer or on paper. There will be NO late tests given.

All study questions are worth 50 points per chapter. If you would like 25 extra points, you may type both the question and answer for all of the study questions. This format serves the purpose to assist you with studying. There will be NO late homework accepted.

A final grade of 80 % (2.0) or below is unacceptable and will result in a non-passing grade for this class. A non-passing grade for any class will result in not passing the Medical Office program.

Timeline for class assignments
Please refer to the tentative timeline for specific details. This document will be given separately.

Sunday, September 11, 2005

Syllabus for Medical Front Office Customized Job Skills Training
AHE 105 – Insurance Billing and Coding, Medisoft and Medical Terminology – Fall Quarter 2007
Class begins –October 1, 2007
Class Ends – December 14, 2007
Student Coordinator/Instructor: Jennifer Evans Office location: Aviation Building
Office phone number: 206-768-6646
Cell phone number: 206-228-7561
Email: jevans@sccd.ctc.edu
Office hours: Due to schedule, by appointment only
Program hours: 9:00-4:30 Monday through Thursday and 9:00-1:00 on Friday
AHE 105 Class Hours:
Monday and Wednesday 10:00 – 12:30 and 1:00-4:30 Lunch is from 12:30-1:00
Go to www.medoffice.blogspot.com for copies of policies.


Absenteeism:
All absences must be called into either office or cell number before the start of class or emailed to Jennifer Evans Coordinator/Instructor.

Accommodations:
If you have a documented disability and are in need of support services or accommodations, please contact Disability Support Services in the Robert Smith Building, Room RS 12 (763-5137) for assistance in developing a plan to address your academic needs.

Course Description:
AHE 105 develops vocabulary skills of pronunciation, meaning, and spelling of common medical terms. Students will acquire a vocabulary of common medical terms by learning to identify root forms, prefixes, suffixes, combining forms and abbreviations for medical terms, medical procedures and therapeutic interventions used in medicine.

This course also provides a foundation in the principles and practices of medical billing and insurance processing, using ICD-9, CPT codes and HCPCS codes, to complete insurance forms, and medical record information and appropriate patient paperwork. This course also utilizes MediSoft for electronic billing and coding management. Work will be completed hands-on in both classroom and lab setting.

Prerequisites: A keyboarding score of 35 wpm or better, or by Coordinator approval. Students must be able to read and understand college level text and follow both written and oral instructions. If a student is in need of tutoring due to a documented learning or physical disability, please contact Special Student Services and the Instructor.

Required texts and materials:
Insurance Handbook for the Medical Office and Workbook, Marilyn T. Fordney; Saunders; 2006
Patient Billing – Using MediSoft Advanced 4th Edition, Susan Sanderson; Glencoe, 2003
Mastering Healthcare Terminology, Betsy Shiland; Mosby; 2004

Outline of topics in AHE 105 Introduction to Medical Insurance, Coding, MediSoft and Medical Terminology

Medical Insurance, Billing and Coding
1. Career and Professionalism
Roles and Responsibilities
Confidentiality
Liability
2. Patient Scheduling
Check in patients
The steps in scheduling patient appointments
Determine urgency of appointment.
Handling cancellations.
Understand the appointment matrix.
3. Basics of Medical Insurance
Understand the types of reimbursement.
Knowledge of insurance vocabulary.
Be familiar with insurance forms and how to complete them.
Medicare and Medicaid basics
Insurance abuse and fraud implications
Documents and the Insurance Claim Cycle.
The reimbursement cycle
Types of office documents in insurance
4. Medical Insurance Coding
Vocabulary of coding
Be familiar with ICD-9CM codes and CPT codes.
Be familiar with how to complete the HFCA-1500 form.
Seriousness of coding errors
Confidentiality
5. Coding Procedures
Evaluation and Management
Anesthesia, surgery and radiology
Pathology/Laboratory and Medicine
6. Claim Submission
Billing cycle.
Legal ramifications of overdue accounts.
Aging accounts.
Truth in Lending
Data Storage
Auditing
7. CMS 1500 forms Completion and Submission
8. Managed Care and Private Insurance
9. Government Insurance Programs
a. Medicaid
b. Medicare
c. TRICARE and CHAMPVA
d. Worker’s Comp and Disability Programs
10. Billing and Collections
11. Tracking Reimbursement
12. Medical Practice Simulations
13. Insurance Software Challenge
MediSoft
Work with Medisoft software and be able to navigate through the various databases with confidence.
Enter and edit new patient records.
Input and edit patient cases.
Enter insurance information.
Input data based on codes and information from the superbill.
Make deposits from patients and insurance companies.
Apply payments to patient accounts.
Print receipts.
Print reports.
Schedule appointments on the computer.
11. Reschedule.
12. Search for appointment dates.
13. Print appointment reports.
Medical Terminology
Understand connotations of Greek and Latin prefixes, suffixes, and combining forms.
Identify plural forms.
Know abbreviations.
Use a medical dictionary and other reference sources proficiently.
Pronounce words correctly.
Importance of correct spelling and pronouncing of terms.
Have a working knowledge of the body system and the applicable medical terms.
Know common medical terms associated with the integumentary system, musculoskeletal system, gastrointestinal system, urinary system, male and female reproductive systems, blood, lymphatic and immune systems, cardiovascular system, respiratory system, nervous system, mental and behavioral health, eyes and ears, endocrine systems and oncology, as well as diagnoses, procedures, pathology, surgical, and pharmacology areas.
Identify and use appropriate medical terms and Medical Abbreviations in other medically related paperwork
SSCC STUDENT LEARNING OUTCOMES are the knowledge and abilities every student graduating with a certificate or degree from South Seattle Community College will have. Students will achieve these outcomes as well as the specific curriculum outcomes for their academic or technical area of study.
Communication
Read and listen actively to learn and communicate
Speak and write effectively for personal, academic, and career purposes
Computation
Use arithmetic and other basic mathematical operations as required by program of study
Apply quantitative skills for personal, academic, and career purposes
Identify, interpret, and utilize higher level mathematical and cognitive skills (for those students who choose to move beyond the minimum requirements as stated above)
Human Relations
Use social interactive skills to work in groups effectively
Recognize the diversity of cultural influences and values
Critical Thinking and Problem-Solving
º Think critically in evaluating information, solving problems, and making decisions
Technology
Select and use appropriate technological tools for personal, academic, and career tasks.
Personal Responsibility
Be motivated and able to continue learning and adapt to change
Value one's own skills, abilities, ideas, and art
Take pride in one's work
Manage personal health and safety
Be aware of civic and environmental issues
Information Literacy
Access and evaluate information from a variety of sources and contexts, including technology
Use information to achieve personal, academic, and career goals, as well as to participate in a democratic society.
Grading and evaluations
Grading is based on the following grading system for all insurance forms: Each form related assignment will have a number grade of 0-100 based on the amount of errors per medical form or document.
0 errors = 100
1 error = 90
2 errors = 80
3 errors = 70
4 errors = 60
5 errors = 50
6 errors = 40
7 errors = 30
8 errors = 20
9 errors = 10
10 errors = no credit

Attendance is 33.3% of your overall grade, Quizzes, projects/portfolios and exams equal 33.3% of your overall grade. All homework and in class assignments equal 33.3% of your overall grade.

Quizzes and Exams may be given on either computer or on paper. There will be NO late tests given.
Homework will be reduced by 20 points if turned on 1 day late. After that, it will NOT be accepted.
§ Medical Terminology homework consists of the exercises within each chapter. The Medical Terminology Chapter Review questions are NOT part of the homework and will be discussed separately.
§ Medical Insurance homework consists of the Self Study review questions (50 points per chapter), Critical Thinking, and Assignments (100 points per chapter) at the end of each chapter. The Exercise Exchanges and Billing Breaks are graded separately and according to the amount of errors per document.
Medical Terminology and Medical Insurance homework questions are worth 50 points per chapter. For medical terminology, if you would like and additional 25 extra points per chapter, you may type both the question and answer for all of the study questions. This format serves the purpose to assist you with studying.
A final grade of 75% (2.0) or below is unacceptable and will result in a non-passing grade for this class. A non-passing grade for any class will result in not passing the Medical Office program.

Timeline for class assignments
Please refer to the tentative timeline for specific details. This document will be given separately.

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I hope your learning is a FUN and CHALLENGING process!

Jen