Supplemental Syllabus

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Online Supplemental Syllabus Course Title: MCCG 146 CPT and HCPCS II Coding Instructor’s Name: Alison H. Coleman MS, AHFI, CFE, CHC, CCS-P, CPC, CPCO, CEMC, CBCS Email: ahcoleman@bryantstratton.edu Virtual Office Hours/Skills Assistance: Tuesday Evenings 7pm - 9pm Eastern Time 6 pm – 8pm Central Time I am in Denver, Colorado Mountain Time/Arizona 5 pm – 7pm 4 pm – 6pm – Pacific Time If you ever have any questions or concerns, please feel free to contact me via the Ask Your Instructor button in the course or Chat with me in Teams or email. Please keep in mind, questions posed in the Ask Your Instructor are public to everyone enrolled in the course. Ask Your Instructor is a good place to ask about course content or get clarification on completing assignments. Please do not ask questions about your grade or resubmitting an assignment. If you have an issue or question that is more personal in nature, please contact me directly. We can also set up time to chat on the phone, or get together on Microsoft Teams if needed. I also set up a group TEAMS chat with all my MCCG 146 CPT sections for each sessions to allow for collaboration. You can also contact me via text or call me (urgent) – cell phone 720-987- 7048 outside of my Virtual Office Hours. Texting or contacting me via TEAMS Chat with me in Teams is the quickest response time for an urgent matter, otherwise please post in Ask Your Instructor or email me directly at ahcoleman@bryantstratton.edu . vJanuary2024

Required Coding Manuals (Available through the Bryant & Stratton bookstore) – you are required to have your CPT coding manual and ICD-10-CM coding manual for this course. This is vital to your success in the course. IF YOU HAVE NOT PURCHASED YOUR CODE BOOKS, please order as soon as possible and notify me. AMA CPT and ICD-10-CM coding manual will be your hard copy code manual. You WILL NOT have a hard copy HCPCS Level II Codebook for this course. It is online e-coding manual available from the B&SC Virtual Library. You can also access HCPCS Level II codes at this website link: https://hcpcs.codes/ All coding manuals e-versions are available at MCCG site at virtual library and I will go over in my Introductory Live Session. You can also access You will use the CPT, HCPCS, and ICD-10-CM Coding Classification Systems for this course. You will have the hard copy codebooks for this course:  ICD-10-CM CODE BOOK, SPIRAL BOUND  AMA CPT PROFESSIONAL, SPIRALBOUND MINDTAP For SCHNERING'S Professional Review Guide Online for the CCA Exam, Cengage . (This does not need to be purchased separately as it is included in the fee of this course). You will access this in Blackboard. Student Support Services (SSS): SSS time is used for taking advantage of added or enhanced learning vJanuary2024

opportunities with any instructor. Within the left-hand navigation pane, students will find the “ ePortfolio & Tools ” button, which offers links to Brainfuse , a tutoring service, and the ePortfolio . In the “ Student Resources ” button, students can find information on APA, taking screenshots, and contact information for various website supports. Also in this button is the Virtual Library , where students can access scholarly resources as needed. Grading & Response Time from Your Instructor: Grades along with feedback will be updated in Blackboard by Thursday at 11:59pm ET each week (check the My Grades button). If you have questions on content or need clarification on assignments, use the “ Ask Your Instructor ” button . I will respond to your questions within 24 to 48 hours . Helpful Tips for Success in My Course : To set yourself up for success, please start each week by watching the Weekly Lecture, Instructor Tutorial, and attending the Weekly Live Session (or reviewing the recording) and reviewing all the supplemental resources posted in the week’s discussion thread. I provide you the roadmap for the week’s assignments and understanding the course content and how to complete the assignments step by step and how to navigate the week’s assignments. Plan your work and work your plan! This is so very important with life and school but also as a reimbursement and coding professional, time management. Online courses can be challenging for students, and I provide many different learning styles and will ask your learning style in W1. I post multiple resources including websites and instructional videos and "where to" and "how-to information". To be successful in this course, you do have to do the work and prepare by reading, reviewing the weekly lecture, and reviewing the additional resources and Instructor tutorials. This should all be done BEFORE you begin your week. vJanuary2024

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Coding is time intensive and not something you will just pick up by picking up a codebook. I provide all the tools and resources to set you up for success and to help you to understand the weekly content. "Don't chase the grades, chase the knowledge". Coding is not something you can just start on Saturday night and expect to get your assignments submitted accurately and to understand the content and coding process. It is important that you take the time to learn the content and processes and if you are rushing to complete the assignment, please reach out for an extension. I would rather have you submit a late assignment instead of a rushed assignment that you did not understand. I highly encourage you to review all of my Discussion Posts and Announcements each time you log in. I post important information to help you be successful in the week including recordings on how to complete the assignments accurately. The key is learning the information, not just submit the assignment so if it gets to be the end of the week, and you are rushing to submit the assignment, reach out and ask for additional time, instead of submitting an assignment that will result in a poor grade or it being returned for rework. Your goal should be understanding entry-level understanding of medical coding and being prepared for the CCA certification exam that you will complete after you complete your diploma program. Instructor’s Approach: This course is focused on the entry-level application of CPT and HCPCS Level II classification systems. Application-based assignments will be utilized to allow students to demonstrate advanced knowledge of coding conventions, coding principles, and official coding guidelines. Students will use relevant patient information from case studies to assign codes to diagnosis/procedure statements and generate physician queries. Coding characteristics, conventions, and guidelines will be applied in identifying and accurately assigning codes to diseases, conditions, and procedures. I will teach the course by providing real-world coding examples and consistently provide on-the-spot coding questions with rationale. Assessments will be done with the results of the quizzes and assignments and feedback will be given on incorrect responses and provide valuable rationale to why the answer was not correct. vJanuary2024

You will gain the knowledge, skills, and abilities as outlined by the syllabus and course outcomes based on your results of quizzes and activities. I will also provide additional CPT and HCPCS Level II coding scenarios, related coding and professional resources and introduce related topics, and ongoing critical thinking questions to initiate further learning outside of the course syllabus. Coding aptitude competency will be assessed on their results and the questions that are asked. Course theories and principles will be assessed through discussion forums, questions that are related to medical and industry topics, and the results of the student results. I encourage you to get the most out of your learning opportunities and understand that each student has different backgrounds, experiences, and interests and these are factors that are vital to me as an instructor to understand and help facilitate the classroom and your learning experience. Coding is not just looking up a code in the code manual and is very technical and time consuming. I will post a lot of questions to my students and will provide a substantial number of actual scenarios so they can relate course materials to actual examples. Please take the time to respond to these questions, they are built to assist you with real-world application of medical coding and reimbursement and preparing you for your CCA certification exam. I will post learning tools, resources, and extra coding practice along with useful industry specific and professional articles. I encourage students to participate in additional conversation in the discussion threads and continue to add value by bringing your own discussion questions to the table and participating in the additional coding exercises. I cannot stress enough how important it is to build on your medical coding foundation and practice, practice, and more practice is critical to your learning. Ask questions, think outside the box, and engage in the course. Remember, you will get out of the course what you put into it. You will have to do the work and invest the time necessary to learn the craft of medical coding. My own mix of teaching style and philosophy along with the vision and values of Bryant & Stratton, partnered with the student’s needs and desire to learn will translate to student success. As a student, you will see the 3-way partnership between student, teacher, and school as the cornerstone to vJanuary2024

meeting the objectives of the program and know that they are part of a learning team with the same goals and the same desired student outcomes. Feedback and comments that are both detailed and positive in nature will increase student involvement and academic success. I will allow for questions in hope of increasing interaction and thoughtful responses. Learning should be interesting, challenging, and fun and as a teacher I like to promote thinking outside the box and using critical thinking skills. As a student, know that I will prepare you with the skills necessary to succeed in the coding and reimbursement career field and will actively engage you in the process of learning and finding a passion for what they do. I share my enthusiasm with students in hopes that this influences their desire to learn the materials and subject being taught. If you have questions or need additional help, please reach out to me. Instructor’s Late Policy: Ensuring timely submissions is extremely important for success in online learning. There is an understanding that unexpected events happen and there may be times when you are unable to meet established deadlines. In these situations, the following guidelines apply:  Day 1: deduct 5 points  Day 2: deduct 10 points  Day 3: deduct 15 points  Any assignment submitted after Day 4 will be accepted case by case. You may email me or text me at 720.987.7048 for urgent matters. I respectfully request that you keep the lines of communication open and do not wait until the last minute or until after the fact when assignments were due to let me know you are struggling or having external factors that are impacting your timely submission. Personal accountability is very important and as an instructor, I am flexible because I have been there and I understand what it is like juggling multiple priorities; life, careers, work, family, and everything in between can be overwhelming but ultimately you are responsible for completing your schoolwork by the assignment due dates and need to be accountable for communicating with me if you are struggling. I am not a mind reader. vJanuary2024

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If you have a documented emergency and need additional time, please let me know. Late work will not be accepted after the last day of class without my prior approval. Supplemental Resource Material: Week 1 : This week, we will learn about Ethical Coding, Resumes and Cover Letters, and HIPAA Privacy and Security. You will review your Portfolio Project for the course and begin preparation for this project. Supplemental Reading Week 1 : https://bok.ahima.org/codingstandards#.YTfVTo5KiM8 https://work.chron.com/code-ethics-medical-coding-billing-specialists- 3099.html https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/ index.html https://www.hhs.gov/hipaa/for-professionals/privacy/index.html Coding professionalism. https://www.aapc.com/aboutus/integrity.aspx How to Use the CPT Manual for Medical Coding – Current Procedural Terminology Book Instructions https://youtu.be/pXki6hoJFpE W1 Resume and Cover Letter Resources: Here are multiple resources to help you draft your resume and cover letter. Please make sure you are reviewing the assignment and grading rubric. In Week 1 - you are submitting your rough draft. https://coverlettersandresume.com/coder/entry-level-medical-coder-resume- sample-no-experience/ https://www.topresume.com/career-advice/make-a-great-resume-with-no- work-experience vJanuary2024

https://novoresume.com/career-blog/resume-advice-for-students-with-no- experience https://owl.purdue.edu/owl/job_search_writing/job_search_letters/ cover_letters_1_quick_tips/index.html https://owl.purdue.edu/owl/job_search_writing/resumes_and_vitas/index.html https://www.flexjobs.com/blog/post/how-to-translate-skills-on-your-resume- for-a-career-change/ https://www.indeed.com/career-advice/resumes-cover-letters/writing-a- resume-with-no-experience https://www.themuse.com/advice/heres-how-to-translate-your-skills-from- one-industry-to-another https://www.careershifters.org/expert-advice/how-to-move-into-a-new- career-with-no-relevant-experience-on-your-cv https://www.careeronestop.org/JobSearch/Resumes/ResumeGuide/ TopResumeStrategies/identify-transferable-skills.aspx https://www.indeed.com/career-advice/resumes-cover-letters/transferable- skills Week 2 : In Week 2, you will learn about the history of CPT Coding, as well as how to navigate the CPT code manual. You will read CPT Coding conventions and learn what CPT and HCPCS Level II modifiers are (you will learn more about modifiers in subsequent weeks), their purpose, and when to apply them. Finally, you will learn about Evaluation and Management (E/M) Coding, which will kick off the start of applying CPT codes! CPT® Evaluation and Management (E/M) Code and Guideline Changes This document includes the following CPT E/M changes, effective January 1, 2023: https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf Supplemental Reading Week 2 : https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network- MLN/MLNProducts/Downloads/ICD9-10CM-ICD10PCS-CPT-HCPCS-Code-Sets- Educational-Tool-ICN900943.pdf vJanuary2024

https://www.cms.gov/files/document/ chapter1generalcorrectcodingpoliciesfinal112021.pdf https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/ HCPCS_Coding_Questions https://www.acog.org/practice-management/coding/coding-library/ evaluation-and-management-changes-for-2021 https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs- code-changes.pdf https://www.cms.gov/outreach-and-education/medicare-learning-network- mln/mlnproducts/downloads/eval-mgmt-serv-guide-icn006764.pdf A medical coding modifier is two characters (letters or numbers) appended to a CPT ® or HCPCS Level II code. The modifier provides additional information about the medical procedure, service, or supply involved without changing the meaning of the code. Medical coders use modifiers to tell the story of a particular encounter. https://www.aapc.com/modifiers/ Week 3 : In Week 3, you will learn about compliant physician queries by reviewing what to look for to ensure the query is compliant. You will also learn about what HCPCS Level II codes are and what they are used for. We will discuss CPT and HCPCS modifiers further, and finally, you will learn about Imaging, Lab, and Pathology Coding. Supplemental Reading Week 3 : https://journal.ahima.org/physician-query-examples/ https://www.icd10monitor.com/the-art-of-the-physician-query https://assets.hcca-info.org/portals/0/pdfs/resources/conference_handouts/ regional_conference/2010/newport%20beach/bryantcolor.pdf https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/ HCPCS_Coding_Questions https://www.cms.gov/files/document/chapter9cptcodes70000- 79999final112021.pdf vJanuary2024

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https://www.cms.gov/files/document/chapter10cptcodes80000- 89999final112021.pdf Professional Resource : https://medlineplus.gov/ Week 4 : In Week 4, we will explore what the Chargemaster is, Local Coverage Determinations (LCD) and Surgery Coding. We will go into detail on the Integumentary and Musculoskeletal Systems/Coding. You will also participate in a 1 hour – Live Web Call. Supplemental Reading Week 4 : https://www.cms.gov/Medicare/Coverage/DeterminationProcess/LCDs https://www.medicare.gov/claims-appeals/local-coverage-determinations-lcd- challenge https://www.cms.gov/files/document/chapter3cptcodes10000- 19999final112021.pdf https://www.cms.gov/files/document/chapter4cptcodes20000- 29999final112021.pdf https://www.cms.gov/files/document/chapter8cptcodes60000- 69999final112021.pdf https://www.acc.org/tools-and-practice-support/practice-solutions/coding- and-reimbursement https://www.beckershospitalreview.com/finance/5-things-hospitals-should- know-about-their-chargemaster-and-icd-10.html Diagnostic and Therapeutic Radiopharmaceuticals HCPCS Code range A9500- A9800 The HCPCS codes range Diagnostic and Therapeutic Radiopharmaceuticals A9500-A9800 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. https://www.aapc.com/codes/hcpcs-codes-range/55/#:~:text=Diagnostic %20and%20Therapeutic%20Radiopharmaceuticals%20HCPCS,providers %20to%20provide%20healthcare%20claims . vJanuary2024

https://www.cms.gov/medicare-coverage-database/view/article.aspx? articleId=55052 Video – “What is a chargemaster” https://binged.it/2KBKgls Week 5 : In Week 5, we will go into detail on NCCI Edits and Surgery Coding – to include Respiratory, Cardiovascular, and Hemic/Lymphatic Systems. Supplemental Reading Week 5: https://www.cms.gov/files/document/01introductionfinal112021.pdf https://www.cms.gov/files/document/chapter6cptcodes40000- 49999final112021.pdf https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd https://www.cms.gov/outreach-and-education/medicare-learning-network- mln/mlnproducts/downloads/how-to-use-ncci-tools.pdf https://www.cms.gov/files/document/chapter5cptcodes30000- 39999final112021.pdf Week 6 : In Week 6, you will learn about External Audits, Compliant Coding, and Documentation. You will also wrap up the Surgery chapter in the CPT Professional code book focusing on the Urinary System, Female and Male Genital Systems, Maternity Care, Nervous System, Eye and Ocular Adnexa, as well as the Auditory System. You will learn about the Medicine Section in the CPT manual that covers everything from vaccinations to acupuncture. Supplemental Reading for Week 6 : https://providers.bcbsal.org/portal/documents/10226/306297/ Obstetrics+Coding+and+Documentation+Reference+Guide/8f5f1b65-1fd2- 49a5-8708-6819a162098e https://www.aapc.com/blog/81858-coding-maternal-fetal-medicine/ 2020 CPT Medicine Section – please watch video - https://www.youtube.com/watch?v=jfsqeuopUow https://oig.hhs.gov/authorities/docs/physician.pdf vJanuary2024

https://pdfs.semanticscholar.org/ c657/3548aff4591deff3f872b6143c734a8222e1.pdf https://www.cms.gov/files/document/chapter7cptcodes50000- 59999final112021.pdf https://www.cms.gov/files/document/chapter8cptcodes60000- 69999final112021.pdf https://www.mgma.com/resources/revenue-cycle/the-value-and-purpose-of- medical-coding-audits https://www.fortherecordmag.com/archives/0118p10.shtml https://library.ahima.org/doc?oid=58837#.YTfdUo5KiM8 https://www.radiologytoday.net/archive/rt1019p6.shtml https://assets.hcca-info.org/Portals/0/PDFs/Resources/ Conference_Handouts/Compliance_Institute/2018/710_2.pdf Professional Resource : https://oig.hhs.gov/compliance/ Week 7 : In Week 7, we will get into the details of Anesthesia Coding. We will also learn about Encoder and Computer Assisted Coding (CAC), APC Guidelines, and Reimbursement Guidelines. Supplemental Reading for Week 7 : https://www.cms.gov/files/document/chapter2cptcodes00000- 01999final112021.pdf https://www.foreseemed.com/computer-assisted-coding https://searchhealthit.techtarget.com/definition/computer-assisted-coding- system-CACS https://www.hcinnovationgroup.com/policy-value-based-care/article/ 13001774/computerassisted-coding-the-secret-weapon https://www.fortherecordmag.com/archives/MA21p12.shtml vJanuary2024

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https://www.acep.org/administration/reimbursement/reimbursement-faqs/ apc-ambulatory-payment-classifications-faq/ Week 7.5 : You have been preparing for your CCA certification exam – you will take your CCA Practice Exam. This is a timed practice exam which covers content from this course - you will be given 2 attempts. https://my.ahima.org/careermap https://www.aapc.com/blog/43126-whats-the-best-path-for-me/ Professional Resource: https://justcoding.com/ Course Assessment Evaluation Criteria: 90-100% – A 85-89% – B+ 80-84% – B 75-79% – C+ 70-74% – C 65-69% – D+ 64% and below – F An additional breakdown of gradebook categories and assignments can be found on the Tracking Calendar. Cheating According to the Bryant & Stratton College Catalog, cheating includes (but is not limited to): 1) inappropriate collaboration or carrying out conduct which the student knew or should have known provided him with an unfair advantage in the course; 2) using materials found on crowdsourcing source sites (such as Course Hero, Grade Buddy, and Koofers); 3) the use of any unauthorized assistance in taking quizzes, tests, or examinations or in completing assignments; 4) use of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or carrying out other assignments; and 5) plagiarism. Plagiarism may involve self- plagiarism (reusing significant or identical portions of previously submitted work without citing our acknowledging one is doing so), use of purchased reports or assignments, use of another person’s direct wording or ideas without proper acknowledgment and citation, and/or use of crowdsourcing sites mentioned previously. The ramifications of cheating can range from failing an assignment (with or without the chance to resubmit) to dismissal from the college. DSI Statement Diversity, Sensitivity, and Inclusion are part of Bryant & Stratton College’s strategic plan and integral to the achievement of academic excellence. We seek to cultivate the College’s continuing efforts to foster an inclusive vJanuary2024

culture and atmosphere of mutual respect and equity. We encourage dialogue that will attract, retain, celebrate, and embrace all backgrounds, cultures, perspectives, and abilities. This will be done by creating awareness through campus events, workshops, instructor training and development, while being purposeful about engaging with our students and community. Workplace Readiness For students at Bryant & Stratton College, workplace readiness is paramount. The instructional methodologies used have been specifically chosen for their effectiveness in preparing students to achieve both academic and career success. These methodologies include the integration of key workplace competencies throughout the curriculum; outcomes-based learning; active, experiential learning activities and assignments; authentic assessment; portfolio; and others. This course is designed to bridge together the workplace, the real world, and the classroom. The content will give you the opportunity to better prepare for the workplace and for the real world. Program Outcomes & Institutional Outcomes & Technology Requirements: Refer to the catalog link below to look up your program/institutional outcomes associated with your degree and the most current technology requirements needed to be successful in online learning. A weblink to the Bryant & Stratton College Catalog is provided below. Bryant & Stratton College Catalog .pdf Professionalism: Much like employees perform best in work environments where they feel supported and appreciated, students learn best when they are in a positive environment for learning. At Bryant & Stratton College, the classroom is your preparation space for the workplace as well as life. As such, following these expectations will ensure that your classroom experience is positive, supportive, and leads to academic and career growth. Creating a sense of community is essential in an online classroom. You must feel comfortable when participating in a discussion forum and you must understand that your ideas can be presented without fear of ridicule or cyber-bullying. Professional demeanor and communication with your instructor and classmates is of the utmost importance. You should practice treating your classmates the way you would colleagues in the workplace. To portray an image of professionalism, please observe the following guidelines when participating in discussion and communicating with classmates and instructors: vJanuary2024

 Do not write in all capital letters.  Do not write in any font color other than black.  Do not use any sort of profanity.  Do not use text language like “LOL”.  Be respectful and constructive in all communications. CareerLifePrep (CLP): An education from Bryant & Stratton College comes with a unique set of experiences that helps prepare students at every step in their journey, both while in college and after graduation so that they may achieve a long and fulfilling career coupled with a fulfilling life. Within the CareerLifePrep experience, there are several key pillars: CareerLifePrep Path , Pro , Plus , and Team . As part of CareerLifePrep, the Pro Pillar is designed for interaction between instructor and students to help prepare students with the proper workplace knowledge, skills, and behaviors. Each class has been designed to include assessments making connections between the course topics and the real world. Assessments, connected to specific course and program outcomes, are intended to mimic situations and scenarios you may encounter in your chosen field and will give you the opportunity to demonstrate your new skills. ePortfolio Inclusion: The purpose of the portfolio projects completed in each course is to help prepare students for the Articulation and Evidence assignment they will be asked to complete in their Capstone course. This activity is focused on getting students ready for the workforce. Students identify work(s) produced in each course that allow them to demonstrate, reflect on, and speak to the acquired knowledge, skills, and behaviors that will benefit them and their future employers. Once a portfolio project has been completed and graded, students should review the instructor’s comments, revise the project as appropriate, and upload the most recent version of the project to your electronic portfolio account for use later. Some classes, such as those in the first term, do not include a portfolio project. In these classes, no items will be uploaded into the student ePortfolio. Time Commitment Necessary to Earn Course Credit: Bryant & Stratton College subscribes to a philosophy commonly held by institutions across higher education: achievement of success with college- vJanuary2024

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level study will necessitate that the student devotes both scheduled ‘in- class’ time as well as significant ‘out-of-class’ time to meeting course outcomes. To achieve all outcomes for this 3-credit hour course, each student should expect to participate in the scheduled ‘in-class’ asynchronous hours (6 or more) and to dedicate approximately 90 hours total during the session for class preparation and work time. Out-of-class time is necessary for completing textbook readings (if applicable), reviewing lecture content, completing related assignments, accessing and using additional resources as identified by the instructor, and/or researching, participating in discussion forums, completing graded assignments and assessments, and preparing for the final project. vJanuary2024