Alfred State College
SUNY College of Technology
MEDR - Medical Records
Alfred State courses are grouped into the following sections:
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An Internet-based course, including laboratory components, that covers the study of record keeping practices in the hospital and physician's office. Emphasis is placed on hospital and medical staff organization; patient record content; procedures in filing, numbering and retention of patient records; quantitative analysis; release of patient information; forms control and design; indexes and registers; and regulatory and accrediting agencies.
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An Internet-basic course that covers the study of basic concepts and terminology associated with medication structure, function, interaction, and administration. Students will identify diseases associated with certain medications as well as medications that medications. Students will also identify medications prescribed for certain diseases. Would be prescribed for certain diseases.
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A study of body systems and functions, including the structure, meaning, and use of medical terms related to diseases and operations of the human body. The systems studied include integumentary, musculoskeletal, nervous, sensory organs, endocrine, cardiovascular, respiratory, reproductive, genitourinary, and digestive. Units on psychiatry, psychology and pharmacology (drugs) are also covered. Students will also learn how to research medical information (e.g., use of Physician's Desk Reference).
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A lecture and lab-based course that includes study of the purpose and use of the ICD-9-CM and HCPCS level II classification system. Topics include coding conventions, coding principles, and official inpatient and outpatient coding guidelines. Students will assign ICD-9-CM codes to diagnosis/procedure statements and HCPCS level II codes to outpatient procedures and services. Case abstracts and patient records will also be used to assign codes. Use of the ICD-9-CM and HCPCS level II coding manuals and a computerized encoder is included. Inpatient and outpatient reimburement systems and an introduction to ICD-10 are also covered.
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A lecture and lab-based course that covers the collection and use of health data in hospitals and government agencies. Emphasis will be placed on the functions of birth and death registration, service assignment, commonly computed healthcare rates and percentages, analysis of health data, and design formats for presentation of health data to medical staff and hospital administrative committees. Students will use computer applications (e.g., Excel) for descriptive data display.
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An internet-based course that covers the study and practice of the principles of the Latest Procedural Terminology (CPT) classification systems utilized in hospital outpatient and ED departments, physician offices, and stand-alone ambulatory care centers.
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A supervised professional practice experience (PPE) in the health information management department of a hospital with adequate facilities to provide varied work opportunities in health information management. Students will work under the supervision of a qualified Registered Health Information Administrator/Registered Health Information Technician or other qualified personnel to whom they are assigned. Students will also receive college faculty consultation. The PPE is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This PPE consists of 80 hours, which can be completed on a full-time basis (40 hours/week for two weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 10 weeks).
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A supervised virtual professional practical experience (PPE) in health information management, which requires students to perform general hospital functions (e.g., HIPAA privacy and security), medical staff and hospital committee functions, patient records storage and retrieval, discharged patient record procedures, hospital statistics, and release of patient information. Students eligible to complete the virtual PPE in health information management (HIM) include those who are currently employed in the HIM department of a health care facility and those whom obtain permission of the instructor. Certain functions, such as observing patient registration/billing functions and taking minutes at a health information committee meeting, are completed by students on site at a health care facility. Site arrangements are made by the PPE Coordinator in cooperation with the student, and placement at an alternate care setting is permitted. Students will work under the supervision of the College's PPE Coordinator, who is a qualified RHIT. The virtual professional practice experience is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This virtual professional practice experience PPE consists of 80 hours, which can be completed on a full-time basis (40 hours/week for two weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 10 weeks).
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A supervised professional practical experience in the health information management department of a hospital with adequate facilities to provide varied work opportunities in International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedural Terminology (CPT) coding. Students will work under the supervision of a qualified Registered Health Information Administrator/Registered Health Information Technician or other qualified personnel to whom they are assigned. Students will also received college faculty consultation. The professional practice experience is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This professional practice consists of 120 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/weeks for 15 weeks).
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A supervised virtual professional practical experience (PPE) in coding, which requires students to assign ICD-9-CM, CPT and HCPCS level II codes to inpatient, outpatient surgery, physician office, and emergency department electronic records and use appropriate software to abstract a minimum of 50 inpatient records. Students eligible to complete the virtual PPE in coding include those who are currently employed in the HIM department of a health care facility and those whom obtain permission of the instructor. Students will work under the supervision of the College's PPE Coordinator, who is a qualified RHIT. The virtual professional practice experience is designed to enable students to obtain actual work experience in theoretical and application-based procedures previously studied. This virtual professional practice consists of 120 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 15 weeks).
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A lecture and lab-based course that includes study of accreditation and regulatory agencies in the acute care setting, medicolegal aspects of health information management, and quality management. The practical application of quality, utilization, risk and case management, as well as critcal pathways and physician credentialing are emphasized. This course is taken in the student's final year of study.
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A nonpaid supervised professional practical experience in the quality/utilization/risk management and physician credentialing departments of a hospital and in the health information management department of two different alternate health care facilities (e.g., long-term care, ambulatory care, mental health centers, and so on) with adequate facilities to provide varied work opportunities in the major aspects of health information management. Students will work under the supervision of a qualified individual at the health care facilities to which they are assigned, and will also have college faculty consultation. The program is designed to enable students to obtain actual work experience in procedures studied in the college classroom and laboratory. This professional practice should be completed during the last year of the program. This professional practice consists of 80 hours, which can be completed on a full-time basis (40 hours/week for three weeks) or on a part-time basis over an extended period of time (e.g., eight hours/week for 10 weeks).
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A lecture and lab-based course that covers the study of health care delivery and new trends of development in the management and processing of health information with emphasis on project management and the preparation of management documents. Topics include computerized medical record systems, consulting in medical records, cancer registries, financing health care, and record keeping practices for ambulatory care centers, long term care centers, and mental health care centers. Preparation for taking the RHIT exam is integrated throughout the course, during which students complete practice exams in HIM content areas and interact with the instructor to receive clarification about concepts and study techniques. This course should be taken in the student's last semester of study.
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Elective course for students interested in advanced work in health information management in an area of special interest. Enrollment is limited in order to allow each student the opportunity to pursue his/her area of special interest.
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A lecture and lab-based course that covers the study of new trends in management and processing of health information with emphasis on the electronic health record (EHR). This course covers the definition, benefits, standards, functionality, confidentiality and security, and impact of the EHR in the healthcare environment. The course explores implementation of the EHR including infrastructure required, project management techniques, information technology systems, workflow processes and redesign in various health care settings to include acute care, long term care, and mental health care. Legal issues created by implementation of the EHR will be explored. This capstone course should be taken in the student's last semester of study.
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A lecture and lab-based course that includes study of the principles and practice of insurance and reimbursement processing, to include the assignment and reporting of codes for diagnoses and procedures/services; completion of CMS-1450 and CMS-1500 claims for inpatient, outpatient, emergency department, and physician office encounters; and the review of inpatient and outpatient cases to identify issues of fraud and abuse. Textbook cases and patient records will be used to code diagnoses/services/procedures and complete claims. Inpatient and outpatient reimbursement will be determined and source documents interpreted (e.g., Medicare Summary Notices).
Alfred State College, 10 Upper College Drive, Alfred, NY 14802 | 1-800-4-ALFRED (425-3733)
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