MEDR - Medical Records
Alfred State courses are grouped into the following sections:
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A lecture and lab-based course that covers the study of record keeping practices in the hospital and physician's office. Emphasis is placed on the health information management profession; 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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This is a lecture-based online course for those entering a health care profession, and it covers the study of basic concepts and terminology associated with medication structure, function, interaction, and administration. Core concepts in pharmacology are introduced, including terminology, consumer safety and drug regulations, sources and bodily effects of drugs, medication preparation, abbreviations and systems of measurements, responsibilities, and principles of drug administration.
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A lecture-based course that includes the study of body systems and functions, including the structure, meaning, and use of medical terms related to diseases and operations of the human body. Body 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 also learn how to use research medical information (e.g., such as reputable electronic medical references).
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An Internet-based course whose content consists of a lecture and lab that includes study of the purpose and use of the ICD-9-CM and HCPCS level II classification systems. 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.
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An Internet-based course whose content includes a lecture and lab 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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This is a lecture and lab based on-line course that includes study of the purpose and use of the ICD-9-CM, ICD-10-CM and ICD-10-PCS (ICD-10-CM/PCS) classification systems. An introduction to inpatient and outpatient reimbursement systems is also covered. Coding topics include coding conventions and principles, and official inpatient and outpatient coding guidelines. Students will assign ICD-9-CM codes to diagnoses and procedures, ICD-10-CM codes to diagnoses, and ICD-10-PCS codes to inpatient procedures.
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This is a lecture and lab based on-line course that covers the study and practice of the principles of the Current Procedural Terminology (CPT) and HCPCS Level II classification systems, which are used in hospital outpatient and ED departments, physician offices, and stand alone ambulatory care centers.
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A supervised professional practical experience (PPE) in the health information 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.
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A supervised virtual (Internet-based) 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.
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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 ICD-9-CM, CPT and HCPCS level II coding. Students will work under the supervision of a qualified RHIA, RHIT, or other qualified personnel to whom they are assigned. Students will also receive 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.
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A supervised virtual (Internet-based) 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 currently employed in the health information department of a health care facility and those whom obtain permission of the instructor.
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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.
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This is an online lecture and lab-based course that includes intermediate and advanced study of the ICD-9-CM (and ICD-10-CM and ICD-10-PCS, abbreviated as ICD-10-CM/PCS), CPT, and HCPCS level II classification systems. Application-based assignments allow students to demonstrate their mastery of coding conventions, coding principles, and official inpatient and outpatient coding guidelines.
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This is a lecture- and lab-based online course that includes a study of information and communication technologies; data, information, and file structures; data storage and retrieval; and data security. Topics also include new trends in the management and processing of health information with an emphasis on the electronic health record (EHR).
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This is a lecture- and lab-based online course that includes a study of healthcare information requirements and standards, healthcare statistics and research with an emphasis on data quality and integrity; quality management and performance improvement; healthcare delivery systems with an emphasis on external standards, regulations, and initiatives; and healthcare privacy, confidentiality, and legal, and ethical issues.
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This is a lecture-based online course that includes content new to the health information management (HIM) profession and to which students did not receive instruction in previous course(s). Examples of such content includes, but is not limited to, new and revised coding classification systems, federal and state statutes (laws) and regulations, information technology initiatives, and so on.
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An Internet-based course whose content includes a lecture and lab that includes study of the principles and practice of insurance and reimbursement processing. The course will 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. In addition the course will cover the review of inpatient and outpatient cases to identify issues of fraud and abuse.
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This course is a professional practical experience (PPE) that includes a combination of Internet-based laboratory projects/assignments and the completion of on-site hours in the health information management (HIM) department of a hospital (or other healthcare facility) with adequate facilities to provide varied work opportunities in HIM. Internet-based laboratory HIM projects/assignments are evaluated by college faculty.
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This course is a professional practical experience (PPE) that includes a combination of Internet-based laboratory coding projects/assignments and the completion of on-site hours in the health information department of a hospital (or other healthcare facility) with adequate facilities to provide varied work opportunities in ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT and HCPCS level II coding. Internet-based laboratory coding projects/assignments are evaluated by college faculty.
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An internet-based course whose content includes a lecture and lab 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.
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An internet-based 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-based online course that includes content new to the health information management (HIM) profession and to which students did not receive instruction in previous course(s). Examples of such content includes, but is not limited to, new and revised coding classification systems, federal and state statutes (laws) and regulations, information technology initiatives, and so on.
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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 setting to include acute care, long term care, and mental health care.
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An internet-based course whose content includes a lecture and lab that includes study of the principles and practice of insurance and reimbursement processing. The course will 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. In addition the course will cover the review of inpatient and outpatient cases to identify issues of fraud and abuse.
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A lecture-based online course that introduces the study of law, including the American legal system, court systems and legal procedures, e-discovery, judicial process of health information, discovery requests, principles of liability, intentional and non-intentional torts, and defenses to lawsuits. An overview of ethics includes the study of ethical standards, ethical decision making and challenges, and bioethical issues.
