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Carl Albert State College
HEALTH INFORMATION TECHNOLOGY PROGRAM
A Practical Guide for success in the course
HIT 1213
CPT and Other Coding
Course Instructor: JLynn Jennifer Smith MSL, RHIA, RMAClip art courtesy of creative commons
Learning Outcomes
 Analyze the documentation in the health record to ensure it
supports the diagnosis and reflects the patient’s progress, clinical
findings, and discharge status. Apply report generation
technologies to facilitate decision-making
 Verify the documentation in the health record is timely, complete,
and accurate.
Analyze current regulations and established guidelines in clinical
classification systems.
Identify discrepancies between supporting documentation and
coded data.
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Introduction
Regardless of what career path you are choosing in healthcare,
each role must master critical thinking skills. In order to prepare
you for real world experience, do not expect every test question
to be multiple choice out of textbook questions!
“We see healthcare shifting from a procedure reimbursement, where in this
country doctors are reimbursed for how many procedures they conduct, to a
world where people will be reimbursed for the outcomes - did the patient
actually get better, and what was the total cost of the cycle of care.”
~John Sculley
Reference: http://www.brainyquote.com/quotes/keywords/statistics.html#lsqQ3Z4AAeY08OCU.99.”
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Accurate reimbursement in healthcare depends on
accurate code assignment directly reflecting care and
services provided.
ClipArtcourtesyofCreativeCommons
COURSE MATERIALS
 To be successful, you will need the current materials for the
course and the ability to do internet research with high speed
internet capability.
 NOTE: You will be required to have a web cam to complete a
minimum of one exam a semester in Blackboard starting Fall
2016.
 Current Materials/Textbooks:
 2016 Edition of Step by Step Medical Coding by Carol Buck
 Step by Step Adaptive Learning software
 E/M
 Optional: CPT Code Book by Carol Buck, or publisher of your choice
(it is fine to borrow a book from work or a friend, but make sure it is
NOT a draft print and is finalized code book)
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Contact information
 You can reach me via email at:
jjsmith@carlalbert.edu
 You may leave me a voicemail at the my
office: 918-647-1347. If there is truly an
emergency (which would be EXTREMELY
rare) you can reach me at an alternative
number: 913-730-0336 (text or call).
 Follow the instructions in the course for
appropriate communication!
 See instructor info in the course for additional
info
An instructor is not a mind reader so we don’t know the difference between a student
struggling with course material, having a personal issue or simply dropping out of the
course without formally doing so. It’s the student’s responsibility to have timely
communication!
Course Email
• The Course Email tab will show you messages that occur within
the course and course members.
• This can be helpful for group assignments, however, please follow
normal guidelines for emailing your instructor from your student email.
This will ensure a more timely response to your emails as the course
email are NOT checked as frequently as they do not forward a response
to the instructor’s college email.
Don’t forget to ALWAYS use your student email for correspondence!
• More assignments will open as the semester progresses, but working
ahead is helpful!
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Coursework
All coursework is found in Blackboard under the “Start
Working” tab
• You may be provided with a course schedule or “Course
Overview” to give you an overall layout of all the coursework
for the semester. This will be located in the Info/
Requirements tab in your course in Blackboard.
• Regardless of the anticipated due dates on the course
overview, ALL ASSIGNMENTS ARE DUE ON OR BEFORE
THE DATE AND TIME LISTED FOR EACH ASSIGNMENT!
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Coursework Cont
Due dates and times may vary, watch carefully!
Late work, if accepted with prior approval, will only be
accepted twice in the semester and points deducted
accordingly. There is no automatic acceptance of late
work.
Assignments vary in requirements from group
assignments, to research papers, essays, course
projects, online exams, etc. FOLLOW THE
INSTRUCTIONS CAREFULLY!
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Proctored Exams
Expect to have at least one exam during the
semester proctored.
• You will be given additional information ahead of time
as the course progresses.
• ProctorU (or other proctoring programs/products)
exams require a mandatory webcam for completion.
• You are not able to test on smart phones.
• You should consistently use the same type of device for
testing – desktop computer vs tablet, etc.
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“I can’t get into my test because it requires a password and I didn't know what a
proctor was” is never an acceptable excuse to miss an exam.
Forum Discussions
Forums allow students in the online environment to
exchange information like that in the classroom.
• All students are expected to participate in the forums, which are found
under the “Discuss” tab in your Blackboard course.
• Discussion forum assignments will be posted under Start
Working tab and linked to the corresponding topic found in the
Discuss tab. Points will be assessed accordingly and will show
up in the My Grades section. Not participating negatively
impacts your grade!
• See the course Netiquette section in the Info/Requirements tab for
guidelines on appropriate postings. You are expected to use
appropriate Grammar, Spelling and complete sentences!
• Expect “Post-First” topics that will only allow you to see other posts in
the course only after you have first posted your own response.
• Forums not completed by the deadline are zeros and are not made
up as late work.
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Gradebook
The “My Grades” tab contains all the assignments for the
course and shows the overall grade as it is calculated.
• Each assignment is weighted individually and will show it’s
contribution to the overall grade in the course.
• The final exam (and midterm if applicable) will be weighed
heavier than the other assignments in the course.
• Contact your instructor if you find discrepancies.
NOTE: Blackboard may show you your score out of completed work, not the total
in the course. For example, if you took two tests worth 50 points and you scored a
40 on both, then you would have an 80% showing (80 points out of 100 points).
The system shows what you literally earned on the work completed, but doesn't
reflect the totality of points in the course. So if the course total was 500 points for
10 assignments, then technically, you've got a 16% in the course (80 out of 500
points total), which is an F instead of an A in the whole course (80 out of only 100
points is for 2 tests, not all 10 assignments). Be wary of only looking at the
complete work grade.
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Course Announcements
Any announcements will be posted under the Course
Announcements link in the left sided navigation pane in
Blackboard for the individual course. This will notify you of any
updates in the course or helpful information such as upcoming
events. You should check for new announcements each time
you log in.
The course Welcome tab and Info/Requirements tab will include
a variety of information. You must review all tabs and information
in the course; the Welcome page is the default tab.
Resources
The Info/Requirements tab will house:
 The course syllabus, the course overview, and the content
mapping for CAHIIM accreditation
 The course Communication Expectations including course and
email communication, and Netiquette.
 You will also find additional supplemental material here for
adjuncts to the course, extra weblinks and additional plagiarism
examples and citation resources.
 Any additional instructions specific to the course and other useful
information may be found here.
•The “Class Hints” tab has additional suggestions to be successful
in the course, including examples of acceptable work!! Incomplete
sentences and poor grammar is not appropriate!
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Tech Support
Information for contacting Tech Support is listed on the website in VikeConnect
and you can submit a support ticket for assistance.
• Please contact them with issues regarding technical problems.
• There is additional information under your Student Tab in VikeConnect.
• Information for contacting Blackboard help is available in the course.
• Please contact Michael Martin for technical Blackboard issues.
• Contact Sarah Brown if you have virtual campus questions.
• Contact your Instructor for issues in the course.
• If you accidently got kicked out of an exam or you cannot see an assignment, etc.,
contact your instructor.
• Contact your Program Director for issues in the program.
• Do not email everyone enrolled in the course in the faculty role. There are reasons
there may be more than one faculty person a course they are not teaching. You will not
get your questions answered faster by those not teaching.
Academic Honesty
For years I have operated on the understanding that as long as I was
able to track down a source with a given citation, I would not burden
students with worrying about formal MLA and APA citation formats. After
all, I’m not an English professor, nor you an English major.
Unfortunately every semester I am becoming more and more
burdened with academic honesty violations from blatant plagiarism to
inadequate citations that leaves me with no way of distinguishing what
source came from where, if references are even listed to begin with.
You will now be required to formally cite all your work, or get a zero. I
can no longer spend extensive amounts of time researching this
information, writing up academic honesty violations and teaching the
basics of grammar and English when my time should be spent
teaching aspects of health information technology. Use the resources
posted in the course, as well as the Library, if you need assistance!
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Disability Guidelines
If you need special accommodations, review the information in the
course regarding the ADA statement.
 Contact information is listed under the “Welcome” tab in the
course under the “ADA-Student Disability Services” link.
You will need to make the appropriate arrangements and
provide the necessary information to the ADA representative so
that your instructor can make appropriate and necessary
accommodations.
SUCCESS
The only reason to fail this class would be
lack of work completion and participation.
• Do the assignments yourself, as cheating will be
revealed during your exams and can be reason for
dismissal from the Program. It is necessary to do the
work yourself as the national exam is comprehensive
from all your coursework.
• Please review the Academic Honesty policy in the
student handbook.
• Hints for success in the class and expectations are
located here in the “Class Hints” tab in the course.
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Summary
“Success is not final, failure is not fatal: it is the
courage to continue that counts.” ~Winston
Churchill
Your success depends on you!
Reference: http://www.brainyquote.com/quotes/topics/topic_success.html#DaoRc4Yc0iJabqoE.99