This course project was built to test your knowledge of conducting Continuing Education for Coding Staff.
Summary
You are the Coding Manager of the Health Information Management department for DeVry Community Hospital and Health Services. In your role as Coding Manager, you have the responsibility for not only training new employees but for conducting continuing education for the coding staff. For your course project, you will develop an annual schedule for inservices and a presentation.
First, you will select a topic appropriate for a PowerPoint presentation. Next, you will conduct research on topics to be included in the schedule of inservices. You will then develop an annual schedule for education and training. Finally, you will develop a PowerPoint presentation for your inservice.
Deliverables
Course Project Topic Selection: As you are responsible for conducting training and providing continuing education, you must determine the topics you will address with your coding staff during the calendar year. Select a topic for your PowerPoint presentation and submit your selected topic for instructor approval. You should include an explanation of the relevance of the topic to your coding staff. Due Week 3.
State specific research: As Coding Manager, you must provide your staff with available state specific resources. Research state specific resources related to coding, reimbursement, and third party payers. Your research should include the third party payers of commercial insurance, managed care plans, Workers' Compensation, Medicare, and Medicaid. Additionally, your research should address fiscal intermediaries, fiscal agents, QIOs, PROs, and state professional associations. Submit a list of your research. Entries in your list should include the reference topic, state organization, contact information, and website. Due Week 5.
Application paper: In your role as Coding Manager, you must educate your staff on updates and changes in coding and reimbursement. Prepare a brief one to two page application paper on MS-DRGs. Remember to format your paper and cite your references in APA format. APA reference materials are available in the Course Syllabus. Due Week 6.
In-service Schedule: As Coding Manager, you determine your staff's educational needs. Develop a schedule for in-service training and education. This schedule should cover one year with a minimum of monthly meetings. The researched topics should be included in this schedule. Be sure to consider when in the year topics, such as coding updates, should be presented. Due Week 7.
PowerPoint Presentation: A visual presentation is often an effective instructional tool when training staff. Select one of the topics on your in-service schedule and develop a PowerPoint presentation for use in your training session. Your presentation should include sufficient detail for your staff to understand the topic and its relevance. Be sure your presentation provides visual interest to keep your staff engaged. In addition to slides, your presentation must include your narrative -speech- in the notes below the slide. Due Week 7.
Guidelines
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The Application paper must be 1 to 2 pages in length, 10 point font, double-spaced; include a cover page, introduction, body of the report, summary or conclusion, and works cited.
In-service Schedule must be in Microsof Excel format with the following headings:
Year
Months
Dates of in-service
Time
Location
Topic to be discussed
PowerPoint Presentation must be a minimum of 10 slides with sufficient detail and narrative -speech- in the notes below the slide.
Even though this is not a scientific-type writing assignment, and is mostly creative in nature, references are still very important. At least 3 authoritative, outside references are required (anonymous authors or web pages are not acceptable). These should be listed on the last page titled -Works Cited- or -References-.
Appropriate citations are required.
All DeVry University policies are in effect including the plagiarism policy.
Papers are due during Week 7 of this course.
Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
This paper is worth 20 total points and will be graded on quality of research topic, quality of paper information, use of citations, grammar, and sentence structure.
The Excel In-service Schedule is worth 50 total points and will be graded on quality of topics selected and creativity on scheduling.
The PowerPoint Presentation is worth 100 total points and will be graded on quality of topic selected and creativity of graphics.
Course Project Topic Selection: As you are responsible for conducting training and providing continuing education, you must determine the topics you will address with your coding staff during the calendar year. Select a topic for your PowerPoint presentation and submit your selected topic for instructor approval. You should include an explanation of the relevance of the topic to your coding staff. Due Week 3.
The topic area must relate to the HIM department functions and/or services. Some examples of the types of training/in-service that you may want to present to employees include, but are not limited to: coding, billing, or reimbursement.
Grading Rubrics
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Course Project Rubric
Course Project Topic Points %
Coding, Billing, or reimbursement topic 5 50
Relevance to coding staff 5 50
Total 10 100
State Specific Research Points %
Third Party payers 5 50
Other contracted organizations/professional associations 5 50
Required format including websites 10 50
Total 20 100
Application Paper Points %
MS-DRG definition 10 50
Comparisons to DRGs 5 25
References cited 5 25
Total 20 100
In-service Schedule Points %
Annual timeframe 10 20
Minimum monthly meetings 10 20
Topics appropriate to staff 20 40
Research topics included 10 20
Total 50 100
PowerPoint Presentation Points %
Content Accuracy 30 30
Organization and cohesiveness 20 20
Visual interest 20 20
Narrative detail 20 20
References cited 10 10
Total 100 100
Best Practices
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The following are the best practices in preparing this paper.
Cover Page - Include who you prepared the paper for, who prepared, and date.
Table of Content - List the main ideas and section of you paper and the pages in which they are located. The illustrations should be included separately.
Introduction - Use a header on your paper. This will indicate you are introducing your paper.
The purpose of an introduction or opening:
Introduce the subject and why the subject is important.
Previews the main ideas and the order in which they will be covered.
Establish a tone of the document.
Include in the introduction a reason for the audience to read the paper. Also, include an overview of what you are going to cover in your paper and the importance of the material. (This should include or introduce the questions you are asked to answer on each assignment.)
Body of Your Report - Use a header titled with the name of your project. Example: -The Development of Hotel X - A World Class Resort-. Then proceed to break out the main ideas. State the main ideas, state major points in each idea, provide evidence. Break out each main idea you will use in the body of your paper. Show some type of division like separate sections that are labeled; separate group of paragraphs; or headers. You would include the information you found during your research and investigation.
Summary and Conclusion - Summarizing is similar to paraphrasing but presents the gist of the material in fewer words than the original. An effective summary identifies the main ideas and major support points from the body of your report. Minor details are left out. Summarize the benefits of the ideas and how they affect the tourism industry.
Work Cited - Use the citation format as specified in the Syllabus.
Additional hints on preparing the best possible project:
Apply a three step process of writing: Plan, Write, and Complete.
Prepare an outline of your research paper before you go forward.
Complete a first draft and then go back to edit, evaluate, and make any changes required.
Use visual communication to further clarify and support the written part of your report. Example graphs, diagrams, photographs, flowcharts, maps, drawings, animation, video clips, pictograms, Tables, and Gantt charts.
Course Project Topic Selection:
As you are responsible for conducting training and providing continuing education, you must determine the topics you will address with your coding staff during the calendar year.
Select one (1) topic for your Week 7 PowerPoint presentation and submit your selected topic for instructor approval.
You MUST include an explanation of the relevance of the topic to your coding staff in a word document and place in the dropbox.
Example: Topic and relevance of topic!
The Importance of Coding Policies and Procedures
Coding policies and procedure are very important when it comes to billing and coding. Every facility needs to have complete comprehensive policies and procedures and make sure that they are always up to date. Per our text, being complaint with policies and procedures is just one component of being proficient at a healthcare professional’s job. Well put together policies and procedures provide all healthcare employees with influential guidance to perform everyday tasks. Without proper policies and procedures some employees may find quick unprofessional ways to complete tasks which can cause a large amount of confusion, errors, or mistakes.
Coding, Billing or Reimbursement Topics
1. ICD-9-CM Coding Guidelines (inpatient)
2. CPT/HCPCS Coding Guidelines
3. Fraud and Abuse in Coding
4. False Claims Act
5. Cost and Quality of Managed Care
6. Institute of Medicine Healthcare Quality
7. Fraud and Abuse of Healthcare Programs.
8. PDCA Mode of Performance
9. Health Information Management Functions
10. Elements of a Charge Description Master
11. Ethical Coding Practices
12. Coding Quality
13. Quality Assessment of Coding Process
14. The Importance of Coding Policies and Procedures
15. Elements of Coding Compliance Plan
16. Coding and Corporate Compliance
17. Understanding Medical Necessity
18. DRG Case-Mix Index
19. APC Groups
20. History of DRGs & MS DRGs
21. HIPAA
22. ICD-9-CM Coding Guidelines (outpatient)
23. Medicare/Medicaid Outpatient Prospective Payment Systems
24. 3M or other Coding Systems
25. Advance Beneficiary Notice (ABN)
26. National Correct Coding Initiative (NCCI)
27. Outpatient Prospective Payment System (OPPS)
28. Significance of Upcoding & Undercoding
29. Introduction to ICD-10
Course Project Rubric
Course Project Topic Points %
Coding, billing, or reimbursement topic 5 50%
Relevance to coding staff 5 50%
Total 10 100%
State Specific Research Points %
Third party payers 5 25%
Other contracted organizations/professional associations 5 25%
Required format including websites 10 50%
Total 20 100%
Application Paper Points %
MS-DRG definition 15 50%
Comparisons to DRGs 10 33%
References cited 5 17%
Total 30 100%
Inservice Schedule Points %
Annual timeframe 10 20%
Minimum monthly meetings 10 20%
Topics appropriate to staff 20 40%
Researched topics included 10 20%
Total 50 100%
PowerPoint Presentation Points %
Content accuracy 30 30%
Organization and cohesiveness 20 20%
Visual interest 20 20%
Narrative detail 20 20%
References cited 10 10%
Total 100 100%