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HI253 Medical Coding I

Unit 6 Assignment Instructions

Unit outcomes addressed in this Assignment:

· Discuss the role of coding with the key features of an electronic health record (EHR) system and clinical document standards.

Course outcome addressed in this Assignment:

GEL-1.02: Demonstrate college-level communication through the composition of original materials in Standard English.

HI253-4: Summarize the features of health information systems used for quality coding practices.

AHIMA’s Professional Coding Approved Program (PCAP) Mapping:

Domain I. Data Content, Structure & Standards (Information Governance)

· Subdomain I.A Classification Systems

· 1. Apply diagnosis/procedure codes according to current guidelines (Bloom's Level 3)

· Classification Systems

· ICD (ICD-9-CM, ICD-10, ICD-10-CM/PCS)

· Taxonomies

· Clinical Care Classification (CCC)

· Nomenclatures

· CPT, DSM, RxNorm

· Terminologies

· LOINC, SNOMED

EHR and Coding Resources Comparison:

Situation:

You are the coding supervisor at a major acute care hospital. The hospital administration has been studying payment and outcome metrics for the institution, and realizes that the current electronic health records system may be outdated. You have been asked to create a report that answers the following question: “What EHR and coding resources would you recommend to the hospital administration to ensure that the most current ICD-10-CM/PCS codes are in use in your healthcare facility?” Your report should compare at least 3 EHR systems that you have been exposed to in this course (for example Nuance Clintegrity, 3M Encoder, VistA) or worked with in the past. Your comparison should include features such as coding resources, advantages/disadvantages, and computer system requirements for each system. Your report should include your final recommendation out of the three systems you review and the rationale for your decision. Your comparison report should be well-ordered, logical, and unified, as well as original and insightful. Your report should include a comparison table that summarizes your findings. It is not necessary to follow paragraph style in the comparison table.

Submission requirements:

Your report should be 1 to 2 pages in length, not including the title or reference page. It should be written in paragraph style using Standard English (proper grammar, punctuation, and spelling). Your report should follow 6th edition APA formatting and citation style: 1 inch margins, double-spaced, and include a title page and reference page. Remember to list any references in APA format. At a minimum, there should be one reference for each system discussed.

You may find help on APA referencing either via the APA Style Central available In Academic Tools or by accessing the Academic Support Center's APA resource page at https://campus.purdueglobal.edu/MyStudies/AcademicSupportCenter/WritingCenter/WritingReferenceLibrary/ResearchCitationAndPlagiarism/CommonCitationsInAPAformat.aspx .

Example Comparison Table : You may adjust this table or create your own table comparing the features of at least 3 health information systems and their advantages/disadvantages in coding. Support your information with examples.

System Name

Attribute/ Resource #1

Attribute/ Resource #2

Attribute/ Resource #3

Attribute/

Resource #4

Submitting your work:

Save your report as a word document, including your name in the document title, and submit it to the Unit 6 Assignment dropbox.

Unit 6 Assignment Grading Rubric:

HI253 Medical Coding I Unit #6 Assignment Grading Rubric

Instructor feedback and comments go here...

Total available points =

30

Content Rubric

Introductory - Not submitted or largely incomplete. Work may indicate very little if any comprehension of content.

Emergent - Work shows some comprehension but errors indicating miscomprehension may be present.

Practiced - Work indicates overall progress toward comprehension. Minor errors may present.

Proficient/Mastered - Work is complete and indicates full comprehension of content.

Score

Weight

Final Score

0 - 1.9

2 - 2.9

3 - 3.9

4

Comparison Document

Discussion of only 1 EHR system does not include features such as coding resources, advantages/disadvantages, and computer system requirements. Recommendation is not well ordered, logical and unified, or original and insightful.

Comparison of at least 2 EHR systems does not include features such as coding resources, advantages/disadvantages, and computer system requirements. Recommendation is not well ordered, logical and unified, or original and insightful.

Comparison of at least 3 EHR systems does not include features such as coding resources, advantages/disadvantages, and computer system requirements. Recommendation is well ordered, logical and unified, as well as original and insightful.

Comparison of at least 3 EHR systems includes features such as coding resources, advantages/disadvantages, and computer system requirements. Recommendation is well ordered, logical and unified, as well as original and insightful.

4

50%

2.00

Comparison Table

No comparison table is included in the submission.

Submission includes table that does not compares the features and advantages/disadvantages of the systems reviewed. Information is not supported with examples.

Submission includes table that compares the features and advantages/disadvantages of the systems reviewed. Information is not supported with examples.

Submission includes table that compares the features and advantages/disadvantages of the systems reviewed. Information is supported with examples.

4

50%

2.00

 

 

 

 

 

 

Content Score

30

Writing Deduction Rubric (everyone starts with 4's = no deductions)

Introductory

Emergent

Practiced

Proficient/Mastered

Score

Weight

Final Score

0-1

2

3

4

Grammar & Punctuation

The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult.

Several confusing sentences or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion.

A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation.

There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences.

4

35%

1.40

Spelling

The many misspelled words and incorrect words choices significantly interfere with the readability.

Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places.

Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear.

A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper.

4

35%

1.40

Order of Ideas & Length Requirement

Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content.

The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall.

The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way.

The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements.

4

20%

0.80

APA

There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear.

This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear.

There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear.

There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear.

4

10%

0.40

Writing Deduction

0

Final Score

30

Percentage

100%

04/15/2020 HI253 Unit 6 Assignment 1

HI253 Medical Coding I

04/15/2020

HI253 Unit

6

Assignment

1

Unit

6

Assignment

Instructions

Unit outcomes addressed in this Assignment:

?

Discuss the role of coding with the key features of an electronic health record (EHR)

system and clinical document standards.

Course outcome addressed in

this Assignment:

GEL

-

1.02

: Demonstrate college

-

level communication through the composition of

original materials in Standard English.

HI253

-

4

: Summarize the features of health information systems used for quality coding

practices.

AHIMA’s

Professional Coding Approved Program (PCAP) Mapping:

Domain I. Data Content, Structure & Standards (Information Governance)

?

Subdomain I.A Classification Systems

?

1. Apply diagnosis/procedure codes according to current guidelines (Bloom's

Level 3)

o

Classifica

tion Systems

?

ICD (ICD

-

9

-

CM, ICD

-

10, ICD

-

10

-

CM/PCS)

o

Taxonomies

?

Clinical Care Classification (CCC)

o

Nomenclatures

?

CPT, DSM, RxNorm

o

Terminologies

?

LOINC, SNOMED

EHR and Coding Resources Comparison:

Situation:

You are the coding supervisor at a major acute care hospital. The hospital

administration has been studying payment and outcome metrics for the institution, and

realizes that the current electronic health records system may be outdated. You have

been asked

to create a report that answers the following question:

“What EHR and

coding resources would you recommend to the hospital administration to ensure

that the most current ICD

-

10

-

CM/PCS codes are in use in your healthcare

facility?”

Your report should compa

re at least 3 EHR systems that you have

been

exposed to

in this course (for example

Nuance Clintegrity, 3M Encoder, VistA

) or

worked with in the past. Your comparison should include features such as coding

resources, advantages/disadvantages, and computer

system requirements for each

system. Your

report

should include your

final recommendation out of the three systems

you review

and the rationale for your decision

. Your comparison report

should be well

-

ordered, logical, and unified, as well as original and

insightful. Your report should

HI253 Medical Coding I

04/15/2020 HI253 Unit 6 Assignment 1

Unit 6 Assignment Instructions

Unit outcomes addressed in this Assignment:

? Discuss the role of coding with the key features of an electronic health record (EHR)

system and clinical document standards.

Course outcome addressed in this Assignment:

GEL-1.02: Demonstrate college-level communication through the composition of

original materials in Standard English.

HI253-4: Summarize the features of health information systems used for quality coding

practices.

AHIMA’s Professional Coding Approved Program (PCAP) Mapping:

Domain I. Data Content, Structure & Standards (Information Governance)

? Subdomain I.A Classification Systems

? 1. Apply diagnosis/procedure codes according to current guidelines (Bloom's

Level 3)

o Classification Systems

? ICD (ICD-9-CM, ICD-10, ICD-10-CM/PCS)

o Taxonomies

? Clinical Care Classification (CCC)

o Nomenclatures

? CPT, DSM, RxNorm

o Terminologies

? LOINC, SNOMED

EHR and Coding Resources Comparison:

Situation:

You are the coding supervisor at a major acute care hospital. The hospital

administration has been studying payment and outcome metrics for the institution, and

realizes that the current electronic health records system may be outdated. You have

been asked to create a report that answers the following question: “What EHR and

coding resources would you recommend to the hospital administration to ensure

that the most current ICD-10-CM/PCS codes are in use in your healthcare

facility?” Your report should compare at least 3 EHR systems that you have been

exposed to in this course (for example Nuance Clintegrity, 3M Encoder, VistA) or

worked with in the past. Your comparison should include features such as coding

resources, advantages/disadvantages, and computer system requirements for each

system. Your report should include your final recommendation out of the three systems

you review and the rationale for your decision. Your comparison report should be well-

ordered, logical, and unified, as well as original and insightful. Your report should