MEDICAL CODING AND BILLING PROGRAM HANDBOOK 2019-2020 - SCCIowa

Financial, Equipment and Obligations List – additional expenses Miscellaneous:o Computer access with Microsoft Wordwith Internet accesso Professional business suit –A matching pinstriped or solid long sleeve,a button jacket, pants/skirt(color examples: dark gray, black)o Coordinating shirt with suito Dress shoes – coordinate with suit (no sandals) per student 30-50 10-50 20-30Current Year Coding References – Available in bookstore 200-250 (Fall & Spring)Certification/Membership Fees: AAPC Certification Examatinion Fee Membership with AAPC required –Medical Requirements: Criminal Background Check Urine drug screen, if “for cause”, necessary 300 current (due in Spring) 100 (student rate apprx. duein Spring) 60 (included in Fall tuition) 45Note: at students own expense Medical Requirements:-Hepatitis B vaccination series-Tb skin tests x 2-Physical Examination-MMRTiters x 3 (if needed)-Diphtheria/Tetanus Booster (if needed)-Varicella vaccination-Influenza vaccinationNote: fees may vary, close approximationThis is not an all inclusive list.Revised: 5/201812 120 15-30 each 50 - 125 50 - 150 100- 200 30 - 50 50 - 65 30 - 35

Admission, Program Progression, Graduation CriteriaAdministrative Guideline 313ADMINISTRATIVE GUIDELINE TYPE:ADMINISTRATIVE GUIDELINE TITLE:Registration and Admissions FunctionsAdmissions, Progression, and GraduationCriteria for the Medical Coding and Billing –Physician Emphasis ProgramDEPARTMENT RESPONSIBLE:Academic AffairsGUIDELINE STATEMENT OF PURPOSE: Admissions, Criteria for the Medical Coding andBilling – Physician Emphasis ProgramI. Admission –Students must meet all of the following criteria to be accepted into the MedicalCoding and Billing Program:A. High school diploma, General Education Development (GED) equivalency orHiSET – High School Equivalency Test.B. Students must complete one of the following standardized tests and attain theminimum scores listed in the grid ccuplacerALEKS14Reading Comprehension73C. Standardized placement scores must be completed within 24 months at the time ofreview for acceptance.D. Successful completion of BIO-163 Essentials of Human Anatomy and Physiologywith a grade of “C” (2.0) or higher (completed within the last 5 years) prior toadmission.E. Completion of the required meeting with the Enrollment Specialist.F. 35 net words per minute on a 5-minute timed typing testG. Satisfy “Iowa Core Performance Standards”II. Enrollment Students must meet all the following criteria before enrolling in the first class of the MedicalCoding and Billing ProgramA. Accepted students are required to attend the mandatory Medical Coding and BillingOrientation to confirm enrollment.B. Complete and obtain clearance of a criminal, dependent adult and child abusebackgroundC. Complete and obtain clearance of a physical evaluation.D. Complete and obtain clearance of a urine drug screen, if coordinator/instructordeems “for cause”, necessary.E. Documentation and obtain required immunizations for Health Care Personnelas requested.F. Complete and sign a Confidentiality Agreement.13

G. Students must have earned a grade of C (2.0) or above in all Medical Codingand Billing Program coursework. “All coursework” includes all Arts andScience courses required in the Medical Coding and Billing Program.III. ProgressionA. Students must meet designated course prerequisites to enroll in SpringSemester courses (refer to College catalog for course descriptions.)B. Students must successfully complete all Medical Coding and Billing Programcourse work with a grade of “C” (2.0) or above by the end of their final springsemester to be eligible to enroll in CPC-810 Medical Coding and BillingExternship and CPC-945 Medical Coding and Billing Seminar.C. All coursework required in the Medical Coding and Billing Program with a grade of“C” or above.D. Students who have not completed all preparatory coursework with a grade of “C”(2.0) or above may repeat these courses during their Spring semester if the courseis available and scheduling allows.IV. GraduationA. Students may participate in spring Commencement if there is a clear indicationmade to the registrar by the student at the beginning of the spring semester thatnecessary diploma requirements will be met following the externship in thesummer term.B. Student’s must earn a grade of “C” (2.0) or above in all required courses in theMedical Coding and Billing Program to be eligible for graduation.14

Grading PolicyThe following system is used by instructors to report course grades to students and for recording ontranscripts:GradeABCDFMeaningExcellentAbove AverageAverageBelow AverageFailureGrade Point43210During the first class period for each course, students will be given a written explanation of the gradingscale/percentages and computation of their final course grade.Cheating PolicyAny student who is discovered to be involved in cheating will be required to meet with SoutheasternCommunity College's Dean of Instruction, Health Programs Administrator, Student Coordinator andfaculty member. This committee will make the final decision regarding disciplinary action.This policy applies to both theory and clinical practicums. Medical Coding and Billing students have agreat amount of responsibility and accountability. Dishonesty will not be tolerated within the profession.Note instructor policy in syllabi and SCC Administrative Guidelines.15

Program Curriculum Financial Cost Requirement***Note: General Quote from class curriculum costs approx.2019-2020 pending – not available at the time of preparation of the handbook.MEDICAL CODING AND BILLINGWEST BURLINGTON CAMPUS--DIPLOMA 2019OUT-OF-STATETUITION4 744.00 764.0025.543317.5 372.00 1,023.00 744.00 558.00 558.00 3,255.00 382.00 1,050.50 764.00 573.00 573.00 3,342.50TOTALSUMMER SESSIONCPC-810 (2) MEDICAL CODING & BILLING EXTERNSHIPCPC-945 (2) MEDICAL CODING & BILLING SEMINARTOTAL332311316 558.00 558.00 372.00 558.00 186.00 186.00 558.00 2,976.00 573.00 573.00 382.00 573.00 191.00 191.00 573.00 3,056.002.513.5 465.00 186.00 651.00PROGRAM TOTAL41 7,626.00Course #Name of CourseCRPRE- REQUISITE COURSEBIO-163(1) ESSENTIAL OF ANATOMY & PHYSIOLOGYTyping test required for admission35 Net words per minute required.FALL SEMESTERCPC-110 (2) ESSENTIALS OF MEDICAL CODING & BILLINGCPC-121 (2) INTRODUCTION TO MEDICAL PROCEDURAL CODINGCPC-126 (2) DIAGNOSTIC CODINGCPC-128 (2) INTRODUCTION TO MEDICAL INSURANCE & BILLINGHSC-114 MEDICAL TERMINOLOGYTOTALSPRING SEMESTERCPC-131 (2) MEDICAL INSURANCE & BILLING IICPC-150 (2) MEDICAL PROCEDURAL CODINGCPC-160 (2) APPLICATION OF PROCEDURAL CODINGENG-131 BUSINESS ENGLISHMAP-401 MEDICAL LAW & ETHICSMAP-431 HUMAN RELATIONSMAP-532 HUMAN BODY: HEALTH & DISEASE(1) BIO-163 is required for admission and is counted in program total credits(2) Courses considered program courses - no prepping allowed.All courses must be passed with a grade of "C" (2.0)2017-2018 IN-STATE TUITION PER SEMESTER HOURTuition OUT-OF-STATE TUITION PER SEMESTER HOUR16 186 191 477.50 191.00 668.50 7,831.00

Medical Coding and Billing ProgramTextbook/Software Costs Statement GuidelineApprox. costs – 2019-2020BIO-163ESSENTIALS OF ANATOMY & PHYSIOLOGY324 200.00Fall SemesterLec. Lab. Credit Approx. CostCPC-110 ESSENTIALS TO MEDICAL CODING & BILLING122CPC-121 INTRO. TO MEDICAL PROCEDURAL CODING515.5200.00CPC-126 DIAGNOSITIC CODING324435.00CPC-129 INTRO TO MEDICAL INSURANCE & BILLING202175.00HSC-114 MEDICAL TERMINOLOGY22395.00 200.00---- ---- ---14717.5 1105.00CPC-131 MEDICAL INSURANCE & BILLING II223CPC-150 MEDICAL PROCEDURAL CODING303105.00CPC-160 APPLICATIONS OF PROCEDURAL CODING042315.00ENG-131 BUSINESS ENGLISH303125.00MAP-401 MEDICAL LAW AND ETHICS101130.00MAP-431 HUMAN RELATIONS10145.00MAP-532 HUMAN BODY: HEALTH & DISEASE30390.00Spring Semester 250.00---- ---- ---13616 1060.00CPC--810 MEDICAL CODING AND BILLING EXTERNSHIP0102.500.00CPC-945 MEDICAL CODING AND BILLING SEMINAR10100.00Summer Semester---- ---- ---1103.5 2365.00 Total approx.Adopted: 5/201917

Background Check PolicyBACKGROUND CHECK POLICYThe education of heath career students at Southeastern Community College requires collaborationbetween the college and clinical affiliates. T h e e d ucation of health career students cannot be completewithout a quality clinical education component. The college shares an obligation with the clinicalaffiliates to protect the affiliate’s patients to the extent reasonably possible.In establishing clinical affiliation agreements, healthcare educational programs are contractuallyobligated to comply with the requirements set forth by the clinical affiliates. Students enrolled in healthcare educational programs must conform to the rules, policies and procedures of the clinical affiliate inorder to participate in clinical learning experiences. Therefore, all students enrolled in a SoutheasternCommunity College Health Career Program will be required to complete a criminal background check.An independent third party vendor will be used to complete all Southeastern Community Collegebackground checks. The cost of these background checks has been added to your student fees when youenrolled in the program.Students will be notified of the requirement for the background check prior to admission and uponadmission to a health career program. The background check may include, but is not limited tosearches, histories, and verification as listed below: Positive Identification Maiden/AKA Name Search Social Security Number Trace which is verification that the number provided by the individualwas issued by the Social Security Administration and is not listed in the files of the deceased.The SNN trace is also used to locate additional names and addresses. Residency History National Criminal Database Searches which includes a compilation of historical data, collectedfrom multiple sources in multiple states by background check companies. Child and Dependent Adult Abuse/Registries Office of Inspector General (OIG) searchBackground checks which would render a student ineligible to obtain clinical learning experiencesinclude, but are not limited to, certain convictions or criminal charges which could jeopardize the healthand safety of patients and sanctions or debarment. Felony or repeated misdemeanor activity within thepast seven (7) years and Office of the Inspector General violations will normally prohibit the obtainmentof clinical learning experiences with clinical affiliate(s). Positive findings on background checks canhave licensure/certification implications upon graduation from a health program. Criminal offenseswhich occur during the health program shall consider due process which provides that an individual isinnocent until proven guilty up until which time he/she pled or is found guilty and is then subject toreview by regulating authorities.Documentation of criminal background checks is maintained in secured files and destroyed after thelength of time to provide and maintaining accreditation data.Students who are unable to resolve a positive background check will be dismissed from the health careprogram. A grade of “F” will be recorded for the course if the student does not officially withdraw. Thestudent will be advised as to their eligibility for program re-entry and the mechanisms for reapplicationto the program.One background check is required during continuous enrollment in a program. In the event a studentleaves the program, a new background check will be required prior to re-entry.18

Background Check and Release FormProgram – MAMCBMSI have received and carefully read the Background Check and Release policy and fully understand itscontents. I understand that the healthcare program to which I am admitted requires a background checkto comply with clinical affiliate contracts. By signing this document, I am indicating that I have readand understand Southeastern Community College’s policy and procedure for background checks. Ivoluntarily and freely agree to the requirement to submit to a Background Check and to provide anegative Background Check prior to participation in clinical learning experiences. I further understandthat my continued participation in the health care program is conditioned upon satisfaction of therequirement of the Background Check with the vendor designated by the College.A copy of this signed and dated document will constitute my consent for release of the original resultsof my Background Check to the College. I direct that the vendor hereby release the results to theCollege. A copy of this signed and dated document will constitute my consent for the College torelease the results of my background check to the clinical affiliate(s).Printed Student NameStudent SignatureDate19

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Drug Testing Policy - New drug policy pendingDrug testing/screening is not required for students who are to complete clinical or fieldinternships/externship as part of a Southeastern Community College Health Career Program. Ifan instructor/coordinator feels there is just cause, they will ask the student to obtain a drugtesting/screening at that time. The test shall consist of a urine specimen test and be completedat the assigned agency. T h e c ost of this test is the student responsibility at the time of thetesting. The Program Coordinator/Director will provide more information as to testing timesand location if and when it is needed.The drug test information of any student receiving a positive result will be reviewed by the Deanof Career, Technical, and Health Education, the Program's Coordinator/Director and thestudent. A representative from the assigned clinical experience or field internship site may alsobe contacted to ascertain the appropriateness of allowing the student to participate in clinical orfield experiences.SCC reserves the right to conduct random drug screening. In the event a student leaves theprogram due to a positive drug screen, a new test will be required prior to re-entry.Documentation of drug test information is maintained in secured files.21

Administrative Guideline 840Tobacco Free PolicyADMIN

The Medical Coding and Billing Program prepares the student for employment in private medical offices, clinics or an ambulatory settings. This Program provides the latest information related to medical coding, chart auditing and insurance reimbursement. Students in our medical coding classes learn the theory of