HCR 230 Innovative Educator/hcr230.com

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HCR 230 Innovative Educator/hcr230.com

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For more course tutorials visit www.hcr230.com HCR 230 Week 1 CheckPoint Comparing Cost Control Strategies HCR 230 Week 1 CheckPoint Ramifications of Participation Contracts HCR 230 Week 1 Assignment Features of Private Payer and Consumer-Driven Health Plans HCR 230 Week 2 DQ 1and DQ 2 HCR 230 Week 2 CheckPoint Summarizing the Medigap Program HCR 230 Week 3 CheckPoint Working with Medicaid HCR 230 Week 3 assignment welfare reforms act – PowerPoint PPT presentation

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Title: HCR 230 Innovative Educator/hcr230.com


1
HCR 230 Innovative Educator/hcr230.com
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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Entire Course
  • For more course tutorials visit
  • www.hcr230.com
  • HCR 230 Week 1 CheckPoint Comparing Cost Control
    Strategies
  • HCR 230 Week 1 CheckPoint Ramifications of
    Participation Contracts
  • HCR 230 Week 1 Assignment Features of Private
    Payer and Consumer-Driven Health Plans
  • HCR 230 Week 2 DQ 1and DQ 2
  • HCR 230 Week 2 CheckPoint Summarizing the Medigap
    Program
  • HCR 230 Week 3 CheckPoint Working with Medicaid
  • HCR 230 Week 3 assignment welfare reforms act

3
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 1 Assignment Features of Private
    Payer and Consumer-Driven Health Plans.
  • For more course tutorials visit
  • www.hcr230.com
  •  
  • Assignment Features of Private Payer and
    Consumer-Driven Health Plans
  • Resources Table 9.1 on p. 293 of Medical
    Insurance, Table 9.2 on p. 296 of Medical
    Insurance, and the U.S. Treasurers Office and
    Oregon Blue Cross/Blue Shield Web sites
  • Due Date Day 7 post to the Assignment Folder
  • Refer to Table 9.1 on p. 293 and Table 9.2 on p.
    296 of your textbook.

4
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 1 CheckPoint Comparing Cost Control
    Strategies
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Comparing Cost Control Strategies
  • Resource Ch. 9 (pp. 287-291) of Medical
    Insurance
  • Due Date Day 3 post to the Individual forum
  • Post a 200- to 300-word response to the
    following Compare cost control strategies of
    employer-sponsored (employers buy from insurance
    companies) to self-funded (employers cover costs
    of benefits) health plans. Include the following
    factors
  • Riders
  • Enrollment periods

5
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 1 CheckPoint Ramifications of
    Participation Contracts
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Ramifications of Participation
    Contracts
  •  
  • Resource Ch. 9 (pp. 304-305) of Medical
    Insurance
  • Due Date Day 4 post to the Individual forum
  • Discuss how participation contracts represent
    financial opportunities for providers. What are
    positive and negative ramifications of discounted
    fee-for-service arrangements? Explain your
    answers in 200 to 300 words.

6
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 2 CheckPoint Summarizing the Medigap
    Program
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Summarizing the Medigap Program
  • Resources Figure 10.7 on p. 350 of Medical
    Insurance, and the WebMD and Diabetes.org Web
    sites
  • Due Date Day 5 to the Assignment Folder
  • Refer to Figure 10.7 and the WebMD and
    Diabetes.org Web sites at http//www.webmd.com/Me
    dicare/medigap and http//www.diabetes.org/advocac
    y-and-legalresources/healthcare/medicare/medigap.j
    sp
  • Compose a 250- to 300-word summary

7
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 2 DQ 1and DQ 2
  • For more course tutorials visit
  • www.hcr230.com
  • Discussion Question 1
  • Due Date Day 2 Main forum
  • Post your response to the following Explain
    whether or not you believe Medicares eligibility
    limitations are reasonable in scope.
  • 4. Discussion Question 2
  • Due Date Day 4 Main forum
  • Post your response to the following

8
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 3 assignment welfare reforms act
  • For more course tutorials visit
  • www.hcr230.com
  • Assignment The Welfare Reform Act
  •  
  • Due Date Day 7 to the Assignment Folder
  •  
  • Write a 750- to 1,050-word paper discussing the
    positive and negative implications of the Welfare
    Reform Act of 1996 on Medicaid. Respond to one or
    more of the following questions in your paper
  • Did the Welfare Reform Act cause existing
    Medicaid beneficiaries to lose necessary
    coverage?
  • Do eligible Medicaid candidates sometimes remain
    un-enrolled even though they are needy as a
    result of the Welfare Reform Act?

9
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 3 CheckPoint Working with Medicaid
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Working with Medicaid
  •  
  • Resources Ch. 11 (pp. 374-375, 385-386) of
    Medical
  • Insurance and the U.S. Department of Health
    Human Services Web site.
  •  
  • Due Date Day 4 to the Assignment Folder
  •  
  • Refer to U.S. Department of Health Human
    Services Web site at http//www.cms.hhs.gov/home/m
    edicaid.asp
  • Select Medicaid Program - General Information.

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 4 Assignment The TRICARE Program
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Describing TRICARE
  • Resources Appendix B and Ch. 12 (pp. 399-404,
    409-411) of Medical Insurance
  • Due Date Day 5 to the Assignment Folder
  • Refer to Appendix B for guidance on presentations
    and the Microsoft Help and Support Web site for
    assistance with questions related to PowerPoint
    at http//support.microsoft.com/
  • Create a 5- to 8-slide PowerPoint presentation
    that describes features of the TRICARE program
    and its four subsidiaries. Include detailed
    speaker notes to explain the following topics in
    your presentation
  • Eligibility requirements

11
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 4 DQ 1and DQ 2
  • For more course tutorials visit
  • www.hcr230.com
  • Discussion Question 1
  •  
  • Due Date Day 2 Main forum
  •  
  • Post your response to the following Based on
    eligibility and cost sharing requirements, what
    are the financial advantages for either providers
    or patients participating in the TRICARE program?
    How do annual limits (catastrophic caps) affect
    patients cost sharing requirements? Explain your
    answers.
  •  
  • 3. Discussion Question 2

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 5 Assignment Understanding
    Work-Related Injuries
  • For more course tutorials visit
  • www.hcr230.com
  • Assignment Understanding Work-Related Injuries
  • Resources Appendix C and Ch. 13 (pp. 425- 427)
    of Medical Insurance
  • Due Date Day 7 to the Assignment Folder
  •  
  • Compose a 750- to 1,050-word response describing
    the workers compensation claim process. Include
    the following information in your answer
  • Overall description of the workers compensation
    claims process
  • Responsibilities of the employee, employer,
    physician, and insurance carrier
  • How do HIPAA Privacy Rules apply to workers
    compensation?

13
HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 5 CheckPoint Characteristics of
    Workers Compensation Plans
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Characteristics of Workers
    Compensation Plans
  • Resources Ch. 13 (pp. 423-424) of Medical
    Insurance and the U.S. Department of Labor Web
    site
  • Due Date Day 4 to the Assignment Folder
  • Refer to Ch. 13 (pp. 423-424) of your textbook
    and the U.S. Department of Labor Web site at
    http//www.dol.gov/dol/topic/workcomp/index.htm
  • Post a 250- to 300-word response to the following

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 6 CheckPoint Purpose of the General
    Appeals
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Purpose of the General Appeals
    Process
  • Resource Ch. 14 (p. 463) of Medical Insurance
  •  
  • Due Date Day 5 to the Assignment Folder
  •  
  • Use the Internet to locate three additional
    examples of claims errors and classify them
    according the categories noted on page 463 of
    your textbook.
  • Respond to the following in 250 to 300 words
    Briefly describe the purpose of the general
    appeals process. Incorporate the three additional
    examples of claims errors you located on the
    Internet, classified according to the categories
    in the text

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 6 DQ 1and DQ 2
  • For more course tutorials visit
  • www.hcr230.com
  • Discussion Question 1
  •  
  • Due Date Day 2 Main forum
  •  
  • Post your response to the following Do you
    believe the RA/EOB is an effective method of
    communicating claim adjudication information to
    patients? When you have received an RA/EOB in the
    mail, is it easy or difficult to understand? What
    suggestions could you make to improve
    patient-payer communication regarding the claim
    adjudication process? Explain your answers.
  •  
  •  

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 7 Assignment Understanding the
    Collection Process
  • For more course tutorials visit
  • www.hcr230.com
  • Assignment Understanding the Collection Process
  • Resources Ch. 15 (pp. 494-505) of Medical
    Insurance and Microsoft Help Web site
  • Due Date Day 7 to the Assignment Folder
  • Suppose you are working in a medical office and
    are helping train a new billing specialist about
    collections. You decide that a job aid in the
    form of a flow chart would be a useful tool.
  • Refer to Microsoft Help Web site at
    http//support.microsoft.com/ for questions
    related to creating a flow chart in Microsoft
    Word.

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 7 CheckPoint Effective Financial
    Policies amp Proced
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Effective Financial Policies and
    Procedures
  •  
  • Resources Figures 15.1 and 15.2 (pp. 485-486) in
    Medical Insurance
  • Due Date Day 4 to the Assignment Folder
  •  
  • Refer to Figure 15.1 and 15.2 in Medical
    Insurance.
  • Post a 350- to 400-word response to the
    following The three major elements to critical
    thinking are logical inquiry, problem solving,
    and evaluative

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 8 CheckPoint Inpatient and
    Outpatient Hospital Services
  • For more course tutorials visit
  • www.hcr230.com
  • CheckPoint Inpatient and Outpatient Hospital
    Services
  • Resource Ch. 16 (pp. 513-514, 523-526) of
    Medical Insurance
  • Due Date Day 5 to the Assignment Folder
  • ? Post a 250- to 300-word response to the
    following What are the major differences between
    inpatient and outpatient hospital services?
    Describe how these differences affect the coding
    process and provide examples.

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 8 DQ 1and DQ 2
  • For more course tutorials visit
  • www.hcr230.com
  • Discussion Question 1
  •  
  • Due Date Day 2 Main forum
  •  
  • Refer to your text and the following links to
    help you answer questions about written consent
  • American Medical Association Web site at
    http//archsurg.ama-assn.org/cgi/reprint/135/1/26.
    pdf
  • Integrated Publishing Web site at
    http//www.tpub.com/content/medical/14295/css/1429
    5_416.htm
  • Post your response to the following What is the
    importance of obtaining written consent from
    patients prior to receiving medical treatment? W

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 9 Assignment Financial Policy
    DCSAA Finicial Policy
  • For more course tutorials visit
  • www.hcr230.com
  • Final Project Design a Financial Policy
  • Resources Appendix A and Figure 15.1 on p. 487
    of Medical Insurance
  • Due Date Day 7 to the Assignment Folder
  • Use critical thinking skills to complete your
    final project. These skills include suspending
    judgment and applying problem-solving skills and
    methods while conducting research. You will form
    evaluative decisions and provide your rationale
    after considering

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HCR 230 Innovative Educator/hcr230.com
  • HCR 230 Week 9 Capstone Checkpoint
  • For more course tutorials visit
  • www.hcr230.com
  • Capstone CheckPoint
  • Resources Appendix A, Chapter 14 (pp. 449-477)
    of Medical Insurance, and Microsoft Help Web
    site
  • Due Date Day 4 to the Assignment Folder
  • Refer to Chapter 14 of Medical Insurance and
    previous assignments from that chapter as a
    resource. Visit the Microsoft Help link for
    assistance with questions related to creating a
    flow chart in Microsoft Word at
    http//support.microsoft.com/
  • Create a flow chart using Microsoft Word
    illustrating the five steps of the claims
    adjudication process from the time of initial
    processing through

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HCR 230 Innovative Educator/hcr230.com
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