HCR 230 Read, Lead, Succeed/Uophelpdotcom

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HCR 230 Read, Lead, Succeed/Uophelpdotcom

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HCR 230 Entire Course

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•  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
• HCR 230 Week 4 DQ 1and DQ 2
• HCR 230 Week 4 Assignment The TRICARE Program
• HCR 230 Week 5 CheckPoint Characteristics of
  Workers Compensation Plans

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HCR 230 Week 1 Assignment Features of Private
Payer and Consumer-Driven Health Plans

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•  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.
• Review
• http//www.ustreas.gov/offices/public-affairs/hsa/
  faq_basics.shtml and http//www.or.regence.com/age
  nt/product/docs/healthReimbArrangFAQ.pdf

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HCR 230 Week 1 CheckPoint Comparing Cost Control
Strategies

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• 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
• Provider networks
• Third party administrators

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HCR 230 Week 2 CheckPoint Summarizing the Medigap
Program

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• 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 reflecting
  upon the Medigap program. Address the following
  questions in your summary

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HCR 230 Week 1 CheckPoint Ramifications of
Participation Contracts

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• 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.

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HCR 230 Week 2 DQ 1and DQ 2

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• 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 In your
  opinion, what potential positive and negative
  ramifications could result from offering payment
  incentives for physician participation in
  Medicare programs? Explain your answers and
  provide examples from this weeks Internet and
  ERR readings located on your student web page.

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HCR 230 Week 3 assignment welfare reforms act

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•  
• 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?
• Is the Welfare Reform Act effective in reducing
  welfare fraud and increasing personal
  responsibility?

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HCR 230 Week 3 CheckPoint Working with Medicaid

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• 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.
• Post a 250- to 300-word response to the
  following

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HCR 230 Week 4 Assignment The TRICARE Program

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•  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

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HCR 230 Week 4 DQ 1and DQ 2

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• 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
• Due Date Day 4 Main forum
• Post your response to the following Explain
  whether or not you believe CHAMPVA provides an
  adequate level of health insurance for
  participants

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HCR 230 Week 5 Assignment Understanding
Work-Related Injuries

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•  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?
• What are the implications of unrestricted access
  to a patients medical records?

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HCR 230 Week 5 CheckPoint Characteristics of
Workers Compensation Plans

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•  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 In your own words, briefly describe
  the features of the four federal workers
  compensation plans and the two types of state
  workers compensation benefits. Why is it
  necessary to have both federal and state
  compensation plans?

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HCR 230 Week 6 DQ 1and DQ 2

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•  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 Week 6 CheckPoint Purpose of the General
Appeals

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•  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 Week 7 Assignment Understanding the
Collection Process

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• 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.
• Complete the following

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HCR 230 Week 7 CheckPoint Effective Financial
Policies amp Proced

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• 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 decision making. In this
  CheckPoint, you will exercise critical thinking
  skills to answer the following questions
• What are the basic elements of an effective
  medical office financial policy?
• In what ways do medical office procedures support
  financial policies?
• What are the consequences when office procedures
  do not support the financial policy?

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HCR 230 Week 8 CheckPoint Inpatient and
Outpatient Hospital Services

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•  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 Week 8 DQ 1and DQ 2

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•  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?
  What are the implications of failing to do so?
  Does a medical emergency alter the conditions of
  written consent? Why or why not? Explain your
  answers.

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HCR 230 Week 9 Assignment Financial Policy
DCSAA Finicial Policy

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•  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 how you would design a medical
  office financial policy.
• Decide upon the type of medical office setting
  you prefer to research. Focus on that setting as
  you complete each portion of the final project.
• Complete Part A and Part B

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HCR 230 Week 9 Capstone Checkpoint

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•  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 final payment. Include a brief
  250- to 300-word explanation for the following
• Identify the purpose for each step in claim
  adjudication process.

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HCR 230 Read, Lead, Succeed/Uophelpdotcom

• For more course tutorials visit
• www.uophelp.com