HCR 230 UOP TUTORIAL / Uoptutorial

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

HCR 230 Week 5 Assignment Understanding Work-Related Injuries

HCR 230 Week 6 DQ 1and DQ 2

HCR 230 Week 6 CheckPoint Purpose of the General Appeals

HCR 230 Week 7 CheckPoint Effective Financial Policies amp Proced

HCR 230 Week 7 Assignment Understanding the Collection Process

HCR 230 Week 8 DQ 1and DQ 2

HCR 230 Week 8 CheckPoint Inpatient and Outpatient Hospital Services

HCR 230 Week 9 Capstone Checkpoint

HCR 230 Week 9 Assignment Financial Policy DCSAA Finicial Policy

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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. Treasurer’s 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/agent/product/docs/healthReimbArrangFAQ.pdf

Compose a 350- to 700-word response that familiarizes you with private payer plans and CDHP account types. Briefly list three to five main features for the following nine items. Below each list, provide one or two sentences stating coverage of services and financial responsibility.

PPO

HMO

Group HMO

IPA

POS

Indemnity

CDHP

Health Reimbursement Account

Flexible Savings Account

Use a minimum of three references (you may use your text and the two Web sites provided) formatted according to APA guidelines.

Post your response to the Assignment Folde

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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

****Also discuss how the following affect cost control within group health plans:

Portability

Creditable coverag

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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 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/Medicare/medigap and http://www.diabetes.org/advocacy-and-legalresources/healthcare/medicare/medigap.jsp

Compose a 250- to 300-word summary reflecting upon the Medigap program. Address the following questions in your summary:

What are the core benefits in the Medigap insurance program?

How well does the program meet coverage needs of its consumers?

Is the cost of each plan fair considering the benefits and limits offered by each plan? Explain your opinion and provide examples.

What are the implications of having a private company associated with a government insurance program?

Post your response to the Assignment Folde

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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?

Has the Welfare Reform Act been successful in meeting its intended goals?

Include a minimum of two references from the Internet or University Library.

Format your paper according to APA guidelines.

Post your paper to the Assignment Folde

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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/medicaid.asp

Select Medicaid Program - General Information.

Post a 250- to 300-word response to the following:

Briefly discuss factors that determine Medicaid eligibility, and whether a procedure or service is covered.

When can a provider bill a Medicaid patient directly for services?

What are the implications of simultaneous federal and state involvement in the insurance process

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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:

Eligibility requirements

Covered and non-covered services

Network and non-network providers

Participating and non-participating provider charges

Reimbursement

Use a minimum of one reference (you may use your text as a reference).

Format your presentation according to APA guidelines.

Post your presentation to the Assignment Folde

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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 patient’s medical records?

Refer to Chapter 13 of your textbook and at least one additional reference from the Internet or University Library, for a minimum of two references.

Format according to APA guidelines.

Post your paper to the Assignment Folde

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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 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:

Using Microsoft® Word, create a flow chart illustrating the sequence of basic steps in the collection process.

Below your flow chart, write a 350- to 500-word script for a short instructional video to be used along with the flow chart. The script should provide an overview of how to use the flow chart when dealing with a collections account. Include details about what to do at each step in the collections process flow chart.

The audience for the job aid and video is a medical office billing trainee.

Post your response to the Assignment Folde

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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?

What recommendations, strategies or tools can medical offices use to ensure effective alignment of policies and procedures?

Exercise: Patient Account Guidelines

Resource: Ch. 15 online quiz

Due Date: Day 5 [to the Assignment Folder]

Access the Ch. 15 Medical Insurance online quiz relating to guidelines for patient accounts at: http://highered.mcgraw-hill.com/sites/0073521914/student_view0/chapter15/chapter_quiz.html

Complete the quiz and click the Submit button.

Create a screen shot of the completed quiz:

Press Alt + Print Screen on your computer keyboard to create a screen shot.

Open a blank Microsoft® Word document.

Press Ctrl + V on your computer keyboard to paste the screen shot into the Word document.

Post the Word document to the Assignment Folder.

Take the quiz as many times as you need to in order to make 100%. Post the 100% score by the due date

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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 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:

Part A:

Refer to Figure 15.1 on p. 487 of your textbook, the Internet, and the University Library as resources. Search for medical office financial policy advice as well as sample policies.

Compose an original 750- to 1,050-word medical office financial policy. Provide a minimum of three references other than your textbook, formatted according to APA guidelines. Include the following components in your policy:

Collection of co-payments, deductibles, and past-due balances

Arrangements for handling of unpaid balances

Handling of payments for non-covered services

Prepayment policies

Policies for accepting cash, checks, money orders, and credit or debit cards

Arrangements for sliding scales and low income payments

Other pertinent policies you see fit to include based on your research

Format your policy similarly to the examples you see online and in your text, except yours will include APA-formatted references.

Part B:

Following the end of your financial policy, add a separate section reviewing why you believe your policy is best suited to your selected type of medical office setting. Explain and provide support for your rationale in 550 to 700 words. Use a minimum of one reference to support your explanation and format your paper according to APA guidelines. You may use the same reference(s) to complete the supporting rationale that you used for the financial policy.

Post your Final Project to the Assignment Folde

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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.

Explain the relationship between each of the different steps.

Give a one-sentence summary describing how claims adjudication is important to the medical billing process.

Post your flow chart and explanation to the Assignment Folde

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