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HCR 220 Entire Course For more classes visit www.snaptutorial.com HCR 220 Week 1 Checkpoint Features of Health Plans HCR 220 Week 1 CheckPoint Payment.

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Presentation on theme: "HCR 220 Entire Course For more classes visit www.snaptutorial.com HCR 220 Week 1 Checkpoint Features of Health Plans HCR 220 Week 1 CheckPoint Payment."— Presentation transcript:

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2 HCR 220 Entire Course For more classes visit www.snaptutorial.com HCR 220 Week 1 Checkpoint Features of Health Plans HCR 220 Week 1 CheckPoint Payment Methods Presentation HCR 220 Week 1 Assignment Steps in the Medical Billing Process HCR 220 Week 2 DQ 1 and DQ 2 HCR 220 Week 2 CheckPoint Medical Records Documentation and Billing HCR 220 Week 3 CheckPoint Eligibility, Payment, and Billing Procedures HCR 220 Week 3 Assignment Understanding the Patient Intake Process HCR 220 Week 4 DQ 1 and DQ 2 HCR 220 Week 4 CheckPoint Determining Diagnosis Code Categories HCR 220 Week 5 CheckPoint Describing CPT Coding Categories HCR 220 Week 5 Exercise Working with CPT Modifiers

3 HCR 220 Week 1 Assignment Steps in the Medical Billing Process For more classes visit www.snaptutorial.com Assignment: Steps in the Medical Billing Process Resource: Figure 1.6 on p. 17 of Medical Insurance Write a 500 to 750 word paper that lists the sequence of steps in the medical billing process. In your own words, provide a 3 to 4 sentence explanation for each step. Your paper must be formattedaccording to APA standards to be graded. Attach in a Word Document.

4 HCR 220 Week 1 Checkpoint Features of Health Plans For more classes visit www.snaptutorial.com CheckPoint: Features of Health Plans Resource: Table 1.1 on p. 13 of Medical Insurance: An Integrated Claims Process Approach Write and post a 250 to 300 word response to the following questions: Describe the similarities and differences among the major types of health plans. Do you believe any one plan offers greater financial or coverage benefits to either a consumer or a provider? Explain your answers.

5 HCR 220 Week 1 CheckPoint Payment Methods Presentation For more classes visit www.snaptutorial.com CheckPoint: Payment Methods Presentation Resources: Appendix B and Microsoft ® Help at http://support.microsoft.com/ http://support.microsoft.com/ Create a 4 to 5 slide PowerPoint ® presentation in which you describe, in your own words, the fee-for-service and capitation payment cycles. Include the relationship among provider, patient, and payer in your presentation, and their roles in the process. Include an introduction and conclusion slide in your presentation.

6 HCR 220 Week 2 CheckPoint Medical Records Documentation and Billing For more classes visit www.snaptutorial.com CheckPoint: Medical Records Documentation and Billing Write a 250 to 300 word response to the following: Describe how compliance plans correlate to different medical records documentation standards. Which steps in the medical billing process, listed in Ch. 1 of Medical Insurance, are related to the following:

7 HCR 220 Week 2 DQ 1 and DQ 2 For more classes visit www.snaptutorial.com Discussion Questions: Summarize the purposes and provisions of HIPAA in one sentence. Also, explain how HIPAA relates to medical ethics and etiquette. What are some possible ramifications of a health care industry without HIPAA regulations? Refer to p. 25 of Medical Insurance and provide examples. Due day 2 in the Main Forum. How do effective medical compliance plans limit the risk of professional liability? Do you believe it is reasonable to hold a provider liable for the actions of his or her clerical staff? Support your opinion with an example. Due day 4 in the Main Forum.

8 HCR 220 Week 3 Assignment Understanding the Patient Intake Process For more classes visit www.snaptutorial.com Assignment: Understanding the Patient Intake Process Resource: Figure 3.1 on p. 75 of Medical Insurance Write a 750 to 1,050 word essay discussing strategies to improve patient intake efficiency not covered in the text. Include the following components in your essay: Provide at least one must-have item not covered in the text. Provide a minimum of one reliable reference from the University Library or the Internet. Your paper must be formattedaccording to APA standards to be graded..

9 HCR 220 Week 3 CheckPoint Eligibility, Payment, and Billing Procedures For more classes visit www.snaptutorial.com CheckPoint: Eligibility, Payment, and Billing Procedures Resource: pp. 86–88 of Medical Insurance Write a 250 to 300 word response to the following: Describe a factor that determines patient benefits eligibility. What are the appropriate steps to take when insurance does not cover a planned service? Relate these steps to the eligibility factor you identified and provide two examples of patient charges with corresponding billing transactions.

10 HCR 220 Week 4 CheckPoint Determining Diagnosis Code Categories For more classes visit www.snaptutorial.com CheckPoint: Determining Diagnosis Code Categories Resource: pp. 130-135 of Medical Insurance Due Date: Day 5 [Individual forum] Post a response to the following: Determine a diagnosis code category for the following case studies and explain the rationale for your selections: A 56-year-old woman presents to the office complaining of pronounced weakness on the right side of her body and slurred speech for the past 18 hours. Based on the examination, the physician orders an MRI to investigate a

11 HCR 220 Week 4 DQ 1 and DQ 2 For more classes visit www.snaptutorial.com Discussion Questions Suppose you were helping a new office file clerk who was curious about the coding process. How would you explain appropriate use and purposes of the Alphabetic Index and Tabular List to the file clerk? What problems might occur if proper coding procedures are not used? Provide examples of problems and propose solutions. Due day 2 in the Main Forum.

12 HCR 220 Week 5 Assignment Assigning Evaluation and Management (E M) Codes For more classes visit www.snaptutorial.com Assignment: Assigning Evaluation and Management (E/M) Codes Resources:Figure 5.3 on p. 161, and Table 5.4 on p. 165 of Medical Insurance Assign appropriate E/M codes for the following five cases: Initial consultation performed for a 43-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. A comprehensive history and examination is performed.

13 HCR 220 Week 5 DQ 1 and DQ 2 For more classes visit www.snaptutorial.com Discussion Questions · Recall the Interview Data Threads from the Week Four assignment where you posted the information from your interviews. Review the information for interview questions 2 & 3 from your assigned thread and from at least one other thread of your classmates, to answer the following: o Do most medical facilities seem to have transferred to electronic records, do they still maintain paper files, or do they use some combination of both? o Do small, medium, or large facilities seem most prone to use numeric versus

14 HCR 220 Week 6 Assignment Record Controls For more classes visit www.snaptutorial.com Assignment: Record Controls · Resources: Interview Data Threads and Ch. 6 of Essentials of Health Information Management: Principles and Practices · Recall the Interview Data Threads from the Week Four assignment where you posted the information from your interviews.

15 HCR 220 Week 6 CheckPoint Record Organization For more classes visit www.snaptutorial.com CheckPoint: Record Organization · Resources: Interview Data Threads, Ch. 6 of Essentials of Health Information Management: Principles and Practices, and Week Three CheckPoint · Recall the Interview Data Threads from the Week Four assignment where you posted the information from your interviews.

16 HCR 220 Week 7 DQ 1 and DQ 2 For more classes visit www.snaptutorial.com Discussion Questions · People are sometimes shocked to realize how much personal data can be maintained in master patient indexes—such as marital status and problematic payment histories or cancellations. People are also surprised to realize how much medical information may be shared—for example, a doctor you are visiting for pneumonia may see that you are taking medications for mental illness.

17 HCR 220 Week 8 Assignment Releasing Protected Health Information For more classes visit www.snaptutorial.com Assignment: Releasing Protected Health Information · Resource: Ch. 8 of Essentials of Health Information Management: Principles and Practices

18 HCR 220 Week 7 CheckPoint Internet Databases For more classes visit www.snaptutorial.com CheckPoint: Internet Databases · Resource: http://www.apollolibrary.com/ERR/goerr.aspx?frmCourse=1717&fr mWeek=7http://www.apollolibrary.com/ERR/goerr.aspx?frmCourse=1717&fr mWeek=7 · Read the articles in the Electronic Reserve Readings. · Discuss in 250 to 300 words the benefits and the concerns of having medical

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