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HCR 202Competitive Success/snaptutorial.com

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1 HCR 202Competitive Success/snaptutorial.com

2 HCR 202 Entire Course(New syllabus) For more classes visit www.snaptutorial.com HCR 202 Week 1 Health Care Payors Worksheet HCR 202 Week 2 Payment Systems Worksheet HCR 202 Week 2 Health Care Reimbursement Worksheet HCR 202 Week 3 Government Payors Worksheet HCR 202 Week 3 Government Payors Presentation HCR 202 Week 4 Features of Private Payor and Consumer-Driven Health Plans

3 HCR 202Competitive Success/snaptutorial.com HCR 202 Entire Course For more classes visit www.snaptutorial.com HCR 202 Week 1 CheckPoint Comparing Cost Control Strategies HCR 202 Week 1 CheckPoint Ramifications of Participation Contracts HCR 202 Week 1 Assignment Features of Private Payer and Consumer-Driven Health Plans HCR 202 Week 2 CheckPoint Summarizing the Medigap Program HCR 202 Week 2 DQ 1and DQ 2 HCR 202 Week 3 Assignment welfare reforms act HCR 202 Week 3 CheckPoint Working with Medicaid

4 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 1 Assignment Features of Private Payer and Consumer-Driven Health Plans For more classes visit www.snaptutorial.com 7. 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

5 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 1 CheckPoint Comparing Cost Control Strategies For more classes visit www.snaptutorial.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:

6 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 1 CheckPoint Ramifications of Participation Contracts For more classes visit www.snaptutorial.com 6. 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.

7 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 1 Health Care Payors Worksheet For more classes visit www.snaptutorial.com HCR 202 Week 1 Health Care Payors Worksheet Complete the University of Phoenix Material: Health Care Payors Worksheet. Click the Assignment Files tab to submit your assignment. Health Care Payors Worksheet Complete Parts A and B of this worksheet. Reference: Ch. 1 of Medical Insurance: An Integrated Claims Process Approach (6th ed.)

8 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 2 CheckPoint Summarizing the Medigap Program For more classes visit www.snaptutorial.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/Medicare/medigap and http://www.diabetes.org/advocacy-and- legalresources/healthcare/medicare/medigap.jsphttp://www.webmd.com/Medicare/medigap http://www.diabetes.org/advocacy-and- legalresources/healthcare/medicare/medigap.jsp

9 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 2 DQ 1and DQ 2 For more classes visit www.snaptutorial.com Discussion Question 1 Due Date: Day 2 [Main forum] Post your response to the following: Explain whether or not you believe Medicare’s 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

10 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 2 Health Care Reimbursement Worksheet For more classes visit www.snaptutorial.com HCR 202 Week 2 Health Care Reimbursement Worksheet Complete the University of Phoenix Material: Health Care Reimbursement Worksheet. Click the Assignment Files tab to submit your assignment. Health Care Reimbursement Worksheet

11 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 2 Payment Systems Worksheet For more classes visit www.snaptutorial.com HCR 202 Week 2 Payment Systems Worksheet Complete the Payment Systems Worksheet. Click the Assignment Files tab to submit your assignment. Payment System Worksheet Complete Parts A and B of this worksheet.

12 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 3 assignment welfare reforms act For more classes visit www.snaptutorial.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

13 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 3 CheckPoint Working with Medicaid For more classes visit www.snaptutorial.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/medicaid.asp http://www.cms.hhs.gov/home/medicaid.asp Select Medicaid Program - General Information. Post a 250- to 300-word response to the following:

14 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 3 Government Payors Presentation For more classes visit www.snaptutorial.com HCR 202 Week 3 Government Payors Presentation Create a 10- to 12-slide Microsoft® PowerPoint® presentation that discusses Medicare, Medicaid, the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), and TRICARE. Include detailed speaker notes to explain the following topics in your presentation: Eligibility requirements

15 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 3 Government Payors Worksheet For more classes visit www.snaptutorial.com HCR 202 Week 3 Government Payors Worksheet Complete the University of Phoenix Material: Government Payors Worksheet. Click the Assignment Files tab to submit your assignment. Government Payers Worksheet

16 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 4 Assignment The TRICARE Program For more classes visit www.snaptutorial.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/http://support.microsoft.com/ Create a 5- to 8-slide PowerPoint® presentation that describes features of the TRICARE program and its four

17 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 4 Benchmark Assignment—Reimbursement and Coverage Worksheet For more classes visit www.snaptutorial.com HCR 202 Week 4 Benchmark Assignment—Reimbursement and Coverage Worksheet Complete the Reimbursement and Coverage Worksheet. Click the Assignment Files tab to submit your assignment. Reimbursement and Coverage Worksheet

18 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 4 Characteristics of Workers’ Compensation Plans For more classes visit www.snaptutorial.com HCR 202 Week 4 Characteristics of Workers’ Compensation Plans Resources: Ch. 12 of Medical Insurance: An Integrated Claims Process Approach (6th ed.) and the U.S. Department of Labor website Write a 350- to 700-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?

19 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 4 DQ 1and DQ 2 For more classes visit www.snaptutorial.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

20 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 4 Features of Private Payor and Consumer-Driven Health Plans For more classes visit www.snaptutorial.com HCR 202 Week 4 Features of Private Payor and Consumer-Driven Health Plans Resources: Table 8.1 and Table 8.2 in Ch. 8 of Medical Insurance: An Integrated Claims Process Approach (6th ed.) and the U.S. Department of the Treasury website Write a 350- to 700-word response to familiarize yourself with private payer plans and consumer-driven health plan (CDHP) account types. Briefly list two to three main features for the following nine items.

21 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 5 Assignment Understanding Work-Related Injuries For more classes visit www.snaptutorial.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

22 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 5 CheckPoint Characteristics of Workers Compensation Plans For more classes visit www.snaptutorial.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 http://www.dol.gov/dol/topic/workcomp/index.htm Post a 250- to 300-word response to the following: In your own

23 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 5 Comparing Cost Control Strategies For more classes visit www.snaptutorial.com HCR 202 Week 5 Comparing Cost Control Strategies Resource: Ch. 8 of Medical Insurance: An Integrated Claims Process Approach (6th ed.). Write a 350- to 700-word response to the following: Compare cost control strategies of employer-sponsored health plans (when employers buy from insurance companies) to self-funded health plans (when employers cover costs of benefits). Include the following factors:

24 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 5 Ramifications of Participation Contracts For more classes visit www.snaptutorial.com HCR 202 Week 5 Ramifications of Participation Contracts Resource: Ch. 8 of Medical Insurance: An Integrated Claims Process Approach (6th ed.). Write a 350- to 700-word paper that discusses how participation contracts represent financial opportunities for providers. What are positive and negative ramifications of discounted fee-for-service arrangements? Format your paper according to APA guidelines.

25 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 6 CheckPoint Purpose of the General Appeals For more classes visit www.snaptutorial.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.

26 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 6 DQ 1and DQ 2 For more classes visit www.snaptutorial.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.

27 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 7 Assignment Understanding the Collection Process For more classes visit www.snaptutorial.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.http://support.microsoft.com/

28 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 7 CheckPoint Effective Financial Policies and Procedures For more classes visit www.snaptutorial.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

29 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 8 CheckPoint Inpatient and Outpatient Hospital Services For more classes visit www.snaptutorial.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.

30 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 8 DQ 1and DQ 2 For more classes visit www.snaptutorial.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.pdfhttp://archsurg.ama- Integrated Publishing Web site at: http://www.tpub.com/content/medical/14295/css/14295_416.htm http://www.tpub.com/content/medical/14295/css/14295_416.htm

31 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 9 Assignment Financial Policy DCSAA Finicial Policy For more classes visit www.snaptutorial.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 how you would design a medical office financial policy.

32 HCR 202Competitive Success/snaptutorial.com HCR 202 Week 9 Capstone Checkpoint For more classes visit www.snaptutorial.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:

33 HCR 202Competitive Success/snaptutorial.com


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