HCR 202 Enthusiastic Study / snaptutorial.com

1. 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 HCR 202 Week 4 Characteristics of Workers’ Compensation Plans HCR 202 Week 4 Benchmark AssignmentReimbursement and Coverage Worksheet HCR 202 Week 5 Ramifications of Participation Contracts HCR 202 Week 5 Comparing Cost Control Strategies ********************************************* HCR 202 Entire Course For more classes visit

2. 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 HCR 202 Week 4 Assignment The TRICARE Program HCR 202 Week 4 DQ 1and DQ 2 HCR 202 Week 5 Assignment Understanding Work-Related Injuries HCR 202 Week 5 CheckPoint Characteristics of Workers Compensation Plans HCR 202 Week 6 CheckPoint Purpose of the General Appeals HCR 202 Week 6 DQ 1and DQ 2 HCR 202 Week 7 Assignment Understanding the Collection Process HCR 202 Week 7 CheckPoint Effective Financial Policies and Procedures HCR 202 Week 8 CheckPoint Inpatient and Outpatient Hospital Services HCR 202 Week 8 DQ 1and DQ 2 HCR 202 Week 9 Assignment Financial Policy DCSAA Finicial Policy HCR 202 Week 9 Capstone Checkpoint *********************************************

3. 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 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

4. 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 Folder ********************************************* 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: Riders Enrollment periods Provider networks Third party administrators

5. ****Also discuss how the following affect cost control within group health plans: Portability Creditable coverage ********************************************* 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. ********************************************* HCR 202 Week 1 Health Care Payors Worksheet

6. 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.) Part A Complete the table by describing the health care payor listed. Be clear and concise, use complete sentences, and define them in your own words. Health Care Payors Characteristics Medicare Blue Cross Medicaid Aetna PPO HMO Part B Write a 50- to 150-word response to each of the following prompts. Be clear and concise, use complete sentences, and use your own words.

7. Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence. ********************************************* 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.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.

8. What are the implications of having a private company associated with a government insurance program? Post your response to the Assignment Folder ********************************************* 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 and provide examples from this week’s Internet and ERR readings located on your student web page. *********************************************

9. 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 Complete Parts A and B of this worksheet. Reference: Ch. 1 and Ch. 17 of Medical Insurance Part A

10. Pair the health care term from Column A with the appropriate definition from Column B. List the corresponding letter in Column C. Column A Column C Column B co-pay The amount owed for covered health care services before the health insurance plan begins to pay Deductible The portion of charges an insured person must pay for health care services after payment of the deductible amount is met; usually stated as a percentage Out-of-pocket max A patient who does not have insurance Self-pay patient The most an insured person will have to pay for covered health care services in a policy period. Until this maximum amount is met, the health care plan and insured person share costs co-insurance A set dollar amount a health plan requires an insured person to pay at the time of service for each health care encounter Part B Resource: Table 1.2 in Ch. 1 of Medical Insurance Describe three to four health plans by completing the following table. Be clear and concise, use complete sentences, and use in your own words.

11. Health Plans Plan type Provider options Payment methods Features Write 50- to 150-word responses to the following question. Use your own words and provide examples to support your answer. Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence. How do provider options (network) impact reimbursement for patients? Review the features of the plan types discussed in the table and identify what features are most important to a patient. ********************************************* HCR 202 Week 2 Payment Systems Worksheet

12. 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. Part A Complete the table by describing the term. Be clear and concise, use complete sentences, and define them in your own words. Cite any outside resources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence. Term Definition Preauthorization Precertification Predetermination

13. Part B Write a 250- to 350-word response to each of the following questions. Be clear and concise, use complete sentences, and use your own words. When are patient referrals needed? How would you determine if a referral is required? Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence. ********************************************* 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]

14. 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 Folder ********************************************* 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.

15. 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? ********************************************* 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:

16. Eligibility requirements Coverage provisions Participating and non-participating provider charges Use a minimum of 1 reference. You may use your textbook as a reference. Format your assignment according to APA guidelines. Click the Assignment Files tab to submit your assignment. ********************************************* 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

17. Complete Parts A and B of this worksheet. References: Ch. 9, 10, and 11 of Medical Insurance: An Integrated Claims Process Approach (6th ed.) Part A Fill in the missing information by completing the table. Identify the payer type, eligibility, coverage, and patient responsibility for Medicare programs, Medicaid, CHAMPVA, and Tricare. Payer Type Eligibility Coverage Patient Responsibility Medicare Part A First 60 days responsibility is the annual deductible. For days 61 to 90 there is a per-day copay and another per-day copay after days 91 to 150. Beyond day 150, Medicare Part A does not make a payment.

18. Individuals entitled to Medicare Part A are automatically qualified to enroll in Part B. Needs to be a U.S. citizen and over the age of 65 (voluntary program). Physician services, outpatient hospital services, medical equipment, and other supplies and services. Private health insurance companies contract with the Centers for Medicare and Medicaid to offer Medicare Advantage plans. Medicare Part D Medicare prescription drug plan (private insurance plan). Categorically needy Administered at a state level. Each state determines the coverage and sets the payment rates. Services include hospital, outpatient, physician services, laboratory, radiology. Some states include prescription services, vision care, vision, clinic services, and home and community based care. Some may include a spend down program prior to reimbursement. Individuals and families may be required to spend a portion of income or resources on health care, which is similar to a deductible. Tricare Coinsurance for nonparticipating providers. Annual enrollment and copays for retirees and families. Government health insurance program for families of veterans with 100% services related to disability. Includes most all treatment with the exception of unnecessary services and supplies.

19. Does not include experimental treatment, custodial care, or dental care. Part B Write a 50- to 150-word response to each of the following questions. Use your own words and provide examples to support your answers. Why is it important to understand the guidelines for timely claim filing from the date of treatment or discharge? Why is it important to understand the different payer coverage and patient responsibility? Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence. ********************************************* HCR 202 Week 4 Assignment The TRICARE Program

20. 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/ 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 Folder ********************************************* HCR 202 Week 4 Benchmark Assignment— Reimbursement and Coverage Worksheet

21. 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 References: Ch. 8 and 12 of Medical Insurance: An Integrated Claims Process Approach (6th ed.) Imagine you are a billing supervisor at a local health facility. You have been asked to determine the expected reimbursement and coverage determination on the following claims: You reviewed the claim 1500 form for patient Kevin Luke. You realize it is a new calendar year and he had not met his deductible. You had an

22. authorization on file for treatment. Total billed charge amount is $1,100.00. His benefits are as follows: PPO-Medical Care for diagnostic testing In-network benefit preauthorization required. Pays at 100% after deductible is met. Must meet deductible. Annual family deductible is $500. Calculate the expected reimbursement from insurance and what the patient will owe. You review the claim form for Lisa Smith for treatment of hyperglycemia. You discover she received treatment from a non- network provider. She has met her annual deductible. Total charges for the date of service are $170. The plan pays at usual and customary, which is exactly what was billed. Her benefits are as follows: PPO-Medical care office visits In-network benefit-Office visit copayment: $10.00 Out-of-network deductible and coinsurance of 20%. Calculate the expected reimbursement from insurance and her coinsurance. You are reviewing a claim for Maria Johnson, a 45-year-old who received a well check and flu shot from her in network provider. Her benefits are as follows:

23. PPO-Medical Care office visits In-network benefit- copayment: Office visit $10.00 and Injections $25.00 Out-of-network Deductible and Coinsurance of 20%. Mrs. Johnson called the office because she thought she had overpaid during her visit. What was Mrs. Johnson’s copay the date of the visit? You are reviewing the vision exam benefits for Zach Bergman. He presented for an eye exam stating he needed new glasses. He had an examination 13 months prior and notes he can have an exam every year. His benefits are as follows: PPO-Medical care office visits In-network benefit-One vision exam every 2 calendar years. Out-of-network Deductible and Coinsurance of 20%. Covered every 2 calendar years. What is Mr. Bergman’s benefit? Lisa Smith called your office noting she had to be transported to the hospital by ambulance while on vacation for food poisoning. She was concerned about what she will need to pay out-of-pocket. She was not admitted. Her benefits for emergency treatment are as follows:

24. PPO-Emergency treatment In-network benefit-Copay $100. Waived if admitted. Ambulance services no charge. Out-of-network Copay $100. Waived if admitted. Ambulance services no charge. What should Lisa Smith expect to pay out-of-pocket? Part B: Insurance Process Discussion Choose one of the above cases and imagine the following scenario: You received a call from the patient concerning their bill, and they would like to discuss it with you. You were asked a series of questions concerning insurance processes and medical reimbursement by the patient. As the billing expert you have a conversation addressing the patient’s billing questions and explaining the insurance process and steps you take. In 175 to 350 words, create a conversational dialog with the patient explaining the insurance process and why their claim was paid the way it was paid. Your conversation should include: Explain how and why the patient’s insurance is verified. Explain how to interpret the patient’s benefits for reimbursement using details from your selected case.

25. Explain possible pending insurance or patient actions relevant to your selected case. Apply a professional and customer-oriented introduction and closure to the dialog. ********************************************* 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? Format your assignment according to APA guidelines. Click the Assignment Files tab to submit your assignment.

26. ********************************************* 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 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. ********************************************* HCR 202 Week 4 Features of Private Payor and Consumer-Driven Health Plans

27. 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. Preferred Provider Organization (PPO) Health Maintenance Organization (HMO) Group HMO Association of Independent Healthcare Organisations (AIHO) Point-of-Service (POS) Indemnity CDHP Health Reimbursement Account (HRA) Flexible Savings Account (FSA) Use a minimum of 3 references. You may use your textbook and the two websites provided. Format your assignment according to APA guidelines. Click the Assignment Files tab to submit your assignment. ********************************************* HCR 202 Week 5 Assignment Understanding Work-Related Injuries

28. 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 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 Folder ********************************************* HCR 202 Week 5 CheckPoint Characteristics of Workers Compensation Plans

29. 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 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? ********************************************* HCR 202 Week 5 Comparing Cost Control Strategies For more classes visit www.snaptutorial.com

30. 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: Riders Enrollment periods Provider networks Third-party administrators Discuss how the following affect cost control within group health plans: Portability Creditable coverage Click the Assignment Files tab to submit your assignment. ********************************************* HCR 202 Week 5 Ramifications of Participation Contracts For more classes visit www.snaptutorial.com

31. 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. Click the Assignment Files tab to submit your assignment. ********************************************* 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. Incorporate the three additional

32. examples of claims errors you located on the Internet, classified according to the categories in the text. ********************************************* 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. 3. Discussion Question 2 Due Date: Day 4 [Main forum] Post your response to the following: Locate one article on the Internet or University Library relating to Medicare post payment audits. Write a one-paragraph summary of the article plus a discussion question based on the summary. Well-written discussion questions include the following elements:

33. Open-ended questions that elicit a variety of responses Promote thinking rather than fact-finding Encourage analysis or evaluation Connected directly to the week’s content Include the APA-formatted reference for your article in your post. Title your subject line appropriately and post your response as a reply to this message. When you respond to classmates, answer their discussion questions or pose additional questions based on their summary. ********************************************* 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.

34. 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 Folder ********************************************* 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.

35. 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? ********************************************* 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.

36. ********************************************* 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.pdf Integrated Publishing Web site at: http://www.tpub.com/content/medical/14295/css/14295_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. 3. Discussion Question 2 Due Date: Day 4 [Main forum] Post your response to the following: How are inpatient and outpatient coding similar or different? Should there be a uniform standard of

37. classification for both inpatient and outpatient coding? Support your opinions with examples. ********************************************* 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. 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.

38. 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 Folder ********************************************* HCR 202 Week 9 Capstone Checkpoint

39. 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: 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 Folder *********************************************