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HCR 230 Week 1 CheckPoint Comparing Cost Control StrategiesHCR 230 Week 1 CheckPoint Ramifications of Participation ContractsHCR 230 Week 1 Assignment Features of Private Payer and

DrivenHealth Plans HCR 230 Week 2 DQ 1and DQ 2HCR 230 Week 2 CheckPoint Summarizing the Medigap Program HCR 230 Week 3 CheckPoint Working with Medicaid

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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.


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

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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:


HCR 230 Week 1 CheckPoint Comparing Cost Control Strategies



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 230 Week 1 CheckPoint Ramifications of Participation Contracts



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


HCR 230 Week 2 CheckPoint Summarizing the Medigap Program


http://www.webmd.com/Medicare/medigap




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


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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?


HCR 230 Week 3 Assignment welfare reforms actFOR MORE CLASSES VISIT

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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


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http://www.cms.hhs.gov/home/medicaid.asp


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


HCR 230 Week 4 Assignment The TRICARE ProgramFOR MORE CLASSES VISIT

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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.



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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?


HCR 230 Week 5 Assignment Understanding Work-Related Injuries



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:


HCR 230 Week 5 CheckPoint Characteristics of Workers Compensation Plans



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.


HCR 230 Week 6 CheckPoint Purpose of the General Appeals



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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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/


HCR 230 Week 7 Assignment Understanding the Collection Process


http://support.microsoft.com/


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:


HCR 230 Week 7 CheckPoint Effective Financial Policies amp Proced



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.


HCR 230 Week 8 CheckPoint Inpatient and Outpatient Hospital Services



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?



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http://archsurg.ama-assn.org/cgi/reprint/135/1/26.pdf

http://www.tpub.com/content/medical/14295/css/14295_416.htm

http://www.tpub.com/content/medical/14295/css/14295_416.htm


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


HCR 230 Week 9 Assignment Financial Policy DCSAA Finicial Polic



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


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