230 AID MART

Inspiring Minds/hcr230aid.com
CISHCR170
Teaching
Effectively/cis170mart.c
FOR
CLASSES
VISIT
FORMORE
MORE
CLASSES
VISIT
om

www.cis170mart.com
www.hcr230aid.com

HCR 230 Entire Course

FOR MORE CLASSES VISIT
www.hcr230aid.com
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 1 Assignment Features of Priva

te Payer and Consumer-Driven Health Plans
FOR MORE CLASSES VISIT
www.hcr230aid.com
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. Treasurers 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

HCR 230 Week 1 CheckPoint Comparing Cost Co

ntrol Strategies
FOR MORE CLASSES VISIT
www.hcr230aid.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 employersponsored (employers buy from insurance
companies) to self-funded (employers cover costs of
benefits) health plans. Include the following factors:
Riders

HCR 230 Week 1 CheckPoint Ramifications of P

articipation Contracts
FOR MORE CLASSES VISIT
www.hcr230aid.com
. 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 2 CheckPoint Summarizing the

Medigap Program
FOR MORE CLASSES VISIT
www.hcr230aid.com

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-legalresourc
es/healthcare/medicare/medigap.jsp
Compose a 250- to 300-word summary reflecting
upon the Medigap program. Address the following
questions in your summary:

HCR 230 Week 2 DQ 1and DQ 2

FOR MORE CLASSES VISIT
www.hcr230aid.com
Discussion Question 1
Due Date: Day 2 [Main forum]
Post your response to the following: Explain
whether or not you believe Medicares 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 weeks Internet and ERR readings located on
your student web page.

HCR 230 Week 3 Assignment welfare reforms

act
FOR MORE CLASSES VISIT
www.hcr230aid.com
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

HCR 230 Week 3 CheckPoint Working with Med

icaid
FOR MORE CLASSES VISIT
www.hcr230aid.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
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.

HCR 230 Week 4 Assignment The TRICARE Pr

ogram
FOR MORE CLASSES VISIT
www.hcr230aid.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:

HCR 230 Week 4 DQ 1and DQ 2

FOR MORE CLASSES VISIT
www.hcr230aid.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 230 Week 5 Assignment Understanding Wo

rk-Related Injuries
FOR MORE CLASSES VISIT
www.hcr230aid.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

HCR 230 Week 5 CheckPoint Characteristics o

f Workers Compensation Plans
FOR MORE CLASSES VISIT
www.hcr230aid.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

HCR 230 Week 6 CheckPoint Purpose of the Ge

neral Appeals
FOR MORE CLASSES VISIT
www.hcr230aid.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 examples
of claims errors you located on the Internet,
classified according to the categories in the text.

HCR 230 Week 6 DQ 1and DQ 2

FOR MORE CLASSES VISIT
www.hcr230aid.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 patientpayer communication regarding the claim
adjudication process? Explain your answers.
3. Discussion Question 2
Due Date: Day 4 [Main forum]

HCR 230 Week 7 Assignment Understanding the

Collection Process
FOR MORE CLASSES VISIT
www.hcr230aid.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.
Complete the following:

HCR 230 Week 7 CheckPoint Effective Financial

Policies amp
Proced
FOR MORE CLASSES VISIT
www.hcr230aid.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 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

HCR 230 Week 8 CheckPoint Inpatient and Outp

atient Hospital Services
FOR MORE CLASSES VISIT
www.hcr230aid.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.

HCR 230 Week 8 DQ 1and DQ 2

FOR MORE CLASSES VISIT
www.hcr230aid.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.pd
f
Integrated Publishing Web site at:
http://www.tpub.com/content/medical/14295/css/1
4295_416.htm

HCR 230 Week 9 Assignment Financial Policy

DCSAA
Finicial Policy
FOR MORE CLASSES VISIT
www.hcr230aid.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.

HCR 230 Week 9 Capstone Checkpoint

FOR MORE CLASSES VISIT
www.hcr230aid.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:

HCR 230 AID Inspiring

Minds/hcr230aid.com
FOR MORE CLASSES VISIT
www.hcr230aid.com