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1. HCR 230 Week 9 Individual Assignment Financial Policy DCSAA Finicial
Policy
HCR 230 Week 9 Individual Assignment Financial Policy DCSAA Finicial
Policy
Resources: Appendix A and Figure 15.1 on p. 487 of Medical Insurance
Complete Part A and Part B of your final project using critical thinking skills.
These skills include suspending judgment and applying problem-solving skills and
methods while conducting research. You must form evaluative decisions and
provide your rationale after considering how you would design a medical office
financial policy.
Decide on the type of medical office setting you prefer to research. Focus on that
setting as you complete each portion of the final project.
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 and sample
policies.
Write an original 750- to 1,050-word medical office financial policy for Part A of
your final project. In your policy, provide a minimum of three references other
than your textbook, formatted according to APA standards. Include the following
components in your policy:
a. Collection of copayments, deductibles, and past-due balances
b. Arrangements for handling of unpaid balances
c. Handling of payments for noncovered services
d. Prepayment policies

2. e. Policies for accepting cash, checks, money orders, and credit or debit
cards
f. Arrangements for sliding scales and low income payments
g. 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;
however, your policy must include APA-formatted references.
Complete Part B of your project. Include the following the end of your financial
policy:
a. Add a separate section reviewing why you believe your policy is best suited
to your selected type of medical office setting.
b. Explain and provide support for your rationale in 550 to 700 words.
c. Include a minimum of one reference to support your explanation.
Format your paper consistent with APA guidelines.
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HCR 230 Week 9 Capstone Checkpoint
HCR 230 Week 9 Capstone Checkpoint
Resource: Appendix A, pp. 449–477 in Ch. 14 of Medical Insurance.
Refer to Ch. 14 of Medical Insurance and previous assignments from that chapter
as a resource.

3. 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:
1. Identify the purpose for each step in claim adjudication process.
2. Explain the relationship between each of the different steps.
3. Provide a one-sentence summary describing how claims adjudication is
important to the medical billing process.
Post your flow chart and explanation as an attachment.
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HCR 230 Week 8 DQ 2
HCR 230 Week 8 DQ 2
Post your response to the following:
How are inpatient and outpatient coding similar or different?
Should there be a uniform standard of classification for both inpatient and
outpatient coding?
Support your opinions with examples.
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HCR 230 Week 8 DQ 1
HCR 230 Week 8 DQ 1
1. Refer to your text and the following links to help you answer questions about
written consent:

4. American Medical Association Web site at: http://www.ama-
assn.org/ama/pub/physician-resources/legal-topics/patient-physician-relationship-
topics/informed-consent.shtml
Integrated Publishing Web site
at: http://www.tpub.com/content/medical/14295/css/14295_416.htm
(Note: You may need to copy and paste these links to your tool bar to access
them.)
2. 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.
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HCR 230 Week 8 CheckPoint Inpatient And Outpatient Hospital Services
HCR 230 Week 8 CheckPoint Inpatient and Outpatient Hospital Services
Resource: pp. 513–514, 523–526 in Ch. 16 of Medical Insurance
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.
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5. HCR 230 Week 7 Individual Assignment Understanding The Collection
Process
HCR 230 Week 7 Individual Assignment Understanding the Collection
Process
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.
Resources: pp. 494–505 in Ch. 15 of Medical Insurance and Microsoft®
Help
website
Refer to Microsoft®
Help website at http://support.microsoft.com/ for questions
related to creating a flow chart in Microsoft®
Word.
Create a flow chart, using Microsoft®
Word, illustrating the sequence of basic steps
in the collection process.
Write a 350- to 500-word script, below your flow chart, for a short instructional
video to be used along with the flow chart. The script must 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 flow chart. The audience for the
job aid and video is a medical office billing trainee.
Post your paper as an attachment.
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HCR 230 Week 7 CheckPoint Effective Financial Policies And Procedure
HCR 230 Week 7 CheckPoint Effective Financial Policies and Procedure
Resource: Figures 15.1 & 15.2 on pp. 485–486 of 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

6. making. In this CheckPoint, you must exercise critical thinking skills to answer the
following questions:
1. What are the basic elements of an effective medical office financial policy?
2. In what ways do medical office procedures support financial policies?
3. 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?
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HCR 230 Week 6 DQ 2
HCR 230 Week 6 DQ 2
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:
o Open-ended questions that elicit a variety of responses
o Promote thinking rather than fact-finding
o Encourage analysis or evaluation
o 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.

7. When you respond to classmates, answer their discussion questions or pose
additional questions based on their summary.
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HCR 230 Week 6 DQ 1
HCR 230 Week 6 DQ 1
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?
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HCR 230 Week 6 CheckPoint Purpose Of The General Appeals
HCR 230 Week 6 CheckPoint Purpose of the General Appeals
Resource: p. 463 in Ch. 14 of Medical Insurance
Research the Internet to locate three additional examples of claims errors and
classify them according the categories noted on p. 463 of Medical Insurance.
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.
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HCR 230 Week 5 Individual Assignment Understanding Work-Related
Injuries

8. HCR 230 Week 5 Individual Assignment Understanding Work-Related
Injuries
Resources: Appendix C and pp. 425–427 in Ch. 13 of Medical Insurance
Complete Appendix C by reading the five case studies and determine whether or
not these injuries are covered under workers compensation. Provide supporting
arguments and cite the appropriate workers’ compensation injury classification
category as directed in the Appendix.
Compose a 750- to 1,050-word response describing the workers’ compensation
claim process. Include the following information in your answer:
1. Overall description of the workers. compensation claims process
2. Responsibilities of the employee, employer, physician, and insurance carrier
3. How do HIPAA Privacy Rules apply to workers’ compensation?
4. 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 your response consistent with APA guidelines.
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HCR 230 Week 5 CheckPoint Characteristics Of Workers Compensation
Plans

9. HCR 230 Week 5 CheckPoint Characteristics of Workers Compensation
Plans
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?
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HCR 230 Week 4 Individual Assignment The TRICARE Program
Presentation
HCR 230 Week 4 Individual Assignment The TRICARE Program
Presentation
Resources: Appendix B and pp. 399–404, 409–411 in Ch. 12 of Medical Insurance
Create a 5- to 8-slide Microsoft®
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:
1. Eligibility requirements
2. Covered and noncovered services
3. Network and nonnetwork providers
4. Participating and nonparticipating provider charges
5. Reimbursement
Use a minimum of one reference. You may use your text as a reference.
Format your presentation consistent with APA guidelines.

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HCR 230 Week 4 DQ 2
HCR 230 Week 4 DQ 2
Post your response to the following: Explain whether or not you believe
CHAMPVA provides an adequate level of health insurance for participants.
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HCR 230 Week 4 DQ 1
HCR 230 Week 4 DQ 1
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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HCR 230 Week 3 Individual Assignment Welfare Reforms Act
HCR 230 Week 3 Individual Assignment welfare reforms act
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?

11. 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 consistent with APA guidelines.
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HCR 230 Week 3 CheckPoint Working With Medicaid
HCR 230 Week 3 CheckPoint Working with Medicaid
Resources: pp. 374–375 & 385–386 in Ch. 11 of Medical Insurance, and the U.S.
Department of Health & Human Services website.
Refer to U.S. Department of Health & Human Services website 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?
What are some problems facing the program today?

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HCR 230 Week 2 DQ 2
HCR 230 Week 2 DQ 2
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.
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HCR 230 Week 2 DQ 1
HCR 230 Week 2 DQ 1
Post your response to the following:
Explain whether or not you believe Medicare’s eligibility limitations are
reasonable in scope.
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HCR 230 Week 2 CheckPoint Summarizing The Medigap Program
HCR 230 Week 2 CheckPoint Summarizing the Medigap Program
Write a 250- to 300-word summary reflecting on the Medigap program. Address
the following questions in your summary:
What are the core benefits in the Medigap insurance program?

13. 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.
What are the implications of having a private company associated with a
government insurance program?
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HCR 230 Week 1 Individual Assignment Features Of Private Payer And
Consumer-Driven Health Plans
HCR 230 Week 1 Individual 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 BlueCross
BlueShield websites
Refer to Table 9.1 on p. 293 and Table 9.2 on p. 296 of your textbook.
Review the U.S. Treasurer’s Office Web site at http://www.treasury.gov/resource-
center/faqs/Taxes/Pages/Health-Savings-Accounts.aspx and The Regence
BlueCross BlueShield of Oregon website at
http://www.regence.com/OR/products/medical/index.jsp. Click the individual
health plans for detailed information.
Write 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.

14. PO
HMO
Group HMO
IPA
POS
Indemnity
CDHP
Health Reimbursement Account
Flexible Savings Account
Use a minimum of three references. You may use your text and the two websites
provided.
Format your paper consistent with APA guidelines.
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HCR 230 Week 1 CheckPoint Ramifications Of Participation Contracts
HCR 230 Week 1 CheckPoint Ramifications of Participation Contracts
Resource: pp. 304–305 in Ch. 9 of Medical Insurance
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.

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HCR 230 Week 1 CheckPoint Ramifications Of Participation Contracts
HCR 230 Week 1 CheckPoint Ramifications of Participation Contracts
Resource: pp. 304–305 in Ch. 9 of Medical Insurance
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.
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HCR 230 Complete Course
HCR 230 Complete Course
HCR 230 Week 1 CheckPoint Comparing Cost Control Strategies
HCR 230 Week 1 CheckPoint Ramifications of Participation Contracts
HCR 230 Week 1 Individual Assignment Features of Private Payer and
Consumer-Driven Health Plans
HCR 230 Week 2 DQ 1
HCR 230 Week 2 DQ 2
HCR 230 Week 2 CheckPoint Summarizing the Medigap Program
HCR 230 Week 3 CheckPoint Working with Medicaid
HCR 230 Week 3 Individual Assignment welfare reforms act
HCR 230 Week 4 DQ 1
HCR 230 Week 4 DQ 2
HCR 230 Week 4 Individual Assignment The TRICARE
Program(Presentation)
HCR 230 Week 5 CheckPoint Characteristics of Workers Compensation
Plans
HCR 230 Week 5 Individual Assignment Understanding Work-Related
Injuries

16. HCR 230 Week 6 DQ 1
HCR 230 Week 6 DQ 2
HCR 230 Week 6 CheckPoint Purpose of the General Appeals
HCR 230 Week 7 CheckPoint Effective Financial Policies and Procedure
HCR 230 Week 7 Individual Assignment Understanding the Collection
Process
HCR 230 Week 8 DQ 1
HCR 230 Week 8 DQ 2
HCR 230 Week 8 CheckPoint Inpatient and Outpatient Hospital Services
HCR 230 Week 9 Capstone Checkpoint
HCR 230 Week 9 Individual Assignment Financial Policy DCSAA Finicial
Policy
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