For more course tutorials visit www.newtonhelp.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

1. HCR 202 Entire Course
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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

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
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HCR 202 Week 1 Assignment Features of Private Payer and
Consumer-Driven Health Plans
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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]

3. Refer to Table 9.1 on p. 293 and Table 9.2 on p. 296 of your textbook.
Review
http://www.ustreas.gov/offices/public-affairs/hsa/faq_basics.shtml and
http://www.or.regence.com/agent/product/docs/healthReimbArrangFAQ
.pdf
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
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

4. -----------------------------------------------------------------------------------
HCR 202 Week 1 CheckPoint Comparing Cost Control
Strategies
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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: 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
****Also discuss how the following affect cost control within group
health plans:

5. Portability
Creditable coverage
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HCR 202 Week 1 CheckPoint Ramifications of Participation
Contracts
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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.
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HCR 202 Week 2 CheckPoint Summarizing the Medigap
Program

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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.
What are the implications of having a private company associated with a
government insurance program?
Post your response to the Assignment Folder
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7. HCR 202 Week 2 DQ 1and DQ 2
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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.
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HCR 202 Week 3 assignment welfare reforms act

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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 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
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9. HCR 202 Week 3 CheckPoint Working with Medicaid
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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
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?
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HCR 202 Week 4 Assignment The TRICARE Program

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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.

11. Post your presentation to the Assignment Folder
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HCR 202 Week 4 DQ 1and DQ 2
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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.
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12. HCR 202 Week 5 Assignment Understanding Work-Related
Injuries
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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.

13. Format according to APA guidelines.
Post your paper to the Assignment Folder
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HCR 202 Week 5 CheckPoint Characteristics of Workers
Compensation Plans
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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?
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14. HCR 202 Week 6 CheckPoint Purpose of the General
Appeals
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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.
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HCR 202 Week 6 DQ 1and DQ 2

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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:
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

16. 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.
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HCR 202 Week 7 Assignment Understanding the Collection
Process
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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/ for
questions related to creating a flow chart in Microsoft® Word.

17. 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
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HCR 202 Week 7 CheckPoint Effective Financial Policies
amp Proced
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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]

18. 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 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?
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HCR 202 Week 8 CheckPoint Inpatient and Outpatient
Hospital Services
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CheckPoint: Inpatient and Outpatient Hospital Services
Resource: Ch. 16 (pp. 513-514, 523-526)of Medical Insurance

19. Due Date: Day 5 [to the Assignment Folder]
- 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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HCR 202 Week 8 DQ 1and DQ 2
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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

20. 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
classification for both inpatient and outpatient coding? Support your
opinions with examples.
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HCR 202 Week 9 Assignment Financial Policy DCSAA
Finicial Policy
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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

21. 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.
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:

22. 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
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HCR 202 Week 9 Capstone Checkpoint
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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/

23. 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
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