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 4 DQ 1and DQ 2 HCR 230 Week 4 Assignment The TRICARE Program HCR 230 Week 5 CheckPoint Characteristics of Workers Compensation Plans HCR 230 Week 5 Assignment Understanding Work-Related Injuries HCR 230 Week 6 DQ 1and DQ 2 HCR 230 Week 6 CheckPoint Purpose of the General Appeals HCR 230 Week 7 CheckPoint Effective Financial Policies amp Proceed HCR 230 Week 7 Assignment Understanding the Collection Process HCR 230 Week 8 DQ 1and DQ 2 HCR 230 Week 8 CheckPoint Inpatient and Outpatient Hospital Services HCR 230 Week 9 Capstone Checkpoint HCR 230 Week 9 Assignment Financial Policy DCSAA Financial Policy

2. 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
DrivenHealth 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 Entire Course
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3.  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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4.  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
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5.  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
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6.  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
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7.  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
HCR 230 Week 2 DQ 1and DQ 2
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8.  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 act
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9.  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
HCR 230 Week 3 CheckPoint Working with Medicaid
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10.  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 Program
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11.  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.
HCR 230 Week 4 DQ 1and DQ 2
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12.  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
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13.  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
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14.  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
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15.  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.
HCR 230 Week 6 DQ 1and DQ 2
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16.  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
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17.  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
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18.  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
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19.  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_41
6.htm
 Post your response to the following: What is the importance of
obtaining written consent from patients prior to receiving
medical treatment?
HCR 230 Week 8 DQ 1and DQ 2
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20.  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
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21.  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
HCR 230 Week 9 Capstone Checkpoint
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