HCR 230 AID Inspiring Minds/hcr230aid.com

8/16/2019 HCR 230 AID Inspiring Minds/hcr230aid.com

1/22

CIS 170 MART TeachingEfectively/cis170mart.comFOR MORE CLASSES VISIT

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2/22

HCR !0 Entire Co&rse FOR MORE CLASSES VISIT

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HCR 230 Week 1 CheckPoint Comparing CostControl StrategiesHCR 230 Week 1 CheckPoint Ramifcations oParticipation ContractsHCR 230 Week 1 Assignment Features o PriatePa!er an" Consumer#$rien Health PlansHCR 230 Week 2 $% 1an" $% 2HCR 230 Week 2 CheckPoint Summari&ing the'e"igap Program

HCR 230 Week 3 CheckPoint Working (ith 'e"icai"HCR 230 Week 3 assignment (elare reorms act

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3/22

HCR !0 'ee( 1 Assignment )eat&res o* +rivate +ayer an$ Cons&mer,"riven Health +lans


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Assignment) Features o Priate Pa!er an"Consumer#$rien Health Plans

Resources) *a+le ,-1 on p- 2,3 o 'e"ical.nsurance/ *a+le ,-2 on p- 2, o 'e"ical .nsurance/an" the -S- *reasurers 4ce an" regon 5lueCross65lue Shiel" We+ sites

$ue $ate) $a! 7 8post to the Assignment Fol"er9Reer to *a+le ,-1 on p- 2,3 an" *a+le ,-2 on p- 2,o !our te:t+ook-Reie(

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4/22

HCR !0 'ee( 1 Chec(+oint Com#aring Cost Control Strategies


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CheckPoint) Comparing Cost Control StrategiesResource) Ch- , ;pp- 2


5/22

HCR !0 'ee( 1 Chec(+oint Rami-cations o* +artici#ation Contracts


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- CheckPoint) Ramifcations o ParticipationContracts

Resource) Ch- , ;pp- 30>#30?= o 'e"ical .nsurance$ue $ate) $a! > 8post to the .n"ii"ual orum9$iscuss ho( participation contracts representfnancial opportunities or proi"ers- What are

positie an" negatie ramifcations o "iscounte"ee#or#serice arrangements@ :plain !our ans(ersin 200 to 300 (or"s-

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6/22

HCR !0 'ee( Chec(+oint S&mmariing theMe$iga# +rogram


%%%.hcr!0ai$.com Resources) Figure 10-7 on p- 3?0 o 'e"ical.nsurance/ an" the We+'$B an" $ia+etes-org We+sites$ue $ate) $a! ? to the Assignment Fol"er Reer to Figure 10-7 an" the We+'$B an"$ia+etes-org We+ sites at)http)66(((-(e+m"-com6'e"icare6me"igap an"

http)66(((-"ia+etes-org6a"ocac!#an"#legalresources6healthcare6me"icare6me"igap-spCompose a 2?0# to 300#(or" summar! reDectingupon the 'e"igap program- A""ress the ollo(ingEuestions in !our summar!)

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7/22

HCR !0 'ee( " 1an$ " FOR MORE CLASSES VISIT

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$iscussion %uestion 1$ue $ate) $a! 2 8'ain orum9Post !our response to the ollo(ing) :plain(hether or not !ou +eliee 'e"icares eligi+ilit!limitations are reasona+le in scope->- $iscussion %uestion 2$ue $ate) $a! > 8'ain orum9Post !our response to the ollo(ing) .n !our opinion/(hat potential positie an" negatie ramifcations

coul" result rom oering pa!ment incenties or ph!sician participation in 'e"icare programs@:plain !our ans(ers an" proi"e e:amples romthis (eeks .nternet an" RR rea"ings locate" on

!our stu"ent (e+ page-

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8/22

HCR !0 'ee( ! Assignment %el*are re*ormsact


%%%.hcr!0ai$.com$ue $ate) $a! 7 8to the Assignment Fol"er9Write a 7?0# to 1/0?0#(or" paper "iscussing the

positie an" negatie implications o the WelareReorm Act o 1,, on 'e"icai"- Respon" to one or

more o the ollo(ing Euestions in !our paper)$i" the Welare Reorm Act cause e:isting 'e"icai"+enefciaries to lose necessar! coerage@$o eligi+le 'e"icai" can"i"ates sometimes remain

un#enrolle" een though the! are nee"! as a resulto the Welare Reorm [email protected] the Welare Reorm Act eectie in re"ucing(elare rau" an" increasing personalresponsi+ilit!@Has the Welare Reorm Act +een successul in

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9/22

HCR !0 'ee( ! Chec(+oint 'or(ing %ith Me$icai$


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CheckPoint) Working (ith 'e"icai"Resources) Ch- 11 ;pp- 37>#37?/ 3


10/22

HCR !0 'ee( Assignment The TRICARE +rogram


%%%.hcr!0ai$.com CheckPoint) $escri+ing *R.CARResources) Appen"i: 5 an" Ch- 12 ;pp- 3,,#>0>/>0,#>11= o 'e"ical .nsurance

$ue $ate) $a! ? 8to the Assignment Fol"er9Reer to Appen"i: 5 or gui"ance on presentationsan" the 'icrosotB Help an" Support We+ site orassistance (ith Euestions relate" to Po(erPointB at

http)66support-microsot-com6 Create a ?# to


11/22


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$iscussion %uestion 1$ue $ate) $a! 2 8'ain orum9Post !our response to the ollo(ing) 5ase" oneligi+ilit! an" cost sharing reEuirements/ (hat arethe fnancial a"antages or either proi"ers or

patients participating in the *R.CAR program@ Ho("o annual limits ;catastrophic caps= aect patientscost sharing reEuirements@ :plain !our ans(ers-

3- $iscussion %uestion 2$ue $ate) $a! > 8'ain orum9Post !our response to the ollo(ing) :plain(hether or not !ou +eliee CHA'PIA proi"es an

a"eEuate leel o health insurance or participants-

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12/22

HCR !0 'ee( 2 Assignment 3n$erstan$ing 'or(,Relate$ In4&ries


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Assignment) n"erstan"ing Work#Relate" .nuriesResources) Appen"i: C an" Ch- 13 ;pp- >2?# >27= o'e"ical .nsurance

$ue $ate) $a! 7 8to the Assignment Fol"er9

Compose a 7?0# to 1/0?0#(or" response "escri+ingthe (orkers compensation claim process- .nclu"e

the ollo(ing inormation in !our ans(er)erall "escription o the (orkers compensationclaims processResponsi+ilities o the emplo!ee/ emplo!er/

ph!sician/ an" insurance carrier

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13/22

HCR !0 'ee( 2 Chec(+oint Characteristics o* 'or(ers Com#ensation +lans


%%%.hcr!0ai$.comCheckPoint) Characteristics o WorkersCompensation PlansResources) Ch- 13 ;pp- >23#>2>= o 'e"ical.nsurance an" the -S- $epartment o Ja+or We+

site$ue $ate) $a! > 8to the Assignment Fol"er9Reer to Ch- 13 ;pp- >23#>2>= o !our te:t+ook an"the -S- $epartment o Ja+or We+ site at)

http)66(((-"ol-go6"ol6topic6(orkcomp6in"e:-htm Post a 2?0# to 300#(or" response to the ollo(ing).n !our o(n (or"s/ +rieD! "escri+e the eatures othe our e"eral (orkers compensation plans an"the t(o t!pes o state (orkers compensation+enefts- Wh! is it necessar! to hae +oth e"eral

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14/22

HCR !0 'ee( 5 Chec(+oint +&r#ose o* the 6eneral A##eals


%%%.hcr!0ai$.com CheckPoint) Purpose o the eneral Appeals ProcessResource) Ch- 1> ;p- >3= o 'e"ical .nsurance$ue $ate) $a! ? 8to the Assignment Fol"er9

se the .nternet to locate three a""itional e:ampleso claims errors an" classi! them accor"ing thecategories note" on page >3 o !our te:t+ook-Respon" to the ollo(ing in 2?0 to 300 (or"s)

5rieD! "escri+e the purpose o the general appeals process- .ncorporate the three a""itional e:ampleso claims errors !ou locate" on the .nternet/classife" accor"ing to the categories in the te:t-

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15/22

HCR !0 'ee( 5 " 1an$ " FOR MORE CLASSES VISIT

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$iscussion %uestion 1$ue $ate) $a! 2 8'ain orum9Post !our response to the ollo(ing) $o !ou +elieethe RA65 is an eectie metho" ocommunicating claim a"u"ication inormation to

patients@ When !ou hae receie" an RA65 in themail/ is it eas! or "i4cult to un"erstan"@ Whatsuggestions coul" !ou make to improe patient#

pa!er communication regar"ing the claim

a"u"ication process@ :plain !our ans(ers-

3- $iscussion %uestion 2

$ue $ate) $a! > 8'ain orum9

http://www.hcr230aid.com/product-10-HCR-230-Week-6-DQ-1and-DQ-2http://www.hcr230aid.com/http://www.hcr230aid.com/http://www.hcr230aid.com/product-10-HCR-230-Week-6-DQ-1and-DQ-2http://www.hcr230aid.com/product-10-HCR-230-Week-6-DQ-1and-DQ-2


16/22

HCR !0 'ee( 7 Assignment 3n$erstan$ing the Collection +rocess


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Assignment) n"erstan"ing the Collection ProcessResources) Ch- 1? ;pp- >,>#?0?= o 'e"ical.nsurance an" 'icrosotB Help We+ site

$ue $ate) $a! 7 8to the Assignment Fol"er9Suppose !ou are (orking in a me"ical o4ce an"are helping train a ne( +illing specialist a+outcollections- Kou "eci"e that a o+ ai" in the orm o

a Do( chart (oul" +e a useul tool-Reer to 'icrosotB Help We+ site athttp)66support-microsot-com6 or Euestions relate"to creating a Do( chart in 'icrosotB Wor"-Complete the ollo(ing)

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17/22

HCR !0 'ee( 7 Chec(+oint Efective )inancial +olicies am#

+roce$FOR MORE CLASSES VISIT

%%%.hcr!0ai$.comCheckPoint) ectie Financial Policies an"Proce"uresResources) Figures 1?-1 an" 1?-2 ;pp- >


18/22

HCR !0 'ee( Chec(+oint In#atient an$ 8&t#atient Hos#ital Services


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CheckPoint) .npatient an" utpatient HospitalSerices

Resource) Ch- 1 ;pp- ?13#?1>/ ?23#?2= o 'e"ical.nsurance$ue $ate) $a! ? 8to the Assignment Fol"er9

Post a 2?0# to 300#(or" response to the

ollo(ing) What are the maor "ierences +et(eeninpatient an" outpatient hospital serices@ $escri+eho( these "ierences aect the co"ing process an"

proi"e e:amples-

http://www.hcr230aid.com/product-5-HCR-230-Week-8-CheckPoint-Inpatient-and-Outpatient-Hospital-Serviceshttp://www.hcr230aid.com/product-5-HCR-230-Week-8-CheckPoint-Inpatient-and-Outpatient-Hospital-Serviceshttp://www.hcr230aid.com/http://www.hcr230aid.com/http://www.hcr230aid.com/product-5-HCR-230-Week-8-CheckPoint-Inpatient-and-Outpatient-Hospital-Serviceshttp://www.hcr230aid.com/product-5-HCR-230-Week-8-CheckPoint-Inpatient-and-Outpatient-Hospital-Serviceshttp://www.hcr230aid.com/product-5-HCR-230-Week-8-CheckPoint-Inpatient-and-Outpatient-Hospital-Services


19/22


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$iscussion %uestion 1$ue $ate) $a! 2 8'ain orum9Reer to !our te:t an" the ollo(ing links to help

!ou ans(er Euestions a+out (ritten consent) American 'e"ical Association We+ site at)http)66archsurg-ama#assn-org6cgi6reprint613?6162-p" .ntegrate" Pu+lishing We+ site at)

http)66(((-tpu+-com6content6me"ical61>2,?6css61>2,?L>1-htm

http://www.hcr230aid.com/product-6-HCR-230-Week-8-DQ-1and-DQ-2http://www.hcr230aid.com/http://archsurg.ama-assn.org/cgi/reprint/135/1/26.pdfhttp://archsurg.ama-assn.org/cgi/reprint/135/1/26.pdfhttp://www.tpub.com/content/medical/14295/css/14295_416.htmhttp://www.tpub.com/content/medical/14295/css/14295_416.htmhttp://www.tpub.com/content/medical/14295/css/14295_416.htmhttp://www.tpub.com/content/medical/14295/css/14295_416.htmhttp://archsurg.ama-assn.org/cgi/reprint/135/1/26.pdfhttp://archsurg.ama-assn.org/cgi/reprint/135/1/26.pdfhttp://www.hcr230aid.com/http://www.hcr230aid.com/product-6-HCR-230-Week-8-DQ-1and-DQ-2


20/22

HCR !0 'ee( 9 Assignment )inancial +olicy"CSAA

)inicial +olicy


%%%.hcr!0ai$.com Final Proect) $esign a Financial Polic!Resources) Appen"i: A an" Figure 1?-1 on p- >


21/22

HCR !0 'ee( 9 Ca#stone Chec(#oint FOR MORE CLASSES VISIT

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Capstone CheckPoint Resources) Appen"i: A/ Chapter 1> ;pp- >>,#>77= o'e"ical .nsurance/ an" 'icrosotB Help We+ site$ue $ate) $a! > 8to the Assignment Fol"er9Reer to Chapter 1> o 'e"ical .nsurance an"

preious assignments rom that chapter as aresource- Iisit the 'icrosotB Help link orassistance (ith Euestions relate" to creating a Do(chart in 'icrosotB Wor" at)

http)66support-microsot-com6 Create a Do( chart using 'icrosotB Wor"illustrating the fe steps o the claims a"u"ication

process rom the time o initial processing through

fnal pa!ment- .nclu"e a +rie 2?0# to 300#(or"e:planation or the ollo(ing)

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22/22

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Min$s/hcr!0ai$.com


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HCR 230 AID Inspiring Minds/hcr230aid.com