HCR 230 Academic Coach/uophelp

1. HCR 230 Academic Coach Course Tutorial For more course tutorials visit www.uophelp.com

2. HCR 230 Academic Coach Course Tutorial HCR 230 Week 1 Assignment Features of Private Payer and HCR 230 Week 1 CheckPoint Comparing Cost Control 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 • 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. • Review

3. HCR 230 Academic Coach Course Tutorial HCR 230 Week 1 CheckPoint Ramifications of Participation HCR 230 Week 2 CheckPoint Summarizing the Medigap 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- • 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.

4. HCR 230 Academic Coach Course Tutorial HCR 230 Week 2 DQ 1and DQ 2 HCR 230 Week 3 assignment welfare reforms act 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? • 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

5. HCR 230 Academic Coach Course Tutorial HCR 230 Week 3 CheckPoint Working with Medicaid HCR 230 Week 4 Assignment The TRICARE Program 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 • 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:

6. HCR 230 Academic Coach Course Tutorial HCR 230 Week 4 DQ 1and DQ 2 HCR 230 Week 5 Assignment Understanding Work-Related 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 • 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.

7. HCR 230 Academic Coach Course Tutorial HCR 230 Week 5 CheckPoint Characteristics of Workers HCR 230 Week 6 CheckPoint Purpose of the General 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 • 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

8. HCR 230 Academic Coach Course Tutorial HCR 230 Week 6 DQ 1and DQ 2 HCR 230 Week 7 Assignment Understanding the Collection 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. • 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.

9. HCR 230 Academic Coach Course Tutorial HCR 230 Week 7 CheckPoint Effective Financial Policies HCR 230 Week 8 CheckPoint Inpatient and Outpatient 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. • 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,

10. HCR 230 Academic Coach Course Tutorial HCR 230 Week 8 DQ 1and DQ 2 HCR 230 Week 9 Assignment Financial Policy DCSAA 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 • 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

11. HCR 230 Academic Coach Course Tutorial HCR 230 Week 9 Capstone Checkpoint • 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/

12. HCR 230 Academic Coach Course Tutorial For more course tutorials visit www.uophelp.com