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HCR 220 Academic Success/snaptutorial

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For more classes visit www.snaptutorial.com HCR 220 Week 1 Checkpoint Features of Health Plans HCR 220 Week 1 CheckPoint Payment Methods Presentation HCR 220 Week 1 Assignment Steps in the Medical Billing Process HCR 220 Week 2 DQ 1 and DQ 2 HCR 220 Week 2 CheckPoint Medical Records Documentation and Billing HCR 220 Week 3 CheckPoint Eligibility, Payment, and Billing Procedures HCR 220 Week 3 Assignment Understanding the Patient Intake Process HCR 220 Week 4 DQ 1 and DQ 2 HCR 220 Week 4 CheckPoint Determining Diagnosis Code Categories – PowerPoint PPT presentation

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Title: HCR 220 Academic Success/snaptutorial


1
HCR 220 Courses
For more Classes VISIT
www.snaptutorial.com
HCR 220
2
HCR 220 Courses
  • HCR 220 Entire Course
  • For more classes visit
  • www.snaptutorial.com
  • HCR 220 Week 1 Checkpoint Features of Health
    PlansHCR 220 Week 1 CheckPoint Payment Methods
    PresentationHCR 220 Week 1 Assignment Steps in
    the Medical Billing ProcessHCR 220 Week 2 DQ 1
    and DQ 2HCR 220 Week 2 CheckPoint Medical
    Records Documentation and BillingHCR 220 Week 3
    CheckPoint Eligibility, Payment, and Billing
    ProceduresHCR 220 Week 3 Assignment
    Understanding the Patient Intake ProcessHCR 220
    Week 4 DQ 1 and DQ 2

3
HCR 220 Courses
  • HCR 220 Week 1 Assignment Steps in the Medical
    Billing Process
  • For more classes visit
  • www.snaptutorial.com
  • Assignment Steps in the Medical Billing
    Process 
  • Resource Figure 1.6 on p. 17 of Medical
    Insurance
  • Write a 500 to 750 word paper that lists the
    sequence of steps in the medical billing process.
    In your own words, provide a 3 to 4 sentence
    explanation for each step.
  • Your paper must be formattedaccording to APA
    standards to be graded.
  • Attach in a Word Document.

4
HCR 220 Courses
  • HCR 220 Week 1 Checkpoint Features of Health
    Plans
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Features of Health Plans
  •  
  • Resource Table 1.1 on p. 13 of Medical
    Insurance An Integrated Claims Process Approach
  • Write and post a 250 to 300 word response to the
    following questions
  •  
  • Describe the similarities and differences among
    the major types of health plans. Do you believe
    any one plan offers greater financial or coverage
    benefits to either a consumer or a provider?
    Explain your answers.

5
HCR 220 Courses
  • HCR 220 Week 1 CheckPoint Payment Methods
    Presentation
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Payment Methods Presentation 
  • Resources Appendix B and Microsoft Help
    at http//support.microsoft.com/ 
  • Create a 4 to 5 slide PowerPoint presentation in
    which you describe, in your own words, the
    fee-for-service and capitation payment cycles.
    Include the relationship among provider, patient,
    and payer in your presentation, and their roles
    in the process. 
  • Include an introduction and conclusion slide in
    your presentation.
  •  

6
HCR 220 Courses
  • HCR 220 Week 2 CheckPoint Medical Records
    Documentation and Billing
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Medical Records Documentation and
    Billing 
  • Write a 250 to 300 word response to the
    following
  •  
  • Describe how compliance plans correlate to
    different medical records documentation
    standards.
  • Which steps in the medical billing process,
    listed in Ch. 1 of Medical Insurance, are related
    to the following

7
HCR 220 Courses
  • HCR 220 Week 2 DQ 1 and DQ 2
  • For more classes visit
  • www.snaptutorial.com
  • Discussion Questions
  • Summarize the purposes and provisions of HIPAA in
    one sentence. Also, explain how HIPAA relates to
    medical ethics and etiquette. What are some
    possible ramifications of a health care industry
    without HIPAA regulations? Refer to p. 25
    of Medical Insurance and provide examples. Due
    day 2 in the Main Forum.
  •  
  • How do effective medical compliance plans limit
    the risk of professional liability? Do you
    believe it is reasonable to hold a provider
    liable for the actions of his or her clerical
    staff? Support your opinion with an example. Due
    day 4 in the Main Forum.

8
HCR 220 Courses
  • HCR 220 Week 3 Assignment Understanding the
    Patient Intake Process
  • For more classes visit
  • www.snaptutorial.com
  • Assignment Understanding the Patient Intake
    Process 
  • Resource Figure 3.1 on p. 75 of Medical
    Insurance
  • Write a 750 to 1,050 word essay discussing
    strategies to improve patient intake efficiency
    not covered in the text. Include the following
    components in your essay
  • Provide at least one must-have item not covered
    in the text.
  • Provide a minimum of one reliable reference from
    the University Library or the Internet.

9
HCR 220 Courses
  • HCR 220 Week 3 CheckPoint Eligibility Payment and
    Billing Procedures
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Eligibility, Payment, and Billing
    Procedures 
  • Resource pp. 8688 of Medical InsuranceWrite a
    250 to 300 word response to the following
  •  
  • Describe a factor that determines patient
    benefits eligibility.
  • What are the appropriate steps to take when
    insurance does not cover a planned service?
  • Relate these steps to the eligibility factor you
    identified and provide two examples of

10
HCR 220 Courses
  • HCR 220 Week 4 CheckPoint Determining Diagnosis
    Code Categories
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Determining Diagnosis Code Categories
  • Resource pp. 130-135 of Medical Insurance
  • Due Date Day 5 Individual forum
  • Post a response to the following Determine a
    diagnosis code category for the following case
    studies and explain the rationale for your
    selections
  • A 56-year-old woman presents to the office
    complaining of pronounced weakness on the right
    side of her body and slurred speech for the past
    18 hours.

11
HCR 220 Courses
  • HCR 220 Week 4 DQ 1 and DQ 2
  • For more classes visit
  • www.snaptutorial.com
  • Discussion Questions
  •  
  • Suppose you were helping a new office file clerk
    who was curious about the coding process. How
    would you explain appropriate use and purposes of
    the Alphabetic Index and Tabular List to the file
    clerk? What problems might occur if proper coding
    procedures are not used? Provide examples of
    problems and propose solutions. Due day 2 in the
    Main Forum.
  •  
  • What is the main distinction between V and E
    codes? How are they similar or different? What
    are your suggestions to streamline the V and E
    coding process? Explain your answers. Due day 4
    in the Main Forum.

12
HCR 220 Courses
  • HCR 220 Week 5 Assignment Assigning Evaluation
    and Management (E M) Codes
  • For more classes visit
  • www.snaptutorial.com
  • Assignment Assigning Evaluation and Management
    (E/M) Codes
  • ResourcesFigure 5.3 on p. 161, and Table 5.4 on
    p. 165 of Medical Insurance
  • Assign appropriate E/M codes for the following
    five cases
  • Initial consultation performed for a 43-year-old
    woman with unexplained weight loss, abdominal
    pain, and rectal bleeding. A comprehensive
    history and examination is performed.
  •  
  • A 32-year-old patient presents complaining of
    flu-like symptoms characterized by unremitting
    cough, sinus pain, and thick nasal discharge. An
    examination reveals

13
HCR 220 Courses
  • HCR 220 Week 5 CheckPoint Describing CPT Coding
    Categories
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Describing CPT Coding Categories
  • Resource p. 145 of Medical Insurance
  • Write a 250 to 300 word response in which you
    assume you are a medical office manager who wants
    to make the coding process easier for employees
    to understand. To facilitate better understanding
    of this process, respond to the following
  • Come up with buzzwords or slogans that would best
    describe the three CPT code categories.
  • What types of procedures or services are included
    in each of the three CPT code

14
HCR 220 Courses
  • HCR 220 Week 5 Exercise Working with CPT
    Modifiers
  • For more classes visit
  • www.snaptutorial.com
  • Exercise Working with CPT Modifiers
  • Resource Table 5.2 on p. 154 of Medical
    Insurance
  • Complete the exercise by identifying the correct
    CPT modifier to its corresponding procedure for
    the following
  • Bilateral procedures
  • Multiple procedures
  • Prolonged evaluation and management
  • Unusual anesthesia

15
HCR 220 Courses
  • HCR 220 Week 6 CheckPoint Applying Level II HCPCS
    Modifiers
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Applying Level II HCPCS Modifiers
  • Resource Table 6.2 on p. 195 of Medical
    Insurance
  • Apply the appropriate Level II HCPCS code
    modifier for each of the following examples.
    Explain your rationale for each selection. For
    example, the first one would be
  • Portable home oxygen unit - QM
  • Emergency ambulance transport and extended life
    support
  • Diagnostic mammogram, left breast
  • Cortisone 10 mg injection, right shoulder

16
HCR 220 Courses
  • HCR 220 Week 6 DQ 1 and DQ 2
  • For more classes visit
  • www.snaptutorial.com
  • Discussion Questions
  • How are permanent codes different from temporary
    codes? What could be the result of a system
    without permanent codes? Provide examples in your
    answer. Due day 2 in the Main Forum.
  •  
  • Briefly explain the steps used to assign HCPCS
    codes for billing purposes. Do you believe it is
    more or less efficient to use different billing
    procedures for Medicare, Medicaid, or private
    payers? Why or why not? What are advantages and
    disadvantages of having unique coding systems for
    each type of insurance? Due day 4 in the Main
    Forum.

17
HCR 220 Courses
  • HCR 220 Week 7 Assignment Evaluating Compliance
    Strategies
  • For more classes visit
  • www.snaptutorial.com
  • Assignment Evaluating Compliance Strategies
  •  
  • Write a 750 to 1,050 word essay evaluating
    billing and coding compliance strategies. In your
    essay, provide an overview of the compliance
    process, and offer your judgment either
    supporting or criticizing a particular method.
    Make suggestions for improvement at the end of
    your evaluation. 
  • Address the following questions in your essay 

18
HCR 220 Courses
  • HCR 220 Week 7 CheckPoint Errors and Compliance
    in Coding
  • For more classes visit
  • www.snaptutorial.com
  • CheckPoint Errors and Compliance in Coding
  •  
  • Resource pp. 207 211 of Medical Insurance, and
    Medical News Today Web site athttp//www.medicalne
    wstoday.com/
  • Review the NPR Web site athttp//www.npr.org/templ
    ates/story/story.php?storyId5348863
  • Write a 250 to 300 word response to the
    following Briefly explain causes and solutions
    for three of the most common billing and coding
    errors. What effect does the Medicare National
    Correct Coding Initiative have on the billing and
    coding process? Explain your answers.

19
HCR 220 Courses
  • HCR 220 Week 8 Checkpoint Complete a CMS-1500
    Claim Form
  • For more classes visit
  • www.snaptutorial.com
  • Checkpoint Complete a CMS-1500 Claim Form
  •  
  • Complete the CMS-1500 claim form worksheet
    located in Appendix C. If you believe information
    provided in the following list is insufficient to
    adequately fill a required field with data, for
    example, to supply a specific diagnosis code,
    indicate this by typing N/A.
  • Name Jane Smith
  • Insurer TRICARE
  • Policy Number 123456

20
HCR 220 Courses
  • HCR 220 Week 8 DQ 1 and DQ 2
  • For more classes visit
  • www.snaptutorial.com
  • Discussion Questions
  • How are the data elements contained in the HIPAA
    837 claim form similar to the CMS-1500, and how
    does each form relate to the claims process? In
    your opinion, do the similarities between HIPAA
    837 and CMS-1500 complicate or simplify the
    claims process? Explain your answers. Due day 2
    in the Main Forum.
  •  
  • Why is it important to prepare a clean claim?
    What suggestions might you make to ensure that
    submission of a clean claim takes place? Provide
    examples. Due day 4 in the Main Forum
  •  

21
HCR 220 Courses
  • HCR 220 Week 9 Capstone CheckPoint
  • For more classes visit
  • www.snaptutorial.com
  • Capstone CheckPoint
  •  
  • Post a 250 to 300 word response in which you
    explain, in your own words, how HIPAA, ICD, CPT,
    and HCPCS influence each of the ten steps of the
    medical billing process.

22
HCR 220 Courses
  • HCR 220 Week 9 Final Project How HIPAA Violations
    Affect the Medical Billing Process
  • For more classes visit
  • www.snaptutorial.com
  • Final Project How HIPAA Violations Affect the
    Medical Billing Process
  •  
  • Part One  
  • ResourcesAppendix A, Appendix C, and Table 8.3
    on pp. 258259 of Medical Insurance 
  • Refer toTable 8.3 on pp. 258259 of your text to
    complete the CMS-1500 form,

23
HCR 220 Courses
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