HCR 220 MART Making Decisions/hcr220mart.com

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HCR 220 MART Making Decisions/hcr220mart.com

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HCR 220 Entire Course FOR MORE CLASSES VISIT
www.hcr220mart.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 2HCR 220 Week
4 CheckPoint Determining Diagnosis Code
CategoriesHCR 220 Week 5 CheckPoint Describing
CPT Coding CategoriesHCR 220 Week 5 Exercise
Working with CPT ModifiersHCR 220 Week 5
Assignment Assigning Evaluation and Management (E
M) CodesHCR 220 Week 6 DQ 1 and DQ 2HCR 220
Week 6 CheckPoint Applying Level II HCPCS
Modifiers
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HCR 220 Week 1 Assignment Steps in the Medical
Billing Process FOR MORE CLASSES VISIT
www.hcr220mart.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.
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HCR 220 Week 1 Checkpoint Features of Health
Plans FOR MORE CLASSES VISIT www.hcr220mart.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.
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HCR 220 Week 1 Check Point Payment Methods
Presentation FOR MORE CLASSES VISIT
www.hcr220mart.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. Provide
your summarized information on the slides not
in the notes, but do not overload the slides with
too much information. Provide APA-formatted
references. Refer to the Microsoft Help link
for assistance with questions related to
PowerPoint.
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HCR 220 Week 2 Check Point Medical Records
Documentation and Billing FOR MORE CLASSES VISIT
www.hcr220mart.com   Check Point 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 Compliance plans Medical
records Documentation standards
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HCR 220 Week 2 DQ 1 and DQ 2 FOR MORE CLASSES
VISIT www.hcr220mart.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. Initial discussion question answers
will not count towards the class participation
requirement. Students are required to post two
substantive discussion responses each of 4 days
during the week, for a total of eight substantive
responses.
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HCR 220 Week 3 Assignment Understanding the
Patient Intake Process FOR MORE CLASSES VISIT
www.hcr220mart.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. Your paper must be formatted
according to APA standards to be graded. Attach
in a Word Document.
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HCR 220 Week 3 Check Point Eligibility, Payment,
and Billing Procedures FOR MORE CASSES VISIT
www.hcr220mart.com   Check Point 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
patient charges with corresponding billing
transactions.
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HCR 220 Week 4 Check Point Determining Diagnosis
Code Categories FOR MORE CLASSES VISIT
www.hcr220mart.com   Check Point 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. Based on the examination,
the physician orders an MRI to investigate a
possible transient ischemic attack (TIA). A
42-year-old man comes to the office complaining
of intermittent chest pain. The physician orders
an EKG to rule out a possible cardiac event. A
23-year-old diabetic female exhibits a
non-healing wound on her left foot.
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HCR 220 Week 4 DQ 1 and DQ 2 FOR MORE CLASSES
VISIT www.hcr220mart.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.  
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HCR 220 Week 5 Assignment Assigning Evaluation
and Management (E M) Codes FOR MORE CLASSES VISIT
www.hcr220mart.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 bronchitis and
sinus infection. The patient is prescribed a
7-day course of Zithromax.
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HCR 220 Week 5 Check Point Describing CPT Coding
Categories FOR MORE CLASSES VISIT
www.hcr220mart.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
categories? Provide one example for each category
in your description.
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HCR 220 Week 5 Exercise Working with CPT
Modifiers FOR MORE CLASSES VISIT
www.hcr220mart.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 Mandated services
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HCR 220 Week 6 Check Point Applying Level II
HCPCS Modifiers FOR MORE CLASSES VISIT
www.hcr220mart.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 Nonelectric wheelchair Intravenous
catheter line, right arm Laboratory
certification, cytology specimens Chest
X-ray Prosthetic hip replacement, left
side Electric hospital bed
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HCR 220 Week 6 DQ 1 and DQ 2 FOR MORE CLASSES
VISIT www.hcr220mart.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.
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HCR 220 Week 7 Assignment Evaluating Compliance
Strategies FOR MORE CLASSES VISIT
www.hcr220mart.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 What is the importance
of correctly linking procedures and
diagnoses? What are the implications of incorrect
medical coding? How are medical coding,
physician, and payer fees related to the
compliance process? Provide a minimum of one
reliable reference from the University Library or
the Internet. Your paper must be formatted
according to APA standards to be graded. Attach
in a Word Document.
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HCR 220 Week 7 Check Point Errors and Compliance
in Coding FOR MORE CLASSES VISIT
www.hcr220mart.com   Check Point Errors and
Compliance in Coding Resource pp. 207 211 of
Medical Insurance, and Medical News Today Web
site athttp//www.medicalnewstoday.com/ Review
the NPR Web site athttp//www.npr.org/templates/st
ory/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.
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HCR 220 Week 8 Checkpoint Complete a CMS-1500
Claim Form FOR MORE CLASSES VISIT
www.hcr220mart.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 ID number
999000666 DOB 01/01/1950 Gender Female Insured
James Smith, spouse Address 1111 No name Court,
Nowhere, NY 22222 Marital Status
Married Patients Employer Homemaker Spouses
Employer U.S. Army Nature of Condition Routine
exam Patient Signature
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HCR 220 Week 8 DQ 1 and DQ 2 FOR MORE CLASSES
VISIT www.hcr220mart.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
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HCR 220 Week 9 Capstone Check Point FOR MORE
CLASSES VISIT www.hcr220mart.com   Capstone
Check Point 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.
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HCR 220 Week 9 Final Project How HIPAA Violations
Affect the Medical Billing Process FOR MORE
CLASSES VISIT www.hcr220mart.com   Final
Project How HIPAA Violations Affect the Medical
Billing Process Part One Resources
Appendix A, Appendix C, and Table 8.3 on pp.
258259 of Medical Insurance Refer to Table 8.3
on pp. 258259 of your text to complete the
CMS-1500 form, located in Appendix C, according
to the following case study A 67-year-old
Medicare patient presents to the office,
exhibiting symptoms of HIV infection. After
detailed examination, symptoms are determined to
be advanced AIDS with manifestation of Kaposis
sarcoma and other opportunistic infections.
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HCR 220 MART Making Decisions/hcr220mart.com

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