HCR 220 MART Teaching Effect

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HCR 220 Entire Course

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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 1 Assignment Steps in the Medical

Billing Process
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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

HCR 220 Week 1 Checkpoint Features of Health

Plans
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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

HCR 220 Week 1 CheckPoint Payment Methods P

resentation
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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-forservice and capitation payment cycles. Include the
relationship among provider, patient, and payer in
your presentation, and their roles in the process.

HCR 220 Week 2 CheckPoint Medical Records Doc

umentation and Billing
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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.

HCR 220 Week 2 DQ 1 and DQ 2

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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

HCR 220 Week 3 Assignment Understanding the P

atient Intake Process
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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.

HCR 220 Week 3 CheckPoint Eligibility, Payment,

and Billing Procedures
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CheckPoint: Eligibility, Payment, and Billing

Procedures
Resource: pp. 8688 of Medical Insurance
Write a 250 to 300 word response to the following:
Describe a factor that determines patient benefits
eligibility.

HCR 220 Week 4 CheckPoint Determining Diagno

sis Code Categories
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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 complai

HCR 220 Week 4 DQ 1 and DQ 2

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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.

HCR 220 Week 5 Assignment Assigning Evaluati

on and Management (E M) Codes
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Assignment: Assigning Evaluation and Management

(E/M) Codes
Resources:Figure 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.

HCR 220 Week 5 CheckPoint Describing CPT Codi

ng Categories
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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.

HCR 220 Week 5 Exercise Working with CPT Modi

fiers
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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

HCR 220 Week 6 CheckPoint Applying Level II HC

PCS Modifiers
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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

HCR 220 Week 6 DQ 1 and DQ 2

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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?

HCR 220 Week 7 Assignment Evaluating Complian

ce Strategies
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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

HCR 220 Week 7 CheckPoint Errors and Complian

ce in Coding
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CheckPoint: Errors and Compliance in Coding

Resource: pp. 207 & 211 of Medical Insurance, and
Medical News Today Web site at
http://www.medicalnewstoday.com/
Review the NPR Web site at
http://www.npr.org/templates/story/story.php?storyId
=5348863
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


HCR 220 Week 8 Checkpoint Complete a CMS-15
00 Claim Form
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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

HCR 220 Week 8 DQ 1 and DQ 2

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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.

HCR 220 Week 9 Capstone CheckPoint

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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.

HCR 220 Week 9 Final Project How HIPAA Violatio

ns Affect the Medical Billing Process
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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 toTable 8.3 on pp. 258259 of your text to
complete the CMS-1500 form, located in Appendix C,
according to the foll

HCR 220 MART Teaching Effect

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