HCR 220 Academic Success/snaptutorial

HCR 220
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 1 Assignment Steps in the

Medical Billing Process

Assignment:Steps in the Medical Billing Process
Resource:Figure 1.6 on p. 17 of Medical Insurance

Writea 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.
HCR 220 Week 1 Checkpoint Features of

Health Plans

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.
HCR 220 Week 1 CheckPoint Payment

Methods Presentation

CheckPoint:Payment Methods Presentation
Resources: Appendix B and Microsoft Help at http://support.microsoft.com/
Createa 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.
Includean introduction and conclusion slide in your presentation.
HCR 220 Week 2 CheckPoint Medical

Records Documentation and Billing

CheckPoint:Medical Records Documentation and Billing
Writea 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:

DiscussionQuestions:
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.
HCR 220 Week 3 Assignment

Understanding the Patient Intake Process

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

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.

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
HCR 220 Week 4 CheckPoint Determining

Diagnosis Code Categories

CheckPoint:Determining Diagnosis Code Categories

Resource: pp. 130-135 of Medical Insurance
DueDate:Day 5 [Individualforum]
Posta 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.

DiscussionQuestions
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.
HCR 220 Week 5 Assignment Assigning

Evaluation and Management (E M) Codes

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.
A 32-year-old patient presents complaining of flu-like symptoms characterized by

unremitting cough, sinus pain, and thick nasal discharge. An examination reveals
HCR 220 Week 5 CheckPoint Describing

CPT Coding Categories

CheckPoint:Describing CPT Coding Categories

Resource: p. 145 of Medical Insurance
Writea 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
HCR 220 Week 5 Exercise Working with

CPT Modifiers

Exercise:Working with CPT Modifiers

Resource: Table 5.2 on p. 154 of Medical Insurance
Completethe 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 HCPCS Modifiers

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. Forexample,thefirstone
wouldbe:
Portablehomeoxygenunit-QM
Emergency ambulance transport and extended life support
Diagnostic mammogram, left breast
Cortisone 10 mg injection, right shoulder

DiscussionQuestions:
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.
HCR 220 Week 7 Assignment Evaluating

Compliance Strategies

Assignment:Evaluating Compliance Strategies
Addressthe following questions in your essay:
Writea 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.
HCR 220 Week 7 CheckPoint Errors and

Compliance in Coding

CheckPoint: 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/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 answers.
HCR 220 Week 8 Checkpoint Complete a

CMS-1500 Claim Form

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

DiscussionQuestions
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
HCR 220 Week 9 Capstone CheckPoint

CapstoneCheckPoint
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 Violations Affect the Medical Billing
Process

FinalProject:How HIPAA Violations Affect the Medical Billing Process
Resources:Appendix A, Appendix C, and Table 8.3 on pp. 258259 of Medical

Insurance
RefertoTable 8.3 on pp. 258259 of your text to complete the CMS-1500 form,
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HCR 220

HCR 220 Entire Course

For more classes visit

HCR 220 Week 1 Checkpoint Features of Health Plans

HCR 220 Week 1 Assignment Steps in the

For more classes visit

Assignment:Steps in the Medical Billing Process

Resource:Figure 1.6 on p. 17 of Medical Insurance

HCR 220 Week 1 Checkpoint Features of

For more classes visit

CheckPoint:Features of Health Plans

Resource: Table 1.1 on p. 13 of Medical Insurance: An Integrated Claims Process

HCR 220 Week 1 CheckPoint Payment

For more classes visit

CheckPoint:Payment Methods Presentation

Resources: Appendix B and Microsoft Help at http://support.microsoft.com/

Createa 4 to 5 slide PowerPoint presentation in which you describe, in your own

Includean introduction and conclusion slide in your presentation.

HCR 220 Week 2 CheckPoint Medical

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CheckPoint:Medical Records Documentation and Billing

Writea 250 to 300 word response to the following:

Describe how compliance plans correlate to different medical records documentation

HCR 220 Week 2 DQ 1 and DQ 2

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HCR 220 Week 3 Assignment

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Assignment:Understanding the Patient Intake Process

Resource: Figure 3.1 on p. 75 of Medical Insurance

HCR 220 Week 3 CheckPoint Eligibility

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CheckPoint:Eligibility, Payment, and Billing Procedures

Resource: pp. 8688 of Medical Insurance

Describe a factor that determines patient benefits eligibility.

HCR 220 Week 4 CheckPoint Determining

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CheckPoint:Determining Diagnosis Code Categories

HCR 220 Week 4 DQ 1 and DQ 2

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HCR 220 Week 5 Assignment Assigning

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

A 32-year-old patient presents complaining of flu-like symptoms characterized by

HCR 220 Week 5 CheckPoint Describing

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CheckPoint:Describing CPT Coding Categories

HCR 220 Week 5 Exercise Working with

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Exercise:Working with CPT Modifiers

HCR 220 Week 6 CheckPoint Applying

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CheckPoint:Applying Level II HCPCS Modifiers

HCR 220 Week 6 DQ 1 and DQ 2

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HCR 220 Week 7 Assignment Evaluating

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Assignment:Evaluating Compliance Strategies

Addressthe following questions in your essay:

HCR 220 Week 7 CheckPoint Errors and

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CheckPoint: Errors and Compliance in Coding

HCR 220 Week 8 Checkpoint Complete a

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Checkpoint:Complete a CMS-1500 Claim Form