HCR 220 UOP COURSE Tutorial/UOPHELP

1. HCR 220 uop Course Tutorial For more course tutorials visit www.uophelp.com

2. HCR 220 uop Course Tutorial HCR 220 Entire Course HCR 220 Week 1 Assignment Steps in the Medical Billing 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. • 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 Billing

3. HCR 220 uop Course Tutorial HCR 220 Week 1 Checkpoint Features of Health Plans HCR 220 Week 1 CheckPoint Payment Methods Presentation. 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. • 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.

4. HCR 220 uop Course Tutorial HCR 220 Week 2 CheckPoint Medical Records HCR 220 Week 2 DQ 1 and DQ 2 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. • 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:

5. HCR 220 uop Course Tutorial HCR 220 Week 3 Assignment Understanding the Patient HCR 220 Week 3 CheckPoint Eligibility, Payment, and Billing CheckPoint: Eligibility, Payment, and Billing Procedure Resource: pp. 86–88 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 • 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.

6. HCR 220 uop Course Tutorial HCR 220 Week 4 CheckPoint Determining Diagnosis Code Categories HCR 220 Week 4 DQ 1 and DQ 2 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. • 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:

7. HCR 220 uop Course Tutorial HCR 220 Week 5 Assignment Assigning Evaluation and Management (E M) Codes HCR 220 Week 5 CheckPoint Describing CPT Coding Categories 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: • 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.

8. HCR 220 uop Course Tutorial HCR 220 Week 5 Exercise Working with CPT Modifiers. HCR 220 Week 6 CheckPoint Applying Level II HCPCS 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 • 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

9. HCR 220 uop Course Tutorial HCR 220 Week 6 DQ 1 and DQ 2. HCR 220 Week 7 Assignment Evaluating Compliance Strategies 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: • 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

10. HCR 220 uop Course Tutorial HCR 220 Week 7 CheckPoint Errors and Compliance in Coding HCR 220 Week 8 Checkpoint Complete a CMS-1500 Claim 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 • 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 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

11. HCR 220 uop Course Tutorial HCR 220 Week 8 DQ 1 and DQ 2 HCR 220 Week 9 Capstone CheckPoint 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. • 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.

12. HCR 220 uop Course Tutorial HCR 220 Week 9 Final Project How HIPAA Violations Affect • Final Project: How HIPAA Violations Affect the Medical Billing Process • Part One: • Resources:Appendix A, Appendix C, and Table 8.3 on pp. 258–259 of Medical Insurance • Refer toTable 8.3 on pp. 258–259 of your text to complete the CMS-1500 form, located in Appendix C, according to the following case study:

13. HCR 220 uop Course Tutorial For more course tutorials visit www.uophelp.com