HCR 220 Week 1 FEATURES OF HEALTH PLANS
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HCR 220 Week 1 FEATURES OF HEALTH PLANS

Course Number: HCR 220, Spring 2011

College/University: University of Phoenix

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CheckPoint: Features of Health Plans Possible Score Week 1 CheckPoint: Features of Health Plans 15.0 Your Score 15.0 Comment: The growing cost of health care has made he alth insurance a necessity. There are several different plans to choose from, but t he decision depends on the individuals needs and avail able payment options.You did very well of the Featur es of Health Plans CheckP oint. You made some...

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CheckPoint: Features of Health Plans Possible Score Your Score Week 1 CheckPoint: Features of Health Plans 15.0 15.0 Comment: The growing cost of health care has made he alth insurance a necessity. There are several different plans to choose from, but t he decision depends on the individuals needs and avail able payment options.You did very well of the Featur es of Health Plans CheckP oint. You made some reall y good points about the dif ferent types of health plans . It is important for consu mers to understand the sim ilarities and differences so that they can make an infor med decision. The choice i n health coverage is deter mined overall by the patie nt needs, and this will diffe r from one person to the ne xt.Please review the grade form posted to your indivi dual forum for areas of stre

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University of Phoenix - HCR - 220
HCR220HCR220JOSH GORBAN1Fee-for-Service Capitation Patient Payer Provider234Diagram of CapitationPATIENTPROVIDEERPROVID RHEALTHPLAN5ReferencesReferencesPicture source: Everett Optometry Clinic, PS. (2009). Retrieved July 30, 2009 fro
University of Phoenix - HCR - 220
Assignment: Steps in the Medical Billing ProcessJosh GorbanHCR 220Step One: Patient Pre-registration- In this step, patients schedule appointments. New patients arerequired to pre-register and answer questions pertaining to personal information about
University of Phoenix - HCR - 220
Checkpoint: Medical Records Documentation and BillingJosh GorbanHCR 220Compliance plans correlate to different medical records documentation standards becausecompliance plans are made to avoid mistakes in medical records documentation. They correlate
University of Phoenix - HCR - 220
HCR 220 Week 2 Discussion Question 1HIPPA was designed to protect peoples' private health information, ensure healthinsurance coverage for workers and their families should they lose their jobs,uncover fraud and abuse, and create standards for electron
University of Phoenix - HCR - 220
HCR 220 Week 2 Discussion Question 2The risks of professional liability are minimized by effective medical complianceplans because the procedures and standards of the program are communicated toall employees. The plan improves documentation and manager
University of Phoenix - HCR - 220
Assignment: Understanding the Patient Intake ProcessJosh GorbanHCR 220Tekne, a Greek word which means an art or craft is where the word technology is derivedfrom. Technology is the study or science of crafting, which are logia. The way in whichhealth
University of Phoenix - HCR - 220
Checkpoint: Eligibility, Payment, and Billing proceduresCheckpoint: Eligibility, Payment, and Billing proceduresJosh GorbanHCR 2201Checkpoint: Eligibility, Payment, and Billing procedures2When determining if a patient is eligible for benefits, ther
University of Phoenix - HCR - 220
Checkpoint: Determining Diagnosis Code CategoriesJosh GorbanHCR 220Checkpoint: Determining Diagnosis Code Categories2A 68-year-old male presents to the office complaining of pronounced weakness onthe right side of his body and slurred speech for the
University of Phoenix - HCR - 220
HCR 220 Week 4 Discussion Question 1The purpose of the Alphabetic Index is to provide descriptions of diseases that arelisted in the tabular list, provides a table for of drugs and chemicals that causespoisoning and has a list of external causes of inj
University of Phoenix - HCR - 220
HCR 220 Week 4 Discussion Question 2The main distinction between the Vand E codes are: The V codes are for patientsthat are getting regular checkups, immunizations, and child delivery, they are forhealthy patients that do not include injury or illnesse
University of Phoenix - HCR - 220
Assignment: Assigning Evaluation and Management (E/M) CodesJosh GorbanHCR 220Initial consultation for a 78year-old woman withunexplained weight loss,abdominal pain and rectalbleeding. Comprehensivehistory and examinationperformed.30-year-old pati
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Checkpoint: Describing CPT Coding CategoriesCheckpoint: Describing CPT Coding CategoriesJosh GorbanHCR 2201Checkpoint: Describing CPT Coding Categories2One could say category one codes could be described as writing with onesfingers. Category two c
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Checkpoint: Applying Level II HCPS ModifiersJosh GorbanHCR 220a. Portable home oxygenunitQMb. Emergency ambulancetransport and extended lifesupportQNc. Diagnostic mammogram,left breastGGd. Cortisone 10 mg injection,right shoulderRTe. Non-e
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HCR 220 Week 6 Discussion Question 1Permanent national codes are maintained by the CMS HCPCS Workgroup.Decisions concerning additions, revisions, and deletions to the permanent nationalcodes are the responsibility of the Workgroup. Private and public h
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HCR 220 Week 6 Discussion Question 2Briefly explain the steps used to assign HCPCS codes for billing purposes.Look up the name of the supply or item in the index - alphabeticallyVerify thecode selection in the correct Tabular list selectionCheck for th
University of Phoenix - HCR - 220
Checkpoint: Errors and Compliance in CodingJosh GorbanDouble billing for the same procedures as well as medications and supplies is a common billingerror. The most effective way to avoid this double billing process and prevent being overchargedis to e
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Running head: Evaluating Compliance StrategiesAssignment: Evaluating Compliance StrategiesJosh GorbanHCR 220Guidelines established by the healthcare staff and laws established by HIPAA are what makeup the compliance process. These laws and guidelines
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HCR 220 Week 8 Discussion Question 1The HIPAA 837 and the CMS-1500 claim forms are similar because of the factthat they both contain the same types of patient information. Both of these types ofclaims contain the following types of information: patient
University of Phoenix - HCR - 220
HCR 220 WEEK 8 DISCUSSION QUESTION 2If there is any missing or incomplete information in a file, it will cause delays inthe time it takes to process the claim. Should the claim end up in court because of adispute or issue with the claim, it will be muc
University of Phoenix - HCR - 220
Running head: HIPAA ConfidentialityHCR 220 Final ProjectJosh GorbanHCR 220HIPAA, or the Health Insurance Portability Act of 1996, was created to help eliminate fraud,abuse and waste in the healthcare and health insurance industries (Health Informatio
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