HCR 220 Complete Class Week 1-9 Includes All DQs, Checkpoints, Exercises, Assignments, Capstone and Final Click on the Link Given Below To get Entire Course : http://hwguiders.com/index.php? route=product/product&path=59&product_id=642 HCR 220 Claims Preparation I: Clean Bills of Health
Week One: Introduction to the Medical Billing Process CheckPoint: Features of Health Plans CheckPoint: Payment Methods Presentation Assignment: Steps in the Medical Billing Process Week Two: HIPAA and Medical Records Discussion Questions CheckPoint: Medical Records Documentation and Billing Week Three: Patient Encounters and Billing Information Checkpoint: Eligibility, Payment, and Billing Procedures Assignment: Understanding the Patient Intake Process Week Four: Diagnostic Coding: Introduction to ICD-9-CM Discussion Questions CheckPoint: Determining Diagnosis Code Categories Week Five: Procedural Coding: Introduction to CPT CheckPoint: Describing CPT Coding Categories Exercise: Working with CPT Modifiers Assignment: Assigning Evaluation and Management (E/M) Codes Week Six: Procedural Coding: Introduction to HCPCS Discussion Questions CheckPoint: Applying Level II HCPCS Modifiers Week Seven: Visit Charges and Complaint Billing
CheckPoint: Errors and Compliance in Coding Assignment: Evaluating Compliance Strategies Week Eight: Health Care Claim Preparation and Transmission Discussion Questions CheckPoint: Complete a CMS-1500 Claim Form Week Nine: Summarizing the Medical Billing Process Capstone CheckPoint Final Project: How HIPAA Violations Affect the Medical Billing Process
HCR 220 Week 1 Assignment - Steps in the Medical Billing Process Download Here: Assignment: Steps in the Medical Billing Process Resource: Figure 1.6 on p. 17 of Medical Insurance Due Date: Day 7 [post to the Individual forum] Use Microsoft® Word to prepare a 500- to 750-word paper that lists the sequence of steps in the medical billing process. In your own words, Post your paperprovide a 3- to 4-sentence explanation for each step. as an attachment.
HCR 220 Week 1 Checkpoint - Features of Health Plans Download Here: CheckPoint: Features of Health Plans Resource: Table 1.1 on p. 13 of Medical Insurance: An Integrated Claims Process Approach Due Date: Day 3 [post to the Individual forum] Post a 250- to 300- word response to the following: 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 Download Here: CheckPoint: Payment Methods Presentation Resources: Appendix B and Microsoft® Help at http://support.microsoft.com/ Due Date: Day 4 [post to the Individual forum]
Prepare a 4- to 5-slide PowerPoint® presentation that describes 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. Include an introduction and conclusion slide in your presentation. Provide detailed speaker notes to accompany your presentation. Provide APA-formatted references if you use sources beyond your text. Refer to the Microsoft® Help link for assistance with questions related to PowerPoint®. Post your presentation as an attachment.
HCR 220 Week 2 Checkpoint - Medical Records Documentation and Billing Download Here: CheckPoint: Medical Records Documentation and Billing Due Date: Day 5 [Individual forum] Post 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 studied in Ch. 1 of Medical Insurance are related to the following: o Compliance plans o Medical records o Documentation standards
HCR 220 Week 3 Assignment Understanding the Patient Intake Process Download Here: Assignment: Understanding the Patient Intake Process Resource: Figure 3.1 on p. 75 of Medical Insurance Due Date: Day 7 [Individual forum] 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: o Provide at least one “must-have” item not covered in the text. o Provide a minimum of one reliable reference from the University Library or the Internet. o Format your paper according to APA guidelines. Post your paper as an attachment.
HCR 220 Week 3 Checkpoint - Eligibility, Payment, and Billing Procedures Download Here: CheckPoint: Eligibility, Payment, and Billing procedures
Resource: pp. 86-88 of Medical Insurance Due Date: Day 4 [Individual forum] Post 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.
HCR 220 Week 4 Checkpoint - Determining Diagnosis Code Categories Download Here: 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: o A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). o A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event. o A 72-year-old diabetic female exhibits a non-healing wound on her left foot.
HCR 220 Week 5 Assignment - Assigning Evaluation and Management (EM) Codes Download Here: 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 Due Date: Day 7 [Individual forum] Assign appropriate E/M codes for the following five cases: o Initial consultation for a 78-year-old woman with unexplained weight loss, abdominal pain, and rectal bleeding. Comprehensive history and examination performed. o 30-year-old patient presents complaining of flu-like symptoms characterized by unremitting cough, sinus pain, and thick nasal discharge. Examination reveals bronchitis and sinus infection. Patient is prescribed a five-day course of Zithromax. o Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function. Nurse reviews the results and advises the patient that tests are normal and no change in dosage is indicated. o 62-year-old diabetic female presents for check-up and dressing change of wound on left foot. Examination reveals that the wound is healing. Nurse applied new dressing and patient will return for check-up in one week.
o A mother brings in her six-month-old male child for routine wellness check. Examination reveals the child to be in good health and making adequate progress. Provide the rationale you used to assign a particular E/M code in 2 to 3 complete sentences for each of the case studies. Post your answers in your Individual forum.
HCR 220 Week 5 Exercise - Working with CPT Modifiers Download Here: Exercise: Working with CPT Modifiers Resource: Table 5.2 on p. 154 of Medical Insurance Due Date: Day 5 [Individual forum] Complete the exercise by identifying the correct CPT modifier to its corresponding procedure for the following: a.___ Bilateral Procedures b.___ Multiple Procedures c.___ Prolonged Evaluation and Management d.___ Unusual anesthesia e.___ Mandated services Post your answers to your Individual forum.
HCR 220 Week 6 Checkpoint - Applying Level II HCPCS Modifiers Download Here: CheckPoint: Applying Level II HCPCS Modifiers Resource: Table 6.2 on p. 195 of Medical Insurance Due Date: Day 5 [Individual forum] Apply the appropriate Level II HCPCS code modifier for each of the following examples. Explain your rationale for each selection. a. Portable home oxygen unit b. Emergency ambulance transport and extended life support c. Diagnostic mammogram, left breast d. Cortisone 10 mg injection, right shoulder e. Non-electric wheelchair f. Intravenous catheter line (PICC), right arm g. Laboratory certification, cytology specimens h. Chest x-ray i. Prosthetic hip replacement, left side j. Electric hospital bed Post your answers in your Individual forum.
HCR 220 Week 7 Assignment - Evaluating Compliance Strategies Download Here: Assignment: Evaluating Compliance Strategies Due Date: Day 7 [Individual forum] Compose 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. Consider the following information in your essay: o What is the importance of correctly linking procedures and diagnoses? o What are the implications of incorrect medical coding? o 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. Format your essay according to APA guidelines. Post your paper as an attachment.
HCR 220 Week 7 Checkpoint - Errors and Compliance in Coding Download Here: CheckPoint: Errors and Compliance in Coding Resources: Pp. 207 & 211 of Medical Insurance, NPR Web site, and Medical News Today Web site. Due Date: Day 5 [Individual forum] Review the NPR Web site at http://www.npr.org/templates/story/story.php?storyId=5348863 Post 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 Download Here: CheckPoint: Complete a CMS-1500 Claim Form Resource: Appendix C Due Date: Day 5 [Individual forum] Use the following data to 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” in the box. If no patient information whatsoever has been given for a specific field, leave it blank. Name: Katherine Doe Insurer: TRICARE Policy Number: 123456 ID number: 999000666 DOB: 01/01/1950 Gender: Female Insured: James Doe, spouse Address: 1111 Noname Court Nowhere, NY 22222 Marital Status: Married Patient’s Employer: Homemaker Spouse’s Employer: U.S. Army Nature of Condition: Routine exam Patient Signature Post the completed CMS-1500 form as an attachment.
HCR 220 Week 9 Final Project - How HIPAA Violations Affect the Medical Billing Process Part 1 & 2 Download Here: 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 Due Date: Day 7 [Individual forum] Use Table 8.3 on pp. 258-259 of your text to help you 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 Kaposi’s sarcoma and other opportunistic infections. Name: James Brown Account Number: 080811 Insurer: Medicare Policy Number: 1098765 ID number: 12345678910 DOB: 02/01/1940 Gender: Male Insured: James Brown Address: 1600 Pennsylvania Ave. Wash. D.C. 60000 Marital Status: Widowed Patient’s Employer: Retired Nature of Condition: HIV, AIDS, Kaposi’s sarcoma Date of Illness: 06/01/2007 Referring Physician: Thomas Glassman, M.D. Physician ID: 1080808080 Federal Tax ID: 5551116679 Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007 Procedure: Detailed examination, screening blood panel, pathology services Patient Signature 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 Due Date: Day 7 [Individual forum] Use Table 8.3 on pp. 258-259 of your text to help you 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 Kaposi’s sarcoma and other opportunistic infections. Name: James Brown Account Number: 080811 Insurer: Medicare Policy Number: 1098765 ID number: 12345678910 DOB: 02/01/1940 Gender: Male Insured: James Brown Address: 1600 Pennsylvania Ave. Wash. D.C. 60000 Marital Status: Widowed Patient’s Employer: Retired Nature of Condition: HIV, AIDS, Kaposi’s sarcoma Date of Illness: 06/01/2007 Referring Physician: Thomas Glassman, M.D. Physician ID: 1080808080 Federal Tax ID: 5551116679 Dates of Service: 06/01/2007, 06/15/2007, 07/07/2007, 08/01/2007 Procedure: Detailed examination, screening blood panel, pathology services Patient Signature
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