MET

NOT YET MET

Diagnosis classification, care reimbursement, and the billing system

Competency

Explains the overall concept of diagnosis classification, care reimbursement, and the billing system used in the hospital, including one example.

Includes a simplistic review of insurance company reimbursement procedures.

Mastery

Explains the overall concept of diagnosis classification, care reimbursement, and the billing system used in the hospital, including two or more examples.

Includes a thorough review of insurance company reimbursement procedures.

Meeting patient needs

Competency

Explains how the hospital will meet patient needs, priorities, and expectations, including one example.

Includes a simplistic explanation of the values of respect, compassion, justice, and community pride in the care of the patient.

Mastery

Explains how the hospital will meet patient needs, priorities, and expectations including two or more examples.

Includes a thorough explanation of the values of respect, compassion, justice, and community pride in the care of the patient.

Violations

Competency

Addresses each of the violations, including one example of each: upcoding, duplicated charges, and phantom charges, and unbundling.

Includes a simplistic explanation of what will be done so these violations will not occur again.

Mastery

Addresses each of the violations, including two or more examples of each: upcoding, duplicated charges, phantom charges, unbundling, and incorrect quantities.

Includes a thorough explanation of what will be done so these violations will not occur again.

Contingency Plan

Competency

Develops a contingency plan for the future, including one example.

Includes a simplistic explanation of how the hospital will be prepared in the future for similar emergency events.

Mastery

Develops a contingency plan for the future, including two or more examples.

Includes a thorough explanation of how the hospital will be prepared in the future for similar emergency events.

Total Competency Criteria:

Total Mastery Criteria:

CRITERIA

CLA Score

Grade

Points

Meets all competency criteria and 50%-100% of mastery criteria

5

A

1000

Meets all competency criteria and 0%-49% of mastery criteria

4

B

850

Meets 75%-99% of competency criteria

3

Not Yet Competent*

0

Meets 50%-75% of competency criteria

2

Not Yet Competent*

0

Meets 1%-49% of competency criteria

1

Not Yet Competent*

0

Meets 0 competency criteria

0

Not Yet Competent*

0

No submission

NA

Not Yet Competent*

0

Minimum Submission Requirements

MET

NOT YET MET

· Proper notification of any resubmission, repurposing, or reworking of prior work per the Purdue Global Student Coursework Resubmission, Repurposing, and Reworking Policy Resource.

· This assessment should be a recording 5 minutes in length.

· Respond to the questions in a thorough manner, providing specific examples of concepts, topics, definitions, and other elements asked for in the questions. Your submission should be highly organized, logical, and focused.

· Your submission should provide a clearly established and sustained viewpoint and purpose.

· Your video should be well ordered, logical, and unified, as well as original and insightful.

· Your submission must be presented in Standard English and demonstrate exceptional content, organization, and style.

· A separate page along with your submission should contain a list of references in APA format. Use your textbook, the Library, and the internet for research.