H07 Medical Coding I

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Assignment 04

H07 Medical Coding I

Directions: Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading.  Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar.  Sources must be cited in APA format.  Your response should be two (2) to four (4) pages in length; refer to the "Assignment Format" page for specific format requirements.

Lesson 1, 2, 3, and 4 of this course has covered a wide variety of topics. Thus far, you have learned a great deal of information on health insurance, medical contracts, HIPAA, physician and hospital medical billing, and Medicare and Medicaid.

For this writing assignment, please explain why the following course objectives are important for medical billers and coder to understand:

1. Understand the history and impact of health insurance on health care reimbursement process and recognize various types of health insurance coverage.

2. Identify the key elements of a managed care contract and identify the role HIPAA plays in the health care industry.

3. Recognize and explain the different components of physician and hospital billing and differentiate between the two types of services.

4. Explain the difference between Medicare and Medicaid billing.

Please include at least 3 scholarly articles within your response. Overall response will be formatted according to APA style and the total assignment should be between 2-4 pages not including title page and reference page.

Grading Rubric

Please refer to the rubric on the next page for the grading criteria for this assignment.

CATEGORYExemplarySatisfactoryUnsatisfactoryUnacceptable

75 points55 points35 points15 points

Student applies critical

thinking skills to

appropriately discuss why

first four learning objectives

are critical to medical billers

and coders. Student uses

more than 3 scholarly articles

to substantiate response.

Each objective discussion

exceeds expectations and

demonstrates deep level of

analysis.

Student applies some critical

thinking skills to

appropriately discuss why

first four learning objectives

are critical to medical billers

and coders. Student uses 3

scholarly articles to

substantiate response. Each

objective discussion is

adequately discussed, but

further, deeper level of

analysis is needed.

Student does not apply

critical thinking skills to

explain why first four

learning objectives are

critical to medical billers and

coders or the student uses

less than 3 scholarly articles

to substantiate response.

Each objective discussion is

not adequately discussed

and some objective could be

omitted.

Student does not apply

critical thinking skills to

explain why first four

learning objectives are

critical to medical billers and

coders and the student uses

less than 3 scholarly articles

to substantiate response.

Each objective discussion is

not adequately discussed

and some objectives are

omitted.

10 points 8 points 5 points 2 points

Student does not make any

errors in grammar or spelling,

especially those that distract

the reader from the content.

Student makes 1-2 errors in

grammar or spelling that

distract the reader from the

content.

Student makes 3-4 errors in

grammar or spelling that

distract the reader from the

content.

Student makes more than 4

errors in grammar or spelling

that distract the reader from

the content.

15 points 12 points 8 points 5 points

The paper is written in

proper APA and

organizational format. All

sources used for quotes and

facts are credible and cited

correctly. Excellent

organization, including a

variety of thoughtful

transitions.

The paper is written in

proper format with only 1-2

errors. All sources used for

quotes and facts are credible,

and most are cited correctly.

Adequate organization

includes a variety of

appropriate transitions.

The paper is written in

proper format with only 3-5

errors. Most sources used for

quotes and facts are credible

and cited correctly. Essay is

poorly organized, but may

include a few effective

transitions.

The paper is not written in

proper format. Many sources

used for quotes and facts are

less than credible (suspect)

and/or are not cited

correctly. Essay is

disorganized and does not

include effective transitions.

Format - APA Format,

Citations,

Organization,

Transitions (15 Points)

Mechanics (10 Points)

Explains why the first

four course learning

objectives are

important for medical

billers and coders

using at least 3

scholarly articles to

substantiate response

(75 Points)