H07 Medical Coding I Assignment 8

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Assignment 08

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.

Lessons 5, 6, 7, and 8 of this course have covered a wide variety of topics. Thus far, you have learned a great deal of information on TRICARE, Workers’ Compensation, Explanation of Benefits and Payment Adjudication, Refunds, Follow-Ups, and Appeals.

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

5. Identify the different components of TRICARE billing and different types of benefits available to active duty members, veterans, and their family members.

6. Understand the history of workers’ compensation and distinguish between federal workers’ compensation and state workers’ compensation.

7. Explain the importance of the Explanation of Benefits and Electronic Remittance Advice forms.

8. Understand the reimbursement follow-up, explain the appeals process for reimbursement, and identify refund guidelines.

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 points50-74 points20-49 points0-19 points

Student applies critical

thinking skills to

appropriately discuss why

last 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

last 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 last 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 last 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 last

four course learning

objectives are

important for medical

billers and coders

using at least 3

scholarly articles to

substantiate response

(75 Points)