HCR 202 Week 2 Health Care Reimbursement Worksheet
HCR 202 Week 2 Health Care Reimbursement Worksheet
HCR 202 Week 2 Health Care Reimbursement Worksheet
Complete the University of Phoenix Material: Health Care Reimbursement Worksheet.
Click the Assignment Files tab to submit your assignment.
Health Care Reimbursement Worksheet
Complete Parts A and B of this worksheet.
Reference: Ch. 1 and Ch. 17 of Medical Insurance
Part A
Pair the health care term from Column A with the appropriate definition from Column B. List the corresponding letter in Column C.
Column A Column C Column B
co-pay The amount owed for covered health care services before the health insurance plan begins to pay
Deductible The portion of charges an insured person must pay for health care services after payment of the deductible amount is met; usually stated as a percentage
Out-of-pocket max A patient who does not have insurance
Self-pay patient The most an insured person will have to pay for covered health care services in a policy period. Until this maximum amount is met, the health care plan and insured person share costs
co-insurance A set dollar amount a health plan requires an insured person to pay at the time of service for each health care encounter
Part B
Resource: Table 1.2 in Ch. 1 of Medical Insurance
Describe three to four health plans by completing the following table. Be clear and concise, use complete sentences, and use in your own words.
Health Plans
Plan type Provider options Payment methods Features
Write 50- to 150-word responses to the following question. Use your own words and provide examples to support your answer.
Cite any outside sources. For additional information on how to properly cite your sources see the Reference and Citation Generator resource in the Center for Writing Excellence.
How do provider options (network) impact reimbursement for patients?
Review the features of the plan types discussed in the table and identify what features are most important to a patient.
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HCR 202 Week 2 Health Care Reimbursement Worksheet Grading Rubric
Performance Category 100% or highest level of performance 100%
16 points
Very good or high level of performance 88%
14 points
Acceptable level of performance 81%
13 points
Inadequate demonstration of expectations 68%
11 points
Deficient level of performance 56%
9 points
Failing level of performance
55% or less
0 points
Total Points Possible= 50 16 Points 14 Points 13 Points 11 Points 9 Points 0 Points Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.
Presentation of information was exceptional and included all of the following elements: - Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was good, but was superficial in places and included all of the following elements: - Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information was minimally demonstrated in all of the following elements: - Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in one of the following elements:
- Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in two of the following elements:
- Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.
Presentation of information is unsatisfactory in three or more of the following elements - Provides evidence of scholarly inquiry relevant to required TD topic(s).
- Presents specific information from scholarly sources to develop a comprehensive presentation of facts.
- Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.*
- Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
16 Points 14 Points 13 Points 11 Points 9 Points 0 Points Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations
Presentation of information was exceptional and included all of the following elements: - Applies principles, knowledge and information from scholarly resources to the required topic.
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
Presentation of information was good, but was superficial in places and included all of the following elements: - Applies principles, knowledge and information from scholarly resources to the required topic.
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
Presentation of information was minimally demonstrated in the all of the following elements: - Applies principles, knowledge and information from scholarly resources to the required topic.
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in one of the following elements: - Applies principles, knowledge and information from scholarly resources to the required topic.
- Applies facts, principles or concepts learned from and scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in two of the following elements: - Applies principles, knowledge and information from scholarly resources to the required topic.
- Applies facts, principles or concepts learned from scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
Presentation of information is unsatisfactory in three of the following elements - Applies principles, knowledge and information and scholarly resources to the required topic.
- Applies facts, principles or concepts learned scholarly resources to a professional experience.
- Application of information is comprehensive and specific to the required topic.
10 Points 9 Points 6 Points 0 Points Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count)
The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count)
Responses are substantive and relate to the topic.
Demonstrated all of the following: - Initial post must be a minimum of 300 words.
- The peer and instructor responses must be a minimum of 150 words each.
- Responses are substantive
- Responses are related to the topic of discussion.
Demonstrated 3 of the following: - Initial post must be a minimum of 300 words.
- The peer and instructor responses must be a minimum of 150 words each.
- Responses are substantive
- Responses are related to the topic of discussion.
Demonstrated 2 of the following: - Initial post must be a minimum of 300 words.
- The peer and instructor responses must be a minimum of 150 words each.
- Responses are substantive
- Responses are related to the topic of discussion.
Demonstrated 1 or less of the following: - Initial post must be a minimum of 300 words.
- The peer and instructor responses must be a minimum of 150 words each.
- Responses are substantive
- Responses are related to the topic of discussion.
8 Points 7 Points 6 Points 5 Points 4 Points 0 Points Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing.
The source of information is the APA Manual 6th Edition
Error is defined to be a unique APA error. Same type of error is only counted as one error.
The following was present: - 0-3 errors in APA format
AND
- Responses have 0-3 grammatical, spelling or punctuation errors
AND
- Writing style is generally clear, focused on topic,and facilitates communication.
The following was present: - 4-6 errors in APA format.
AND/OR
- Responses have 4-5 grammatical, spelling or punctuation errors
AND/OR
- Writing style is somewhat focused on topic.
The following was present: - 7-9 errors in APA format.
AND/OR
- Responses have 6-7 grammatical, spelling or punctuation errors
AND/OR
- Writing style is slightly focused on topic making discussion difficult to understand.
The following was present:
- 10- 12 errors in APA format
AND/OR
- Responses have 8-9 grammatical, spelling and punctuation errors
AND/OR
- Writing style is not focused on topic, making discussion difficult to understand.
The following was present:
- 13 – 15 errors in APA format
AND/OR
- Responses have 8-10 grammatical, spelling or punctuation errors
AND/OR
- Writing style is not focused on topic, making discussion difficult to understand.
AND/OR
- The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.
The following was present: - 16 to greater errors in APA format.
AND/OR
- Responses have more than 10 grammatical, spelling or punctuation errors.
AND/OR
- Writing style does not facilitate communication
0 Points Deducted 5 Points Lost Participation Requirements
Demonstrated the following: - Initial, peer, and faculty postings were made on 3 separate days
Failed to demonstrate the following: - Initial, peer, and faculty postings were made on 3 separate days
0 Points Lost 5 Points Lost Due Date Requirements Demonstrated all of the following: - The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.