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Business and Professional Foundations 6- #23565


 

 

Terry A. Erickson, D.C.
Sharon Frevik
Kathleen Gergen-Mendel, J.D.
Chris Wallace

0.75
12
12
0

This course will focus on the third party reimbursement, CPT and ICD-9 coding, billing, accounts receivable and financial statments.

Please select from the list on the right.

The Institution-wide learning goals define the common ground that unites the programs within the university. They are purposefully broad so that the various colleges and schools can continue to develop their unique identities through varying ways in which the goals are met.

  1. Effective Communication
    Graduates will demonstrate effective verbal, non-verbal, and written communication skills in a wide variety of contexts, including collaborative activities.
  2. Self Directed and Lifelong Learning
    Graduates will be aware of the limits of one’s personal knowledge and experience and have an intellectual interest in scholarly and creative endeavors. Graduates will actively set appropriate learning goals, pursue them, and apply the knowledge gained.
  3. Ethical Reasoning
    Graduates will demonstrate a willingness to recognize the values of others while maintaining one’s own integrity, and act ethically and professionally in all endeavors.
  4. Individuals, Communities and Cultures
    Graduates will demonstrate awareness and sensitivity to the cultural and health practices of individuals and communities. Graduates will be able to identify appropriate health related resources.
  5. Service to the Community
    Graduates will understand and value the benefits of service to the community.
  6. Influence of Mind, Body and Spirit on Health
    Graduates will recognize the inter-relationship of the mind, body and spirit and the influence of extrinsic factors on an individual’s health.
  7. Critical Thought and Knowledge Acquisition
    Graduates will acquire, appraise and apply scientific information. Graduates will contextually organize and synthesize relevant information to address an issue or problem.
  8. Competence in one's Discipline
    Graduates will demonstrate competence of appropriate depth and scope for one's discipline.

Course Objectives

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  1. Students will be able to understand the different forms that third party reimbursement takes in being paid for services in a chiropractic practice. Discussions will include but not be limited to:
    • Managed Care Organizations.
    • Indemnity Plans.
    • Self Pay.
    • Worker's Compensation.
    • Medicare.
    • CPT coding.
    • ICD-9 coding.
    • Health Savings Accounts.
  2. Students will be able to recognize and work with different forms of paperwork, procedures and financial statements in the chiropractic office including:
    • Insurance verification.
    • CMS-1500 claim forms.
    • Explanation of Benefits.
    • Fee slips.
    • Accounts Receivable.
Materials
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A. Required Text(s):
  • NONE

B. Recommended Text(s):
  • NONE

C. Required Materials for Lab:
  • N/A
Assignments
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  1. Conversations on Culture Assignment. Required to complete 2 sessions by the end of BPF 6. Opportunities exist to fulfill this requirement between now and the end of BPF 6. See "Conversations on Culture" link at top left of syllabus for details.
  2. Participate in small group and class discussions.
  3. Other assignments/workshops as announced.
Attendance
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  1. Attendance is expected at all lectures.
Grading Criteria
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Assessment based upon:
  1. Midterm (100 pts)
  2. Final 100 (pts)
  3. Satisfactory completion of all assignments and papers as announced.
  • Work turned in late will be subject to a 10% per day reduction in grade.
    • Example: A perfect paper turned in 2 days late would receive a grade of 80%
  • Make-Up exams are at the discretion of the instructor which may or may not be granted.
    • Refer to sections 5.6 and 5.5 of the Student Handbook.

Guaranteed grades are as follows:

A = 92% and above
B = 83% and above
C = 74% and above
D = 65% and above
F = below 65%
Course Competencies
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-

COGNITIVE DOMAIN


N/A

Conditions:

N/A

PSYCHOMOTOR DOMAIN


N/A

AFFECTIVE DOMAIN


N/A
Weekly Calendar of Learning Objectives
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Week Dates Topics/Learning objectives
Week 1 - -
Week 2 - -
Week 3 - -
Week 4 - -
Week 5 - -
Week 6 - -
Week 7 - -
Week 8 June 20 Third party reimbursement, managed care organizations, CPT/ICD-9 coding, and E/M coding
Week 9 June 27 Cash payment plans
Week 10 - -
Week 11 July 11

FIRST HOUR: Midterm

SECOND HOUR: Medicare

Week 12 July 18

Health Savings Accounts

Week 13 July 25 Billing - the process
Week 14 July 30 - Aug 9 Final Examination as per Finals Schedule
Week 15 July 30 - Aug 9 Final Examination as per Finals Schedule
Please Note
This schedule of lecture and lab topics and quizzes and exams may be changed during the course of the trimester as circumstances require. Whenever possible, such changes will be announced in class before the date and time in question. You are responsible for anything that transpires during lectures and labs, even when you are unable to attend. In the event that you miss a class session, make sure you check with a classmate about any announcements or schedule changes which may have been made. Makeup exams are allowed only according to the policies described in the current student handbook, which is available in the Student Affairs office.
Maintained by Northwestern College of Chiropractic
Last updated: 24 April, 2007
 

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