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HC 463 Third Party Reimbursement and Risk Management
Dennis, Kay S.


Mission Statement: The mission of Park University, an entrepreneurial institution of learning, is to provide access to academic excellence, which will prepare learners to think critically, communicate effectively and engage in lifelong learning while serving a global community.

Vision Statement: Park University will be a renowned international leader in providing innovative educational opportunities for learners within the global society.

Course

HC 463 Third Party Reimbursement and Risk Management

Semester

U1T 2006 DL

Faculty

Dennis, Kay S.

Title

Asst. Professor of Healthcare Leadership

Degrees/Certificates

Ed.D.
M.S.N.
B.S.N.

Office Location

Beaufort, North Carolina

Office Hours

By email anytime

Daytime Phone

252.241.9463

Other Phone

252.241.9463

E-Mail

kay.dennis@park.edu

Semester Dates

August 21 - October 15, 2006

Class Days

TBA

Class Time

TBA

Credit Hours

3


Textbook:
Rejda, George E.  Principles of Risk Management and Insurance. Ninth Edition. Boston: Addison-Wesley, 2005. ISBN:0-321-23687-4

Textbooks can be purchased though the MBS bookstore

Additional Resources:

McAfee Memorial Library - Online information, links, electronic databases and the Online catalog. Contact the library for further assistance via email or at 800-270-4347.
Career Counseling - The Career Development Center (CDC) provides services for all stages of career development.  The mission of the CDC is to provide the career planning tools to ensure a lifetime of career success.
Park Helpdesk - If you have forgotten your OPEN ID or Password, or need assistance with your PirateMail account, please email helpdesk@park.edu or call 800-927-3024
Resources for Current Students - A great place to look for all kinds of information http://www.park.edu/Current/.
Advising - Park University would like to assist you in achieving your educational goals. Please contact your Campus Center for advising or enrollment adjustment information.
Online Classroom Technical Support - For technical assistance with the Online classroom, email helpdesk@parkonline.org or call the helpdesk at 866-301-PARK (7275). To see the technical requirements for Online courses, please visit the http://parkonline.org website, and click on the "Technical Requirements" link, and click on "BROWSER Test" to see if your system is ready.
FAQ's for Online Students - You might find the answer to your questions here.


Course Description:
Public and private insurance, case management, preferred provider  organizations, health maintenance organizations, and other forms of third  party payment for health care services.  Loss prevention for the health care  organization through risk management and cost containment.  3:0:3

Educational Philosophy:

I view my role as an educator as a guide and facilitator of mastery learning. I use teaching strategies and techniques that integrate the life experiences and interests of my students. I strive to support your learning by (1) creating an organized, positive, and interactive learning climate, (2) focusing your attention, (3) clarifying performance expectations through rubrics, examples, dialogue, and timely feedback, (4) inducing transfer of knowledge, and (5) encouraging reflection on your part, and (6) assessing your achievement. In return, you are expected to participate actively in a timely, courteous manner and to share the responsibility for your own learning.

Class Assessment:

 

  

HC 463

 

 

Range

 

 

Element

 

Weight

A

90 - 100

 

Discussion

15%

B

80 -  89

 

Quizzes

 5%

C

70 - 79

 

Questions

10%

D

60 - 69

 

Essays

20%

F

Below 60

 

Midterm

20%

 

 

 

Final Exam

30%

Grading:
As above.

Late Submission of Course Materials:
Late work generally is not accepted but will be evaluated case-by-case.

Classroom Rules of Conduct:
Ground Rules for Online Participation Policy #1: If you experience computer difficulties (need help downloading a browser or plug-in, you need help logging into the course, or if you experience any errors or problems while in your online course, please contact the Park Computer Center. Policy #2:  Back up: every piece of work you complete. This will ensure that a computer glitch, or a glitch out there in cyberspace won't erase your hard work. Policy #3:  Communicate: If you are experiencing any confusion over course material, technical difficulties that are not being resolved and are preventing you from completing your assignments, or general questions about the course, let me know and refer to Course Policy #1. Policy #4: Please check the Announcements area in the Course Conference before you ask general course questions.  If you don't see your question there, then please post your question.  Posting them in the threaded discussion area will allow your fellow students to benefit from your questions.  And remember, there are no stupid/silly questions.  We are all here to learn! Policy #5:  E-Mail Procedures and Submitting General e-mail: When sending e-mail other than assignments, you must identify yourself fully by name and class in all e-mail sent to me and/or other members of our class. My Response Policy: I will check my e-mail frequently. I will respond to course-related questions within 24-48 hours (unless I notify you previously that I will be unavailable). Policy #6  Late Work: Each week's work must be completed by the end of that week. No credit for work turned in after the week, unless you have contacted me beforehand and explained any "special" circumstance. Deadlines not met during the week will mean your grade will be lowered a half grade for each day late. Policy #7  Online Etiquette: All your online communications need to be composed with fairness, honesty and tact. Your online writings will be graded.  Here are a couple of online references that discuss writing online http://goto.intwg.com/ and netiquette http://www.albion.com/netiquette/corerules.html. If I deem any of your online communications to be inappropriate or offensive, I will forward the message to the appropriate Park University official and the online administrators and appropriate action will be taken.   Students are responsible for clicking on the link below and thoroughly reading each Online course policy.  If you have questions about any of these policies, please contact your instructor for clarification.

Course Topic/Dates/Assignments:

Week 1 - Aug. 21-27, 2006

Introduction to Risk Management. Read chapters 1 through 4. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated.

Week 2 - Aug. 28-Sept. 3

Legal Principles in Risk and Insurance. Read chapters 5-7. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated.

Week 3 - Sept. 4-10

Defining Risk Management. Read chapters 13-15. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated.

Week 4 - Sept. 11-17

Different health care plans. Read chapter 21. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated. MIDTERM EXAM.

Week 5 - Sept. 18-24

Health care benefits and risk management. Read chapter 22. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated. FINALIZE PLANS FOR PROCTOR & SUBMIT.

Week 6 - Sept. 25-Oct. 1

Types of insurers and risk management. Read chapters 24-27. Participate in discussion and submit homework no later than Sunday night. Take quiz which can be repeated.

Week 7 - Oct. 1-8

Summarize learnings to date and submit as homework.

Week 8 - Oct. 9-15

FINAL EXAM. Course evaluation.

Academic Honesty:
Academic integrity is the foundation of the academic community. Because each student has the primary responsibility for being academically honest, students are advised to read and understand all sections of this policy relating to standards of conduct and academic life.   Park University 2006-2007 Undergraduate Catalog Page 87-89

Plagiarism:
Plagiarism involves the use of quotations without quotation marks, the use of quotations without indication of the source, the use of another's idea without acknowledging the source, the submission of a paper, laboratory report, project, or class assignment (any portion of such) prepared by another person, or incorrect paraphrasing. Park University 2006-2007 Undergraduate Catalog Page 87

Attendance Policy:
Instructors are required to maintain attendance records and to report absences via the online attendance reporting system.

  1. The instructor may excuse absences for valid reasons, but missed work must be made up within the semester/term of enrollment.
  2. Work missed through unexcused absences must also be made up within the semester/term of enrollment, but unexcused absences may carry further penalties.
  3. In the event of two consecutive weeks of unexcused absences in a semester/term of enrollment, the student will be administratively withdrawn, resulting in a grade of "W".
  4. A "Contract for Incomplete" will not be issued to a student who has unexcused or excessive absences recorded for a course.
  5. Students receiving Military Tuition Assistance or Veterans Administration educational benefits must not exceed three unexcused absences in the semester/term of enrollment. Excessive absences will be reported to the appropriate agency and may result in a monetary penalty to the student.
  6. Report of a "F" grade (attendance or academic) resulting from excessive absence for those students who are receiving financial assistance from agencies not mentioned in item 5 above will be reported to the appropriate agency.
ONLINE NOTE: An attendance report of "P" (present) will be recorded for students who have logged in to the Online classroom at least once during each week of the term. Recording of attendance is not equivalent to participation. Participation grades will be assigned by each instructor according to the criteria in the Grading Policy section of the syllabus.

Park University 2006-2007 Undergraduate Catalog Page 89-90

Disability Guidelines:
Park University is committed to meeting the needs of all students that meet the criteria for special assistance. These guidelines are designed to supply directions to students concerning the information necessary to accomplish this goal. It is Park University's policy to comply fully with federal and state law, including Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, regarding students with disabilities. In the case of any inconsistency between these guidelines and federal and/or state law, the provisions of the law will apply. Additional information concerning Park University's policies and procedures related to disability can be found on the Park University web page: http://www.park.edu/disability .

Additional Information:
Course-Specific Policies:

A class week is defined as the period of time between Monday and Sunday. The first week begins the first day of the semester and ends midnight the following Sunday.

Copyright:

This material is protected by copyright and can not be reused without author permission.

Last Updated:8/26/2006 12:22:51 PM