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HC 463 Third Party Reimbursement and Risk Management
Both, Christopher G.


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.
CourseHC 463 Third Party Reimbursement and Risk Management GR
SemesterF1G2005
FacultyBoth, Christopher G.
TitleAdjunct Faculty Instructor Management/Health Care
Degrees/CertificatesMSA Human Resources Administration
BS Management/Healthcare
Office LocationMy Office
Office Hours08:30-17:30
Daytime PhoneOffice: 773-5573 Home: 772-3680 Cell: 779-7697
E-Mailchristopher.both@park.edu
christopher.both@pracs.com
Web Pagenone
Semester DatesAug 22, 2005 to Oct 16, 2005
Class Days--T-R--
Class Time7:35 - 10:15 PM
Perquisitesnone
Credit Hours3

Textbook:
Principles of Risk Management and Insurance. 9th Edition   George E. Rejda
Copy Right 2005 Pearson Education Inc.


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:
Lecture, discussion, video presentations, exploration of internet sites and student presentations.

Learning Outcomes:

Understanding Risk management
Understanding of the different types of insurances: home, health, life, auto
Ability to better analyze insurance contracts
Understanding the lifecycle of an insurance claim
Understanding of the legal and regulatory considerations with insurance
Understand the differences between risk and liability

Course Assessment:
examinations, quizzes, presentations, and papers.

Grading:
: Each test 100 points 3 tests, Weekly workbook pages 50 points per week 400 points total.
A: 100 to 93%
B: 92 to 85%
C: 84 to 77 %
D: 76 to 69%
F: below 69 %

Late Submission of Course Materials:
The instructor will not accept assignments late.  Assignments not submitted on the due date will receive a grade of “zero”

Classroom Rules of Conduct:
Computers make writing and revising much easier and more productive.  Students must recognize though that technology can also cause problems.  Printers run out of ink and hard drive crash.  Students must be responsible for planning ahead and meeting deadlines in spite of technology.  Be sure to save copies of your work to disk, hard drive, and print out paper copies for backup purposes.

Course Topic/Dates/Assignments:
Aug 23: Chap 1, 2
Aug 25: Chap 3 and 5
Aug 30: Chap 5, 6 and 7
Sep 1:  Chap 8, 9 and 10
Sep 6: Chap 11, 12, Test 1  
Sep 8: Chap 13, 14 and 15
Sep13: NO CLASS (out of town on business)
Sep 15: NO CLASS (out of town on business)
Sep 20: Chap 16, 17 and 18
Sep 22: Sep 27: Chap 19 and 20
Sep 29: Chap 21 and 22
Oct 4: Chap 23, 24 and Test 2
Oct 6: Chap 25 and 26
Oct 11: Chap 27 and 28
Oct 13: Test 3

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 2005-2006 Undergraduate Catalog Page 85-87

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 2005-2006 Undergraduate Catalog Page 85-87

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 "WH".
  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.

Park University 2005-2006 Undergraduate Catalog Page 89

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. Park University is committed to meeting the needs of all learners that meet the criteria for special assistance. These guidelines are designed to supply directions to learners 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 American with Disabilities Act of 1990, regarding learners with disabilities and, to the extent 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
 
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Copyright:
This material is copyright and can not be reused without author permission.