Reflect on your experience in this class and any new topics you learned throughout the course. In Module One, you wrote a reflection journal on how you anticipated the course material would apply to your career goals. Looking back now, how will you apply the information that you learned to your career or to future classes? How has your perception changed throughout the course from that beginning reflection?
When responding to your classmates, reflect on their experiences and relate them to your own.
Attached is the Rubric for this discussion as well as two of my classmates responses to the discussion question above. Both responses need replies as well as the main discussion. Thank you.
IHP 630 Discussion Rubric Guidelines for Submission: You will write an initial post, ideally 1–2paragraphs, to the discussion topic and reply to at least two posts during the week outside of your initial post thread. This discussion should not be viewed as a short paper. These discussions offer you the opportunity to express your own thoughts, ask questions for clarification, and gain insight from your classmates’ responses and instructor’s guidance. It is important to have meaningful conversations with peers and the instructor. This does not mean you simply give your opinion when responding to the discussion question. You should provide thoughtful responses to the prompt using the course content to support your statement. Citations are not required. Although this is a true discussion, please be aware of how you are presenting yourself professionally. Please do not use slang, and be aware of your spelling. Requirements for Discussion Topic Assignments Students are required to post one initial post and to follow up with at least two response posts for each discussion topic assignment. For your initial post (1), you must do the following:
Compose a post of one to two paragraphs.
In Module One, complete the initial post by Thursday at 11:59 p.m. Eastern Time of the module week.
In Modules Two through Ten, complete the initial post by Thursday at 11:59 p.m. of your local time zone.
Take into consideration material such as course content and other discussion topics from the current module and previous modules, when appropriate.
For your response posts (2), you must do the following:
Reply to at least two classmates outside of your own initial post thread.
In Module One, complete the two response posts by Sunday at 11:59 p.m. Eastern Time of the module week.
In Modules Two through Ten, complete the two response posts by Sunday at 11:59 p.m. of your local time zone.
Demonstrate more depth and thought than simply stating “I agree” or “You are wrong.” Guidance is provided for you in each discussion prompt.
Critical Elements Evident (100%) Needs Improvement (75%) Not Evident (0%) Value
Idea Generation Original post includes a generated idea or a question based on original ideas from the module
Generated idea or question not related to ideas in the module
Does not develop an initial post with an organized point of view or idea
Timeliness Submits initial post on time Submits initial post one or two days late
Submits initial post three days late 15
Engagement Posts clear and specific response to two or more original posts
Provides general feedback or only responds to one classmate
Does not respond to classmates 40
I had had to rewrite this reflection because my perception of what I learned here has changed dramatically with my final grade. I really felt like so many of my classmates were way above my knowledge level and that I had fallen into a discipline that was over my head. I realized early on I could only concentrate on this class and no others. I learned a great deal about coding, reimbursement, federal and state regulations as applied to healthcare reimbursement, but more importantly I began to understand how difficult it is to be a provider in these times. Having worked in health insurance and claims for a little while, I had a vague understanding of how codes were applied to reimbursement and I understood about pre-authorization, managed care, from a different perspective. I think my greatest takeaway from this class at this point is wanting to know more about reimbursement and understanding the importance of legislative influences on the industry. How it is so important that practice managers and doctors understand what is happening in the federal and state legislation, taking accountability for reporting functions. This course to be interesting and it brought together strategies and methods of reimbursement used in the healthcare industry. I was not aware of the benchmarking opportunities available to practitioners and specialties. While there are a multitude of payment models, the Centers for Medicare and Medicaid has created a value-based repayment system where incentives have become an important reimbursement consideration. Private insurers are following CMS lead in developing value-based bundled programs that support treatment and self-management in several areas of care which I found interesting, since I just recently received my MPH degree. I do not have the experiences many of the people in this program have and so I found the class to be very challenging. I really believe that our professor is outstanding and very dedicated to help all students succeed in the class.
I am trying to stay focused as I have reconsidered staying in this program. I do not know if I will work in a practice environment but as a healthcare customer service agent in a healthcare third-party payer system, I still believe this education can help me to advance in my career. I would like to learn more about how coding works and I am looking into membership with the AHIMA. I may have an option to work in utilization review in the future. I am excited now about what this class did for me. Thank you Professor for everything.
Hi class and happy 10th week, we made it!
In the initial journal, I wrote that this class would help me understand why the industry is shifting its reimbursement models. Working for a health plan this class has helped me build a greater understanding and knowledge about governmental policies related to reimbursement and how to research reputable and reliable sources. Understanding how financial principles, government policies, data reporting, and teams work and come together to improve an organization’s bottom line is important for all health care leaders to understand. I will apply the concepts of this class to my career to help explain to providers exactly how and why reimbursement has shifted. Having a deeper understanding and resources to refer to will help me network with providers for managed care health plans. This class has boosted my confidence and knowledge about healthcare reimbursement overall. Specific topics such as benchmarking a term I knew very little about. However, I can now continue further research by looking into data sets and networking from a performance-based perspective.
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