EBK CASE STUDIES IN HEALTH INFORMATION
3rd Edition
ISBN: 9781337514538
Author: Mccuen
Publisher: VST
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Drag the missing term into each sentence/paragraph text related to completion of the 837 P claim.
The HIPAA 837P uses the term
for the insurance
diagnosis
account
or guarantor, meaning the same as
on the
CMS-1500 clalm.
The name and address of any
than the subscriber or patient who has
is reported if applicable.
party, the entity or person other
responsibility for the bill,
submission
line
filing indicator code is an administrative code used to identify
data
health
the type of
plan, such as a PPO.
and the subscriber are not the same person, an
code is required to specify the patient's relationship
When the
claim
attachment
individual
to the subscriber.
Although sometimes called the patient
number, the claim
number should not be the same as the practice's account
insured
electronic
number for the patient.
The claim
code, also called the claim
financial
policyholder
code, for physician practice claims indicates whether this claim is an original, a
or needs to be voided.
A total of four…
A patient received $800 medical procedure . The patient has an insurance plan with a 70/30 coinsurance agreement and a $200 deductible which they have not met . The insurance allows $550 on the procedure and the provider will write off the difference in cost . How much will the insurance be responsible for? How much will the patient be responsible for?
A patient receives a $420 medical procedure and has a 70/30 coinsurance agreement and a $100 deductible with their insurance company which they have not met. The insurance allows $300 on the procedure and the provider will write off the difference in cost. How much will the insurance be responsible for? How much will the patient responsible for?
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- Note:- Do not provide handwritten solution. Maintain accuracy and quality in your answer. Take care of plagiarism. Answer completely. You will get up vote for sure.arrow_forwardWhat are the role of technology in prescription writing? Please briefly define this at your own easy words. Answer should be approximately (500-600) words. Please attach some image or pictures regarding this topic.arrow_forwardThe purpose of obtaining a health history in today's medical office is to: a. have a basis for all treatment given by the provider and a guide for all future treatment. b. have information for the patient's personal use. c. have something to document in the patient's medical record. O d. have information for the insurance company.arrow_forward
- What are the role of technology in prescription writing? Please briefly define this at your own easy words. Answer should be approximately (500-600) words. Please add some image or pictures if possible.arrow_forwardMy professor instructed me to make assignment on this topic "Role of technology in prescription writing ". Can you Please explain each of the part at your own easy words. I will rate you positive if you do so. Thank you.arrow_forwardHow future directions for prescription writing ensures medication safety? Please elaborately answer at your own easy words. Please attach some suitable image, diagrams, table's or pictures regarding this topic.arrow_forward
- What is the role of technology in prescription writing? Please answer at your own easy words. If possible, please add some diagram, image or pictures.arrow_forwardHere is the image of a medical visit for patients. Our team is looking for improvement in both patient and physician satisfaction. As shown in the image below, 1.patients currently arrive at the medical office and complete an information form. 2. Some patients have appointments, but others are walk-ins. 3. An office assistant places the completed forms in a folder with the patient’s chart while answering the phone, assisting other patients, and dealing with paperwork. 4. The provider pulls the chart, provides the medical service, fills out forms for prescriptions and services provided, and returns it to the front desk. 5. The billing department enters the fee ticket, hopefully without errors, into a claim form to be mailed to the insurance company. 6. The insurance company receives the claim form and checks to see if it was sent to the correct company, if the form was completed correctly by the provider, and if the procedure was covered. If any of the above criteria are not met, the…arrow_forwardWhich of the following tasks should be completed prior to claim submission? Coding the visit Using the UB-20 form Provider signing the claim Manually sending the claimarrow_forward
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