Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
14th Edition
ISBN: 9781337554220
Author: Michelle A. Green
Publisher: Cengage Learning
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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?
Below is an example of an ISBAR communication between a registered nurse and a healthcare provider. Which statement represents the "background" in ISBAR?
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- Nursing Homes Assistant Identify the most common form of litigation in Nursing Homes. Describe a situation in which an individual in this profession might be held liable for negligence and ways to proactively avoid or prevent negligence in the profession that you selected.arrow_forwardDiscuss the different methods one can use to defame another's character in nursing practice!Can you please help me with this question? Thank you in advance!arrow_forwardTraditional Fee-For-Service coverage is selected by: A Small business employees Large groups of employees Individuals with no group plan None of the abovearrow_forward
- Mary is a nurse working with client at home. The client offers to give her a monetary gift for Christmas to pay her rent. Is it acceptable for Mary to take gift? Discuss your answerarrow_forwardDrag 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…arrow_forwardI attached the pdf. This is not a graded assignment Problem or problems the researchers study in the article The reasoning behind the study, why.arrow_forward
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