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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Students have asked these similar questions
When the patient presents with a non life threatening issue, the provider is most likely to access the full electronic health record (EHR) to assess for
A Patient history and allergies
B Self pay status
C Social Security number
D Marital status
Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What are the patient's responsibility, discount amount, and the amount the carrier pays the provider?
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…
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- I need help completing the chart and Explaining the importance of healthcare policy and its impact on healthcare determinants. Part 2 Complete the following chart. Use the weekly textbook readings and other resources you have researched to support your answers: Identify the four different forms of health care policy. Identify an example of each form identified. Classify the form identified into one of the two categories of the health care policy. Describe why the health care form identified fits in the category identified (15 to 45 words). 1. 2. 3. 4. Part 3 Respond to the following prompt using 90 to 175 words: Describe how the different forms of health care policy can be used to shape future policies.arrow_forwardRead the writing and write two paragraphs of 5 sentences providing information that is not in the writing . Put referencesarrow_forwardEmma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is the patient responsibility, discount amount, and the amount the carrier pays provider?arrow_forward
- I need the answer as soon as possiblearrow_forwardAnswer the questions by reading the article Article title: Canada’s dental-care plan to take claims soon, but dentists still waiting on details Article author last name and first name: Laura Osman Date the article was written: January 31, 2024 URL: https://globalnews.ca/news/10264041/dental-care-plan-reimbursement-dentists/ WHO? Who are the people/organizations involved and how are they connected to the issue? Who was interviewed in this article? WHAT? What is the issue? WHEN? WHERE? When did this issue occur? Where did this issue occur? WHY? Why should we as citizens care about the issue? Why is it an issue at that location? Citation: Find a quote that you think captures the main idea from the article, make sure to cite it properly including a page number Complete a Works Cited entry, by following the style below Last Name, First Name. Article Title. Name of Newspaper. DD MM YY. Pagearrow_forwardA 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?arrow_forward
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