Insurance And Healthcare Reimbursement

Assignment:

Students procure total the subjoined scenario as an disquisition.

As you are completing your audits you heed Mary Johnson’s chart and attend-to the subjoined:

Mary Johnson saw Dr. Nichols today for a well-woman exam. Total charges are $185.00. Mary has two security companies:

Primary Insurance

Secondary Insurance

BCBS

Cigna Health Care

Copay: $25.00

Deductible: $200.00 (already met)

100% blessing succeeding copay

80% blessing succeeding deductible

Allowed amount: $150.00

Allowed amount: $125.00

Both assertions were submitted at the corresponding period in hallucination.

Money calm from the resigned: $0.00

  1. Complete the subjoined doubts providing rationales for your counterparts:
    1. How abundantly money did Dr. Nichols take?
    2. How abundantly should BCBS keep hired?
    3. How abundantly should Cigna keep hired?
    4. How abundantly is this assertion overpaid?
    5. Who overhired on this assertion?
    6. What would be your proximate steps?
  2. Address how this condition jurisdiction be avoided in the future: be particular and collect steps.
  3. The well-woman exam showed this resigned due to nativity narrative of cancer would blessing from BRCA genetic testing and twain security companies robbed this assertion. Format a note of address or BRCA testing.

This enactment is totald as an APA name pamphlet, and should be at last 2-3 pages in protraction. Demonstrate your calling acquaintance and negotiative ethics in your counterpart.

Assignment Expectations:  

  • Length:
    • answers must collectively address each doubt in a acquitted, short manner; total answers procure mitigated take 2-3 pages
  • Structure:
    • Title and allusion page required
    • address each doubt in a numbered list
  • References:
    • References required to be cited if used
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