HCS 182 Week 4 The Claims Process | eBooks | Education

HCS 182 Week 4 The Claims Process

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HCS 182 Week 4 The Claims Process 

https://uopcourses.com/category/hcs-182/

 

HCS 182 Week 4 The Claims Process

 

Resources: Claims Process Worksheet, CMS 1500 Claim Form

Complete parts A, B, and C of the Claims Process Worksheet.

Click the Assignment Files tab to submit the Claims Process worksheet and the CMS 1500 Claim Form.

Part A: Read the following scenario:

 

Mrs. Jane Sample (DOB 12/22/1967) called her primary care provider’s office and scheduled an appointment with Dr. Billings for Monday, October 22nd, 2015. She requested the appointment because she had a cough and some congestion as well as wheezing and a fever off and on for about three days prior. Upon registration, she informed the front desk that she had new insurance effective October 1, 2015.

 

The insurance card was scanned and the following information was verified:

 

 

 

    • Name: Jane Sample

 

 

    • DOB 12/22/1967

 

 

    • Address: 211 First Lane

 

 

 

 Houston, TX 77398

 

 

 

    • Phone Number: (555) 727-5555

 

 

    • Insurance Subscriber: John Sample 

       

       

       

       

        • DOB: 5/25/1965

       

       

       

       

 

 

 

 

The doctor examined Mrs. Sample and felt that due to the wheezing, a chest X-ray was needed to determine if pneumonia was present. This patient has had a history of pneumonia, so it was medically necessary to evaluate the present signs and symptoms. The chest X-ray did reveal left lobe pneumonia.

 

HCS 182 Week 4 The Claims Process https://uopcourses.com/category/hcs-182/ HCS 182 Week 4 The Claims Process Resources: Claims Process Worksheet, CMS 1500 Claim Form Complete parts A, B, and C of the Claims Process Worksheet. Click the As
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