1. Mrs. Cochran is a new patient to Dr. Dietrich’s practice. She handed the receptionist, Lila, her completed new patient paperwork prior to being seen. At that time Lila asked for Mrs. Cochran’s insurance cards to copy for her file. Mrs. Cochran handed Lila her Medicare card and the card for her other carrier. What paperwork will have to be completed due to Mrs. Cochran’s dual coverage?
2. Allison is overwhelmed in her new job in the insurance claim processing department. Her supervisor is looking for a pending claim in Allison’s desk and finds a drawer marked “Returns,” which contains nearly 100 returned claims sent back by the carriers for various reasons. What could those reasons be?
3. What is the Health Insurance Portability and Accountability Act (HIPAA), and why is it important?
4. Name three reasons EDI is the industry standard in processing insurance claims today
1 ½ paragraphs each
1. Mr. Parker recently applied for life insurance. He called his primary care physician because the application form had a section to be filled out by his physician. He had a complete physical examination only 2 months ago and hoped another visit would not be necessary. What are the guidelines in this case?
2. When filing a workers’ compensation claim, what health insurance form should be used?
3. What are the advantages of electronic data interchange for the physician, the patient, and the medical office staff?
4. You are a medical office manager who must shop for an office computer system. What are some key considerations in making your decision, and what aspects of the practice will affect your choice?
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