Case Studies. Case 1.

Question Answered step-by-step Case Studies. Case 1.A new patient is completing your office’s patient registration form. The patient tells you that she has insurance but dose not have her card with her and does not know the effective date of coverage, the group plan number, or the identification number. Explain one or more ways to obtain the insurance information right away. Case 2.Mr. Lewis, a new patient, arrives at the office for his first appointment. His neighbor is a patient in the office and referred Mr. Lewis to your office. As you are checking him in, you discover that he is enrolled in a PPO insurance plan and your office is not an in-network provider. You explain to Mr. Lewis that he can still be seen, but he will be responsible for a higher coinsurance  and may be subject to a deductible. Mr. Lewis is upset and angry that he was not informed to this fact when he made the appointment.a. How could this incident have been avoided?b. Is there anything you can do today to assist Mr. Lewis? Case 3.Your medical office receives a payment and a remittance advice (RA) from an insurer in response to a claim you filed for a patient. The RA notes that one of the services on the claim is not covered in the patient’s plan. What steps will you take regarding the rejected portion of the claim? Health Science Science Nursing MAST 1060 Share QuestionEmailCopy link Comments (0)