Homework Answers
Name of the document is An Explanation of Benefits (EOB).
An explanation of benefits (EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.
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What is the name of the document typically sent by Insurance companies to a subscriber detailing...
Outpatient Insurance Coding - Applying Concepts Ch 3
1. The patient is insured by a PPO with 100 percent coverage after a copay of $15. The patient was seen in the office for a checkup, and the total charges were $115. What amount must the patient pay? When? What amount must the insurance plan pay? When?2 Afaf Darcy is insured by an HMO with a $10 copay and out-of-network coinsurance on charge balances of 90-10. She needed ysical therapy after her knee replacement. Her HMO pays for eighteen...
Outpatient Insurance Coding - Applying Concepts Ch 1
1. The patient's health insurance plan has a $750 deductible for hospital visits, and then it covers 100 percent of hospital visit charges. The patient's first hospital visit this year had charges of $612. The patient was subsequently admitted to the hospital a second time this year, and the charges totaled $358. How much will the patient be billed for each visit? How much will the health insurance plan reimburse for each visit?2 A patient insured under an indemnity plan...
A document sent by the insurance ch explanation or treimbursed for servioey to the provider and...
A document sent by the insurance ch explanation or treimbursed for servioey to the provider and the patient explaining the allowed S, and the patient's financial responsibilities is r service of benefit b. fee schedule. c. claim. d. policy 29. A list of the fixed fees for services is a a. explanation of benefits. b. fee schedule. c. claim. d. policy 30. In some managed care plans referrals to a specialist must be approved by the a. beneficiary b. gatekeeper...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate the insurance in each of the following situations. Upload your completed worksheet to the 3.4 Case Study dropbox. A. A patient's insurance policy states: Annual deductible: $300.00 Coinsurance: 70-30 This year the patient has made payments totaling $533 to all providers. Today the patient has an office visit (fee: S80). The patient presents a credit card for payment of today's bill What is the...
Scenario 1: Mr. Tiny was seen by Dr. Kirt, Aetna was billed out for the services;...
Scenario 1: Mr. Tiny was seen by Dr. Kirt, Aetna was billed out for the services; we accept assignment. Mr. Tiny has a coinsurance of 90/10; assume there is no deductible at this point or copayment. Aetna responded as follows: Office Visit Charges: 190.00 Allowed: 135.00 X-ray Charges: 35.00 Allowed: 18.75 Inj. Morphine Charges: 50.00 Allowed: 25.00 How much would you expect Aetna to pay for his services? $_____.___ (use this format please) Note: You will need to round down as...
PLEASE ANSWER IN C# 5. a. Create a Patient class for the Wrightstown Hospital Billing Department....
PLEASE ANSWER IN C#
5. a. Create a Patient class for the Wrightstown Hospital Billing Department. Include auto-implemented prop- erties for a patient ID number, name, age, and amount due to the hospital, and include any other methods you need. Override the ToString method to return all the details for a patient. Write an application that prompts the user for data for five Patients. Sort them in patient ID number order and display them all, including a total amount owed....
The health insurance mode that offers the least flexibility 44. a. fee-for-service. b. health maintenance organizations....
The health insurance mode that offers the least flexibility 44. a. fee-for-service. b. health maintenance organizations. c. preferred provider organizations. d. exclusive provider organizations. state Which of the following services must be covered by Medicaid in each Family planning services b. 45. a. Transportation of medical care Nurse Midwife services c. d. All of the above d. Co-insurance. 25. A certain percentage of the allowed amount that the policyholder is responsible for is a. premium. b. deductible. c. co-pay d....
OIC - Applying Concepts Ch 3 #4
4. Lisa Perez was seen in your office twice last fall. Her deductible has been met and her coinsurance is 85-15. In October, she was seen for influenza vaccination, and her insurance company was billed $13.00 for the vaccine and $9.00 for the administration of the vaccine. Lisa's schedule of benefits for her indemnity insurance plan lists the influenza administration as being a covered service, but it does not include the actual vaccine. In December, Lisa had an office visit...
October 1 S. Erickson invested $50,000 cash, a $16,000 pool equipment, and $12,000 of office equipment...
October 1 S. Erickson invested $50,000 cash, a $16,000 pool equipment, and $12,000 of office equipment in the company. 2 The company paid $4,000 cash for five months’ rent. 3 The company purchased $1,620 of office supplies on credit from Todd’s Office Products. 5 The company paid $4,220 cash for one year’s premium on a property and liability insurance policy. 6 The company billed Deep End Co $4,800 for services performed in installing a new pool. 8 The company paid...
Mccount Cash recounts Receivable Computer Supplies Prepaid Insurance Prepaid Rent office Equipment Computer Equipment Accounts Payable...
Mccount Cash recounts Receivable Computer Supplies Prepaid Insurance Prepaid Rent office Equipment Computer Equipment Accounts Payable Account 101 S. Rey Capital 106 . Rey, Withdrawals 126 Computer Services Revenue 128 Wages Expense 131 Advertising Expense 163 Mileage Expense 167 Miscellaneous Expenses 201 Repairs Expense-Computer 301 302 403 623 655 676 677 Oct. 15. Rey invested $50,000 cash, a $21,000 computer system, and $9,000 of office equipment in the company. 2 The company paid $3,280 cash for four month rent Hint...
A document sent by the insurance ch explanation or treimbursed for servioey to the provider and the patient explaining the allowed S, and the patient's financial responsibilities is r service of benefit b. fee schedule. c. claim. d. policy 29. A list of the fixed fees for services is a a. explanation of benefits. b. fee schedule. c. claim. d. policy 30. In some managed care plans referrals to a specialist must be approved by the a. beneficiary b. gatekeeper...
Case Study 3.4 Calculating Insurance Math Worksheet Name: Click here to enter your name. INSTRUCTIONS: Calculate the insurance in each of the following situations. Upload your completed worksheet to the 3.4 Case Study dropbox. A. A patient's insurance policy states: Annual deductible: $300.00 Coinsurance: 70-30 This year the patient has made payments totaling $533 to all providers. Today the patient has an office visit (fee: S80). The patient presents a credit card for payment of today's bill What is the...
PLEASE ANSWER IN C#
5. a. Create a Patient class for the Wrightstown Hospital Billing Department. Include auto-implemented prop- erties for a patient ID number, name, age, and amount due to the hospital, and include any other methods you need. Override the ToString method to return all the details for a patient. Write an application that prompts the user for data for five Patients. Sort them in patient ID number order and display them all, including a total amount owed....
The health insurance mode that offers the least flexibility 44. a. fee-for-service. b. health maintenance organizations. c. preferred provider organizations. d. exclusive provider organizations. state Which of the following services must be covered by Medicaid in each Family planning services b. 45. a. Transportation of medical care Nurse Midwife services c. d. All of the above d. Co-insurance. 25. A certain percentage of the allowed amount that the policyholder is responsible for is a. premium. b. deductible. c. co-pay d....
Mccount Cash recounts Receivable Computer Supplies Prepaid Insurance Prepaid Rent office Equipment Computer Equipment Accounts Payable Account 101 S. Rey Capital 106 . Rey, Withdrawals 126 Computer Services Revenue 128 Wages Expense 131 Advertising Expense 163 Mileage Expense 167 Miscellaneous Expenses 201 Repairs Expense-Computer 301 302 403 623 655 676 677 Oct. 15. Rey invested $50,000 cash, a $21,000 computer system, and $9,000 of office equipment in the company. 2 The company paid $3,280 cash for four month rent Hint...
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