Question

Date TIVE COMPETENCY VILA.2. DISPLAY TACTFUL BEHAVIOR ARDER REGARDING THIRD-PARTY REQUIREMENTSATNG WITH MEDICAL Explanati tion: Student must achieve a minimum score of 3 in each category to achieve acing tactful means using good manners as you provide tnuthful sensitive information or provide honest critical Beinta another person. Tactful behaviors include showing respect, discretion, compassion, honesty, diplomacy, and while you deliver a message. Tactful behaviors encompass both nonverbal and verbal communication, including courtesy ay, how you say it, and your body language during the communication. A critical element of being tactful dg the other person's feelings and reactions as you deliver the information. When you use tactful behaviors COnsdemonstrate professionalism and you preserve relationships by avoiding conflicts and finding common ground Many times the medical biller is the expert on the third-party requirements, and providers rely on the biller to help rstand the requirements. Being tactful with providers as you communicale third-party requirements is critical to cru Using the following case study; role-play with nwo peers how you would display tactfhul behaviors when communican with medical providers regarding third party requirements. You are the medical biller for your clinic. The two providers have not been communicating with you regarding pro- cedures that need prior authorization from the insurance carriers. As a result, multiple claims are being denied, and the clinic has had to write off much of the cost. Today, you are talking with the providers, explaining common procedures that require prior authorizations and the process of getting preauthorizations. Limited Unacceptable Scoring Evidence of Evidence of Evidence of Criteria Evidence of Score Score Score Leaning Attempt Attempt Attempt Thru 4 Demonstrated Student was Student was Student tactful behavior respectful andrespectful and awkwardly Student's response w through verbal courteous in courteous in attempted to be not respectful communication his/her verbal his/her verbal respectful and or courteous, communication communication. courteous while thus the delivery of the of a truthful truthful sensitive message was message, but a unprofessional message needs lot more work is and lacked improvement. needed on the tact. by being but the delivery delivering a honest, and delivering a courteous truthful sensitive sensitive message delivery and/or the tactful behaviors Student's Student Student Displayed tactful Student demonstrated demonstrated demonstrated nonverbal some nonverbal limited nonverbal communication nonverbal nonverbal communicating reflect respect, reflect respect, reflect respect, as being with providers. compassion, compassion, compassion, awkward diplomacy, and diplomacy, and diplomacy, and disrespectful. courtesy, but a courtesy, but a and/or unkind; lacking proper courtesy lot more little more improvement is improvement is eye contact needed. and/or normal

Answer 1

ANSWER :

When communicating with the medical providers regarding third party requirements I will be respectful and courteous while delivering a truthful and a sensitive message, and I will demonstrate little non verbal behaviors that reflect, respect, compassion, diplomacy and courtesy.