1. Should medical insurance policies restrict certain excluded services? Why or why not?
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1. Should the gender rule be used to determine primary insurance for dependent children? Why or why not?
1. Under what types of circumstances might medical insurance specialists need to utilize GEMS?
2. For the average patient, which would be the preferred health insurance plan, indemnity or managed care? Why?
8. Why would the medical billing specialist need to use HCPCS codes for patients other than those covered by Medicare?
3. Should spouses have the right to view each other's medical record without authorization?
1. As a consumer of healthcare services, what advantages and disadvantages are there to electronic health records?
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...
4. While on a skiing vacation, you break your leg and are treated by a local provider. Upon your return home, your PCP removes the cast. Explain why or why not to use bundled code.
2. Why is it important for WHO to standardize codes to be used worldwide?
4. The code numbers are listed in the Alphabetic Index. Why not code directly from it?