Ch 15 Case Studies #2

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Ch 15 Case Studies #2

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important.

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Ch 15 Case Studies #3

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important.Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)
Ch 15 Case Studies #4

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important. Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)
Ch 15 Case Studies #5

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important. Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)

Ch 15 Case Studies #1

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important. Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)
Ch 16 Case Studies #4

When a practice receives an RA from a carrier, the payment received for each procedure is posted to each patient’s account. If any patients on the RA have secondary coverage, secondary claims are then prepared unless they have automatically crossed from the primary to the secondary payer. Before doing so, however, the practice analyzes the RA to make sure the payments received are in keeping with what is expected given the office’s fee schedule, the patient’s insurance plan, and any...
Ch 16 Case Studies #5

When a practice receives an RA from a carrier, the payment received for each procedure is posted to each patient’s account. If any patients on the RA have secondary coverage, secondary claims are then prepared unless they have automatically crossed from the primary to the secondary payer. Before doing so, however, the practice analyzes the RA to make sure the payments received are in keeping with what is expected given the office’s fee schedule, the patient’s insurance plan, and any...

Ch 16 Case Studies #6

When a practice receives an RA from a carrier, the payment received for each procedure is posted to each patient’s account. If any patients on the RA have secondary coverage, secondary claims are then prepared unless they have automatically crossed from the primary to the secondary payer. Before doing so, however, the practice analyzes the RA to make sure the payments received are in keeping with what is expected given the office’s fee schedule, the patient’s insurance plan, and any...
Ch 16 Case Studies #7

When a practice receives an RA from a carrier, the payment received for each procedure is posted to each patient’s account. If any patients on the RA have secondary coverage, secondary claims are then prepared unless they have automatically crossed from the primary to the secondary payer. Before doing so, however, the practice analyzes the RA to make sure the payments received are in keeping with what is expected given the office’s fee schedule, the patient’s insurance plan, and any...
Ch 16 Case Studies #10

As with a Medicare RA, when a commercial RA is received, before posting payments and preparing secondary claims that may be required you must carefully review it. When analyzing an RA from a commercial carrier, you must be familiar with the guidelines of that carrier’s particular plan. The type of services covered and the percentage of the coverage will vary, depending on whether the plan is a fee-for-service plan, a managed care plan, a consumer-driven health plan, or some other...

Ch 16 Case Studies #9

As with a Medicare RA, when a commercial RA is received, before posting payments and preparing secondary claims that may be required you must carefully review it. When analyzing an RA from a commercial carrier, you must be familiar with the guidelines of that carrier’s particular plan. The type of services covered and the percentage of the coverage will vary, depending on whether the plan is a fee-for-service plan, a managed care plan, a consumer-driven health plan, or some other...

Ch 15 Case Studies #2

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Ch 15 Case Studies #2

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