Lewis Jordan, RMA, works at Pearson Physicians Group as a medical billing and insurance clerk
Question # 00602517
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Updated on: 10/11/2017 10:16 PM Due on: 10/15/2017
read the following case study and, then, answer the questions below. Each question should be answered in at least one paragraph or 175 words.
Lewis Jordan, RMA, works at Pearson Physicians Group as a medical billing and insurance clerk. His duties include verifying insurance and processing claims.
Sylvia Baker is a new patient and has an appointment to see Dr. Miller next week. She has Blue Cross/Blue Shield insurance. Mark Flannery is also a patient. He was in to see Dr. Miller last month, and the claim for his care was rejected. The codes, quantities, and modifiers were all correct on the CMS-1500. Lewis receives a call from Mr. Flannery, who is angry, because he has been billed for his last visit and has already paid his co-payment.
Questions:
What steps should Lewis take to verify Sylvia Baker’s insurance?
List some reasons the claim for Mark’s care could have been rejected.?
How should Lewis handle Mr. Flannery’s angry call?
Lewis Jordan, RMA, works at Pearson Physicians Group as a medical billing and insurance clerk. His duties include verifying insurance and processing claims.
Sylvia Baker is a new patient and has an appointment to see Dr. Miller next week. She has Blue Cross/Blue Shield insurance. Mark Flannery is also a patient. He was in to see Dr. Miller last month, and the claim for his care was rejected. The codes, quantities, and modifiers were all correct on the CMS-1500. Lewis receives a call from Mr. Flannery, who is angry, because he has been billed for his last visit and has already paid his co-payment.
Questions:
What steps should Lewis take to verify Sylvia Baker’s insurance?
List some reasons the claim for Mark’s care could have been rejected.?
How should Lewis handle Mr. Flannery’s angry call?
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Rating:
/5
Solution: Lewis Jordan, RMA, works at Pearson Physicians Group as a medical billing and insurance clerk