Case study Objective To practice quality improvement tools by applying them to an improvement effort in an ambulatory care setting. Instructions Read the following case study. After you have read the case study, follow the instructions continued at the end of the case. Before continuing, completely read all of the remaining instructions Decide which problem […]
How do you explain why all the information is needed in order that the coders can file the insurance claim?
Discussing Superbill for Health Insurance Claim Mrs. Chin notices the Medical Assistant is marking many things on the form in the computer as she does her initial assessment and during the doctor’s exam. She adds even more to the form when the doctor orders lab work. Mrs. Chin is concerned that she is being charged […]
Describe the parties who can claim on or benefit from an insurance contract.
Understand the main legal principlesgoverning the making of an insurance claim 7.1 Describe the parties who can claim on or benefit from an insurance contract. 7.2 Explain the rules governing notice and proof of loss. 7.3 Explain the insured’s contractual duty to mitigate orprevent an insured loss. 7.4 Explain the doctrine of proximate cause. 7.5 […]