Students will complete the following scenario as an essay.
As you are completing your audits you observe Mary Johnson’s chart and notice the following:
Mary Johnson saw Dr. Nichols today for a well-woman exam. Total charges are $185.00. Mary has two insurance companies:
Primary Insurance
Secondary Insurance
BCBS
Cigna Health Care
Copay: $25.00
Deductible: $200.00 (already met)
100% benefit after copay
80% benefit after deductible
Allowed amount: $150.00
Allowed amount: $125.00
Both claims were submitted at the same time in error.
Money collected from the patient: $0.00
Complete the following questions providing rationales for your responses:
How much money did Dr. Nichols receive?
How much should BCBS have paid?
How much should Cigna have paid?
How much is this claim overpaid?
Who overpaid on this claim?
What would be your next steps?
Address how this situation might be avoided in the future: be specific and provide steps.
The well-woman exam showed this patient due to family history of cancer would benefit from BRCA genetic testing and both insurance companies denied this claim. Format a letter of appeal or BRCA testing.
This assignment is completed as an APA style paper, and should be at least 2-3 pages in length. Demonstrate your business knowledge and professional ethics in your response.
The post Cigna Health Care appeared first on Homeworkaider.
What Students Are Saying About Us
.......... Customer ID: 12*** | Rating: ⭐⭐⭐⭐⭐"Honestly, I was afraid to send my paper to you, but you proved you are a trustworthy service. My essay was done in less than a day, and I received a brilliant piece. I didn’t even believe it was my essay at first 🙂 Great job, thank you!"
.......... Customer ID: 11***| Rating: ⭐⭐⭐⭐⭐
"This company is the best there is. They saved me so many times, I cannot even keep count. Now I recommend it to all my friends, and none of them have complained about it. The writers here are excellent."
"Order a custom Paper on Similar Assignment at essayfount.com! No Plagiarism! Enjoy 20% Discount!"
