Healthcare reimbursement

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Home>Homework Answsers>Nursing homework helpremStudents 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 InsuranceSecondary InsuranceBCBSCigna Health CareCopay: $25.00Deductible: $200.00 (already met)100% benefit after copay80% benefit after deductibleAllowed amount: $150.00Allowed amount: $125.00Both claims were submitted at the same time in error.Money collected from the patient: $0.00Complete 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.Assignment Expectations:Length:answers must thoroughly address each question in a clear, concise manner; complete answers will likely take 2-3 pagesStructure:Title and reference page requiredaddress each question in a numbered listReferences:References required to be cited if used5 years ago04.11.202012Report issueAnswer(1)Teacher A+ Work4.9(3k+)5.0(864)ChatPurchase the answer to view itNOT RATEDHealthcarereimbursement.edited.docx5 years agoplagiarism checkPurchase $12Bids(91)RihAN_MendozaDiscount AssignTeacher A+ WorkTutor Cyrus KenWIZARD_KIMDiscount AnsMichelle GoodManDr.Michelle_ProfRosie SeptemberEmily MichaelTutor RisperProf James KelvinNightingaleYourstarAmanda SmithMaria the tutorElprofessoriProCastrol01Dr shamille ClaraAshliey Writerother Questions(10)WK 3Should the visa insurance procedures and regulations be more stringent? Currently, anyone who want to visit the U.A.E for two…If the density of an unknown gas is 4.20 g/l at -23.0 degrees Celsius and 2.45 atm, whT is the…physics classto touchsmart solutionsi need help for english assignmentIntermediate AccountingQNT351 Week-5 Final Exam (Score 97%)Construction Planning – You need to have Microsoft Project 365Critical Reasoning (PHIL-105) journal

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