A patient comes to the clinic on January 1, 2016. The front desk receptionist didn’t verify the patients’ insurance because she was the only receptionist working at the time of service. Once the Medicare EOB comes back, it is filled with details and the receptionist realizes that patient didn’t have Medicare coverage at the time of service. Whenever receptionist call the patient, the patient insists that the receptionist change the date of service to December 31, 2016 in order for her insurance claim to be processed. If receptionist changes the date of service, what are some things that could happen?
150 words minimum for each question. Reference must be in APA format. Must be searchable. Correct English grammar and punctuation.
1.Locate a scholarly article about Tricare insurance and/or medical billing. Write a detailed 2 part description/ summary of the information. Provide a reference for the article that you have found in APA formatting and make sure you cite references.
2. A patient comes to the clinic on January 1, 2016. The front desk receptionist didn’t verify the patients’ insurance because she was the only receptionist working at the time of service. Once the Medicare EOB comes back, it is filled with details and the receptionist realizes that patient didn’t have Medicare coverage at the time of service. Whenever receptionist call the patient, the patient insists that the receptionist change the date of service to December 31, 2016 in order for her insurance claim to be processed. If receptionist changes the date of service, what are some things that could happen?
3. Discuss the importance of medical documentation and what are some of the key elements that need to be present in a SOAP note? What is a SOAP note and how does is aid in insurance claims?
4. What are the differences between paper claims and electronic claims. What are some of the pros and cons of each that can affect the medical practice? List at least 3.