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timer Asked: Sep 20th, 2014

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Jo Bob Smith came into the office to see the Physician. Upon collecting his copay, he mentioned that his employer is finally offering the option to be covered under a group plan. Jo Bob is still wavering as he likes his individual policy through Jingle Bell Insurance Company . • • • • Explain the differences between an individual policy and a group policy. Include costs of premiums, copays, deductibles, co-insurance, etc. Does an individual plan offer COBRA benefits or pre-existing conditions inclusions? Discuss how you would communicate to the patient, in layman’s terms, the differences. 2. Please refer to your State Medicaid Website. • • • • Discuss the different plans available under the State Program . Discuss the criteria for participation in the State Medicaid program under each available plan. How does a physician enroll to be a participating provider? Download a copy of the enrollment form for the physician and attach to this discussion. 3. Pick a state to research workers’ compensation laws and post which state you select in the “Main discussion” area. No duplicate states please. • • • • Whoever posts a state first receives the luxury of reviewing the laws for that state. Please write a brief report of your findings and share it with the class. Make sure you include billing guidelines, eligibility, and benefits. You have just graduated as a Medical Administrative Assistant and have your first interview. This would be the ideal dream job you have worked so hard to get. But you need an edge over all of the other applicants and have been made aware that you will have to provide a presentation to the prospective Office Manager over Managed Care. • • • • You ask—What is that? What do you do? Compare and contrast managed care plans by researching at least three prominent insurance plans in your local area. State the reasons managed care plans give for rising health care costs and how they actually decrease those costs. 4. Discuss how a chart is to be organized, include data elements, source oriented versus problem oriented, active, inactive or closed status. Describe protocols for retrieving, routing, purging, storing, transferring, retaining and destruction of medical records. What filing systems are available, i.e. numbering, alphabetical and alphanumeric and which one would you choose? Include what order would you organize medical encounters into one chronological file. What type of information (labs, x-rays, progress notes, etc.) would you gather? What supplies do you need to build that record? Answer in detail if the record belongs to the patient since he/she pays for the services? A medical record tells a story. Each section of the medical record helps provide details of the story. Discuss why a medical record is important and why those details are just as important. How could the absence or disorganization of such details alter the story? Create a “story” of your own where the inclusion or exclusion of specific forms, documents, and information changed the course of the patient’s care. Furthermore, discuss which filing method you would use and what you would do with the file once it becomes "inactive.

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