DQ at work I need help

timer Asked: Oct 8th, 2014

Question description

You have just graduated as a Medical Administrative Assistantarrow-10x10.png 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 plansarrow-10x10.png in your local area.
  • State the reasons managed care plans give for rising health carearrow-10x10.png costs and how they actually decrease those costs.

It is Friday September 30, 2012, and you are having lunch with a friend who works at another physician’s office.  During the course of the conversation, she asks you if your office is ready to handle the ICD-10 transition from ICD-9 Diagnostic coding.  You look at her with a blank stare and ask, “What transition?”  She explains how everything is going to change, including the format and number of digits.  You realize that since the medical billing specialistarrow-10x10.png left for maternity leave six weeks ago, that no claims have gotten billed.

  • What process will you take to get those claims filed? 
  • Is there time before Monday when the change takes effect?
  • Oh no, will it be better to electronically file the claims over the weekend in the ICD-9 format; Go thru a clearinghouse; or print everything out on paper, hoping the claims will be considered under the ICD-9 format and not under the ICD-10?
  • Explain your choice.

Studypool has helped 1,244,100 students
flag Report DMCA
Similar Questions
Hot Questions
Related Tags

Brown University

1271 Tutors

California Institute of Technology

2131 Tutors

Carnegie Mellon University

982 Tutors

Columbia University

1256 Tutors

Dartmouth University

2113 Tutors

Emory University

2279 Tutors

Harvard University

599 Tutors

Massachusetts Institute of Technology

2319 Tutors

New York University

1645 Tutors

Notre Dam University

1911 Tutors

Oklahoma University

2122 Tutors

Pennsylvania State University

932 Tutors

Princeton University

1211 Tutors

Stanford University

983 Tutors

University of California

1282 Tutors

Oxford University

123 Tutors

Yale University

2325 Tutors