Ch. 9 Case Study Worksheet Computerized Health Information

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Louise is an 89-year-old woman who was discharged from the hospital after having a cardiac valve replacement for mitral valve stenosis. After going home, she had home health services for a few weeks. Louise had both Medicare and a secondary insurance. She received a bill requesting payment for the home health services provided. She was prepared to write a check for the total amount. Fortunately, her granddaughter, Marie, a HIM professional, was visiting and reviewed the bill. Marie immediately saw that neither Medicare nor the secondary insurance had been billed. Marie assisted her grandmother by calling the home health agency to discuss the bill. She was told that the home health agency did not have the insurance policy numbers. Marie provided the policy numbers. When she was about to hang-up, the billing office representative told Marie that when Louise received a Medicare Summary Notice from Medicare to call them back to let them know so that they could bill the secondary insurance. Marie explained to them that it was their responsibility to identify this. If Marie had not gotten involved, then Louise would have paid the bill and her insurance companies would never have been billed. Also, Louise would have called the home health agency to ask them to bill the secondary insurer

Questions are on the attached document. Please answer the questions on the document.

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Student Name: Assignment: Ch. 9: Case Study Assignment. Available: Friday, October 19 – Sunday, October 28, 2018 11:59pm. Due: Sunday, October 28, 2018 11:59pm. Assignment Instructions: 1. Use this worksheet to provide your written responses for the assignment. 2. Make yourself familiar with the Computerized Health Records Writing rubric. 3. Provide a well thought out summary response in your own words for the case study assignment. 4. Use your textbook chapter so that you fully understand the assignment and respond appropriately. In addition, you may use the internet when you want to expand further on your learning. 5. At the end of your summary, note references used (textbook: page numbers. Internet: web address providing a link to the specific information you used.) 6. Submit to the designated assignment folder by the specified due date and time. Chapter 9 Case Study: Louise is an 89-year-old woman who was discharged from the hospital after having a cardiac valve replacement for mitral valve stenosis. After going home, she had home health services for a few weeks. Louise had both Medicare and a secondary insurance. She received a bill requesting payment for the home health services provided. She was prepared to write a check for the total amount. Fortunately, her granddaughter, Marie, a HIM professional, was visiting and reviewed the bill. Marie immediately saw that neither Medicare nor the secondary insurance had been billed. Marie assisted her grandmother by calling the home health agency to discuss the bill. She was told that the home health agency did not have the insurance policy numbers. Marie provided the policy numbers. When she was about to hang-up, the billing office representative told Marie that when Louise received a Medicare Summary Notice from Medicare to call them back to let them know so that they could bill the secondary insurance. Marie explained to them that it was their responsibility to identify this. If Marie had not gotten involved, then Louise would have paid the bill and her insurance companies would never have been billed. Also, Louise would have called the home health agency to ask them to bill the secondary insurer. Case Study Question Student Summary Question 1: : Identify how this case applies to the chapter. Question 2: What could the home health agency have done to prevent this problem?
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