This document contains 3 cases that provide examples of abstracting insurance information, calculating insurance math problems, and identifying insurance terms. Case 1.1 lists insurance details like deductibles and pre-approval requirements. Case 1.2 provides cost examples and walks through deductible calculations. Case 1.3 tests knowledge of insurance terminology like PPO and identifying deductible amounts and coinsurance percentages in medical billing scenarios.
This document contains 3 cases that provide examples of abstracting insurance information, calculating insurance math problems, and identifying insurance terms. Case 1.1 lists insurance details like deductibles and pre-approval requirements. Case 1.2 provides cost examples and walks through deductible calculations. Case 1.3 tests knowledge of insurance terminology like PPO and identifying deductible amounts and coinsurance percentages in medical billing scenarios.
This document contains 3 cases that provide examples of abstracting insurance information, calculating insurance math problems, and identifying insurance terms. Case 1.1 lists insurance details like deductibles and pre-approval requirements. Case 1.2 provides cost examples and walks through deductible calculations. Case 1.3 tests knowledge of insurance terminology like PPO and identifying deductible amounts and coinsurance percentages in medical billing scenarios.
A. $10 B. $250 Ded 80%/20% C. The patient must have approval in advance before being admitted, and the approval has to be obtained at least seven days before the scheduled visit and within forty-eight hours of admission in an emergency case or the next business day after a holiday or weekend emergency admission. Case 1.2 Calculating Insurance Math A. $95 B. $750 ins $250 patient C. $336 ins $84 patient D. $0 E. $229.50 F. $1055.60 G. Since the cost of surgery is $1890 which is less than the remaining deductible amount of $2200, no amount can be collected from a co-payer until an additional $310 is paid, then the full deductible amount will have been met. ($2500-$300=$2200, $2200-$1890=$310) ($300+$1890+$310=$2500 H. $2400 ins $1600 patient Case 1.3 Using Insurance Terms A. PPO B. $5659.92 C. $2500 D. 0% E. $6000
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