Answer Happy

iii E < 50 of 224 > b Аа 믄 Applying Your Knowledge Case 3.1 Abstracting Insurance Information LO 3.1 Carol Viragras saw Dr. Alex Roderer, a gynecologist with the Alper Group, a multispecialty practice of 235 physicians, on October 24, 2027. On December 3, 2029, she made an appointment to see Dr. Judy Fisk, a gastroenterologist also with the Alper Group. Did the medical insurance specialist handling Dr. Fisk's patients classify Carol as a new or an established patient? Case 3.2 Documenting Communications LO 3.3 Harry Cornprost, a patient of Dr. Connelley, calls on October 25, 2029, to cancel his appointment for October 31 because he will be out of town. The appointment is rescheduled for December 4. How would you document this call?
jii < 50 of 224 > Аа Q Case 3.3 Coordinating Benefits Based on the information provided, determine the primary insurance in each case. A. LO 3.6 George Rangley enrolled in the ACR plan in 2018 and in the New York Health plan in 2016. George's primary plan: B. LO 3.6 Mary is the child of Gloria and Craig Bivilaque, who are divorced. Mary is a dependent under both Craig's and Gloria's plans. Gloria has custody of Mary. Mary's primary plan: C. LO 3.6 Karen Kaplan's date of birth is 10/11/1985; her husband Carl was born on 12/8/1986. Their child Page 104 Ralph was born on 4/15/2015. Ralph is a dependent under both Karen's and Carl's plans. Ralph's primary plan: D. LO 3.6 Belle Estaphan has medical insurance from Internet Services, from which she retired last year. She is on Medicare but is also covered under her husband Bernard's plan from Orion International, where he works. Belle's primary plan: E. LO 3.6 Jim Larenges is covered under his spouse's plan and has medical insurance through his employer. Jim's primary plan:
iii < 50 of 224 > a Аа 1 Case 3.4 Calculating Insurance Math A. LO 3.8, 3.9 A patient's insurance policy states: Annual deductible: $300.00 Coinsurance: 70-30 This year the patient has made payments totaling $533 to all providers. Today the patient has an office visit (fee: $80). The patient presents a credit card for payment of today's bill. What is the amount that the patient should pay? B.LO 3.8, 3.9 A patient is a member of a health plan with a 15 percent discount from the provider's usual fees and a $10 copay. The day's charges are $480. What are the amounts that the HMO and the patient each pay? C. LO 3.8, 3.9 A patient is a member of a health plan that has a 20 percent discount from the provider and a 15 percent copay. If the day's charges are $210, what are the amounts that the HMO and the patient each pay?