Chap 4 WKBK I&B ME

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School

Marion Technical College *

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MISC

Subject

Medicine

Date

Feb 20, 2024

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docx

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4

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Workbook I&B Read chapter 4: Revenue management & denied claims. Assignment 4.1: 1. What is the check number and amount paid to the provider as recorded on the remittance advice? Check number 235698 Amount 860.00 2. What was patient John Cofee's coinsurance amount for his visit on 04/06yyyy? $20.00 3. Patient James Eicher was not charged a coinsurance amount for his 0415yyyy visit. What is it possible explanation for this? There was a $0 copay for preventative services, the patient was most likely seen for an annual preventative service. 4. What is patient Jenny Baker's account number? BAKE1234567-01 5. What is the allowed amount for procedure code 99213? $60.00 6. What is patient John Humphries health insurance claim number? HICN : 454545544 7. How many patients in figure 4-2 authorize an assignment of benefits to Doctor Wilkins? 5 8. What is patient Grayson Kihlberg's coinsurance amount for CPT code 99204? $27.00 9. What was Craig Zanes coinsurance amount for code 73600? $0 10. What was the amount billed for patient Angel Brennans visit? $80.00 11. What was the date of service for patient Christopher Hess? 05/08/YY 12. What procedure code is listed for patient Mary Schwartz? 46600 13. How much did the provider build the insurance company for the care of patient Andrew gagner? $470.00 14. Identify the place of service code for each patient. Gagner: 11- Physician Office Hess: 11- Physician Office Schwartz: 11- Physician Office Stave: 11- Physician Office Thomas: 11- Physician Office
15. According to the remittance advice, how much was Doctor Kelley paid? $676.00 16. What does the abbreviation NET represent, according to the legend at the bottom of the remittance advice? Amount payer paid to provider. 17. What was the allowed amount for code 11442? $190.00 18. What was the total coinsurance amount paid on the figure 4-4 remittance advice? $83.00 19. What is patient Paulette Milfie's coinsurance amount for the visit on 05/01yy? $0 20. What is patient Susan Brisbane’s account number? BRIS396715-01 21. How much was Doctor Horne paid by the insurance company for patient Jason brooks visit? $75.00 22. What is Doctor Horne’s provider number? 31055 23. What is the telephone number for white healthcare systems? 1-800-555-2468 24. How much did the provider bill the insurance company for the care of patient Jason Brooke? $112.00 25. What does POS represent, according to the legend at the bottom of the remittance advice? Place of service code 26. What is Doctor Brown's title? D.O. - Doctor of Osteopathic medicine 27. What was the date of service for Kathleen Smith's visit? 05/22/YY 28. On what date was the remittance advice generated? 05/31/YY 29. How many patient visits were listed for 05/22yy? 2 30. What was the allowed amount for code 30300? $65.00 Assignment 4.2: 1. How much was the keystone plan charged for Mary S patients visit on 04/05yy? $60.25 2. How much was Mary S patient paid out of pocket this year to date? $121.64 3. What is Mary S patients identification number? BLS123456789 4. What was the allowed amount charged by doctor Miller for Mary S. Patients visit on 04/05yy? $40.25
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