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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
Edition 7ISBN: 978-1259683077 Exercise 12
Abstracting Insurance Information
Based on the following notes, fill out the precertification form on page 311 for Betty Sinowitcz.
Encounter Data: 5/4/2018
Patient: Elizabeth R. Sinowitcz
Date of Birth: 8/2/1943
Address: 45 Maple Hill Road, Apt. 12-B, Rangeley, MN 55555
Home Telephone: 555-123-9887
Employer: Argon Electric Company, 238 Industry Way, Rangeley, MN 55554
Betty is on Medicare. She also has insurance coverage through Argon Electric in the Horizon PPO. Her insurance card shows her member number as 65-PO; no group number is shown.
Betty was referred to Dr. Hank R. Ferrara, a Horizon-participating ophthalmologist (PIN 349-00-G), for evaluation of her blurred and dimmed vision. After conducting an examination and taking the necessary history, Dr. Ferrara diagnoses the patient's condition as a cortical age-related cataract of the left eye that is close to mature (ICD-10-CM H25.012). Dr. Ferrara decides to schedule Betty for lens extraction; the procedure is ambulatory care surgery with same-day admission and discharge. The procedure will be done at Mischogie Hospital's Outpatient Clinic on 5/10/2018. Horizon PPO requires precertification for this procedure (CPT 66984).
Based on the following notes, fill out the precertification form on page 311 for Betty Sinowitcz.
Encounter Data: 5/4/2018
Patient: Elizabeth R. Sinowitcz
Date of Birth: 8/2/1943
Address: 45 Maple Hill Road, Apt. 12-B, Rangeley, MN 55555
Home Telephone: 555-123-9887
Employer: Argon Electric Company, 238 Industry Way, Rangeley, MN 55554
Betty is on Medicare. She also has insurance coverage through Argon Electric in the Horizon PPO. Her insurance card shows her member number as 65-PO; no group number is shown.
Betty was referred to Dr. Hank R. Ferrara, a Horizon-participating ophthalmologist (PIN 349-00-G), for evaluation of her blurred and dimmed vision. After conducting an examination and taking the necessary history, Dr. Ferrara diagnoses the patient's condition as a cortical age-related cataract of the left eye that is close to mature (ICD-10-CM H25.012). Dr. Ferrara decides to schedule Betty for lens extraction; the procedure is ambulatory care surgery with same-day admission and discharge. The procedure will be done at Mischogie Hospital's Outpatient Clinic on 5/10/2018. Horizon PPO requires precertification for this procedure (CPT 66984).
Explanation
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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
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