Medical Claim

Case Studies (70 Points)

The case studies in Chapter 16 of your textbook provide additional practice associated with handling denied claims, processing Medicare RAs and preparing secondary claims. For your Week 6 Critical Thinking assignment, complete the following case studies that are based on the claims that you completed in Week 3:

  • Case Study 16.4: Processing Commercial payer RAs and Preparing Secondary Claims (Chapter 15, Case study 15.17)
  • Case Study 16.7: Calculating Patient’s Balances (Chapter 15, Case study 15.3)
  • Case Study 16.20: Calculating Patient’s Balances (Chapter 15, Case study 15.16)
  • Case Study 16.21: Calculating Patient’s Balances (Chapter 15, Case study 15.17)
  • Case Study 16.22: Calculating Patient’s Balances (Chapter 15, Case study 15.18).

Case Study answers should be complete and address each item of the question or item. Thoroughness in response and correctness are more important than length. You are welcome to be brief in your responses so long as you are addressing each item in its entirety. Be sure to format your responses according to the CSU-Global Guide to Writing and APA Requirements.