Question

Part 1 – Communicating with Managed Care Providers Scenario: You started the preauthorization paperwork for a...

Part 1 – Communicating with Managed Care Providers

Scenario: You started the preauthorization paperwork for a patient but have not heard back from the insurance company.

Directions: Compose an email in the space provided with your follow-up to the insurance company. Make up whatever information you need to. Be assertive and professional in your email.

Science   Nursing   
0 0
Add a commentTranscribed image text
Next >

Homework Answers

Answer #1

Hello Team,

Hope you were doing great and I am glad to be apart of the team.

This is regarding a patients insurance who is suffering from Severe Sepsis.All the detailed diagnoses listed were submitted in preauthorization papers and waiting for the insurance to be approved.But, even after multiple followups made still there is no response.After all attempts in vain reaching out to your help.

Kindly investigate regarding the patient authorization forms with number ......... and do needful.

Awaiting for your reply..

Regards,

Name and designation

​​​​

0 0
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Log In

Sign Up

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Part 2 – Communicating with Providers and Patients Scenario: The provider asks you to notify the...
Part 2 – Communicating with Providers and Patients Scenario: The provider asks you to notify the patient that the preauthorization was denied. The provider would like to see the patient in two weeks for a follow-up visit. Directions: Using the space below, compose an email to the patient as indicated by the provider. Make sure your email is professional and sensitive. Make up any information you need for the email.
Part 2 – Communicating with Providers and Patients Scenario: The provider asks you to notify the...
Part 2 – Communicating with Providers and Patients Scenario: The provider asks you to notify the patient that the preauthorization was denied. The provider would like to see the patient in two weeks for a follow-up visit. Directions: Using the space below, compose an email to the patient as indicated by the provider. Make sure your email is professional and sensitive. Make up any information you need for the email.
Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party...
Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party requirements. Show sensitivity when communicating with patients regarding third party requirements. Materials: Prior authorization form, patient medical chart with planned procedure and CPT code. Diagnosis for proof of medical necessity. Scenario: Patients preauthorization was denied because a second opinion is required. You must explain to the provider new policies from the insurance company requires a second opinion before they will approve the procedure. You...
Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party...
Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party requirements. Show sensitivity when communicating with patients regarding third party requirements. Materials: Prior authorization form, patient medical chart with planned procedure and CPT code. Diagnosis for proof of medical necessity. Scenario: Patients preauthorization was denied because a second opinion is required. You must explain to the provider new policies from the insurance company requires a second opinion before they will approve the procedure. You...
1.a Suppose your small, general medicine physician group is offered a capitated managed care contract. Through...
1.a Suppose your small, general medicine physician group is offered a capitated managed care contract. Through this contract, the group will be paid on a capitated basis. This means that the medical group will be paid a fixed amount for each patient and will be responsible for all of the costs of each patient’s care. What does the concept of objective risk tell you about the desirability of this contract? What are the pros and cons of such a contract?...
Active listening is an important element of therapeutic communication. Practice your active listening skills by pretending...
Active listening is an important element of therapeutic communication. Practice your active listening skills by pretending that a statement was made to you, the HCW. Using one of the five phrases at the end of the directions, complete the following assignment on the Therapeutic Communications. Instructions 1. Rephrase the message for verification by the pt., using any of the nine methods of active listening mentioned in the Lecture. (Make sure you use one of the Nine Methods of Active Listening,...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary care giver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 All scenarios are as follows: A client scheduled for discharge back to their community (zip-code area) from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, the student...
What is Medicare Part C? Provides the aged with home health care Provides the aged with...
What is Medicare Part C? Provides the aged with home health care Provides the aged with prescription drugs Enables low-income aged to participate in Medicaid Provides a voluntary managed care option for the aged How is Medicaid financed? It is financed entirely by the federal government. It is financed entirely by the state. States receive the same percentage of federal support. States with lower per capita incomes receive a greater percentage of federal support If a healthcare system is "free"...
In 100 words state if you agree or disagree with the summary given for the Scenario....
In 100 words state if you agree or disagree with the summary given for the Scenario. PLEASE reframe from using Overuse of ambiguous terms such as it, this, and they should not be used. Scenario Part 1: Workplace unrest Environment: You are the Director of a team of employees that do various PA duties. The team consists of 15 employees that are assigned duties in different building locations and collocated with other PA personnel from other directorates in a matrix...
After listening to this podcast, list and discuss the safe injection practices you should follow to...
After listening to this podcast, list and discuss the safe injection practices you should follow to prevent causing harm. Protecting Patients from Unsafe Injections: What Every Provider Needs to Know [Announcer] This program is presented by the Centers for Disease Control and Prevention. [Joyanna Wendt] Hello. I’m Dr. Joyanna Wendt, a Medical Officer at the Centers for Disease Control and Prevention, or CDC, and today we’re talking about injection safety. I know some of you are thinking, “That’s so basic....
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT