HI253_Unit_6_Assignment.docx - Kinns The Medical Assistant...

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Kinn’s The Medical Assistant, 13th Edition Chapter 16: Patient Accounts, Collections, and Practice Management PROCEDURE 16-1: PERFORM ACCOUNTS RECEIVABLE PROCEDURES FOR PATIENT ACCOUNTS: CHARGES Scenario 1: Ken Thomas is a returning patient of Dr. Martin. He is being seen for hypertension (ICD-10-CM;I10). He makes his $50 copayment at the time of the office visit. BLUE CROSS BLUE SHIELD 1234 Insurance Place Anytown, Anystate 12345-1234 Claim Number: 1-99-16987087 Group Name: ABC Company Group Number: 55124T Employee: Ken Thomas Patient: Ken Thomas SSN: 783212215 Prepared by: M. Smith James Martin, M.D. Prepared on: 07/04/20XX Walden-Martin Family Medical Clinic 1234 Anystreet Anytown, Anystate 12345-1234 PATIENT RESPONSIBILITY Amount not covered: 0.00 Co-pay amount: 0.00 Deductible: 0.00 Coinsurance: 64.61 Patient’s Total responsibility 64.61 EXPLANATION OF BENEFITS DOS CPT/HCPCS Charge Amoun t Not Covere d Reaso n Code PPO Discoun t Covered Amount Ded Amount Copay Paid at Payment Amount 06/03/20XX 99204 250.00 0.00 48 136.00 114.00 0.00 0.00 80% 91.20 06/03/20XX 94375 40.00 0.00 48 0.00 40.00 0.00 0.00 80% 32.00 06/03/20XX 94060 75.00 0.00 48 0.00 75.00 0.00 0.00 80% 60.00
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