Reference no: EM132476951 , Length: 300 words
Instructions
Assignment Objectives:
Meet CAHIIM Curriculum requirement for Bachelor Degree Domain VI. Leadership Subdomain VI.G. Financial Management
Section 2. Perform cost-benefit analysis for resource planning and allocation Competencies: Accounting
Assignment Purpose: Determine payments Assignment Description Based on the data provided in the attachment, you will calculate the amounts the patient owes and what the insurance company owes so you can determine what revenue to expect for the services.
You are given the charge and the usual, customary, and reasonable (UCR) amount. Medicare allowed rate is 75% of the UCR rate, BCBS allowed rate is the UCR rate, Commercial allows payment on the charge, and Medicaid's allowed rate is 50% of the UCR rate.
Step One: Complete the table that is attached for each patient. Fill in the copay, coinsurance, insurance payment, patient payment, and write-off amounts to complete your table.
Step Two: In a short summary (300 words) respond to these questions. Which patient has the best insurance from the patient's point-of-view? Why? Which insurance is best for the provider? Why? Which insurance is best for the insurance company? Why?
Attachment:- Calculating Insurance Reimbursement.rar