Should the medical assistant alert the physician

Reference no: EM133603687

Assignment:

As the Medical Administrative Assistant for your practice. The phone rings and you answer it. It is Mr. Freeman, a patient of the practice. He is very upset because he received an EOB (Explanation of Benefits) in the mail today indicating his insurance has denied Dr. Peterson's claim for his most recent office visit because it was not considered medically necessary. Your medical practice has not yet billed Mr. Freeman, but he warns "You better not even think about billing me for that visit, or I'll sue you." Mr. Freeman does not want to hear that the office can appeal the denied claim if he is willing to complete the form that was recently mailed to him. He adds, "Paperwork is your job, not mine, get the job done!"

For your response, answer the following:

How might the medical assistant respond to the patient to help de-escalate the situation?
Should the medical assistant alert the physician or office manager or try to handle it all on your own?
Should this incident be documented in the patient's medical record? Why or why not?

Reference no: EM133603687

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