FORDNEY’S Medical Insurance Assignment 16.2

coinsur lines to billi - insurance ASSIGNMENT 16.2 USING AN AGING REPORT FOR FOLLOW-UP Performance Objective Task: Use the ag

this is fig. 16.1

AETNA Patient Name Primary Insurance Acct # Secondary Insurance 91-120 days 0-30 days 31-60 days $0.00 61-90 days $0.00 75846

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coinsur lines to billi – insurance ASSIGNMENT 16.2 USING AN AGING REPORT FOR FOLLOW-UP Performance Objective Task: Use the aging report in Fig. 16.1 to complete follow-up. Conditions: Refer to the aging report (see Fig. 16.1) and use a pen or computer. Standards: Time: minutes Accuracy: (Note: The time element and accuracy criteria may be given by your instructor.) Directions: Review the aging report in Fig. 16.1 and consider the following scenario: The Happy Day Primary Care Office is reviewing their aging report to follow up on outstanding payments. The office charges Aetna $260 for initial office visits and $145 for established patient office visits. Electronic claims that are filed to Aetna are reimbursed within to the office within 30 days of initial electronic claim submission. Answer the following questions. 1. Who were the three patients who were most recently billed? 2. Do phone calls to Aetna need to be made for patients that are in the 0 to 30 days categories? Why or why not? 3. Which two patients have balances that are different from typical office visit charges submitted to Aetna? 4. What would account for the difference in the balance from the original total charges submitted to Aetna? 5. Would it be appropriate to send the patients in categories beyond 60 days to a collection agency? Why or why not? AETNA Patient Name Primary Insurance Acct # Secondary Insurance 91-120 days 0-30 days 31-60 days $0.00 61-90 days $0.00 75846 AETNA $0.00 $0.00 83029 AETNA $145.00 $0.00 $145.00 $0.00 $42.41 $0.00 64739 AETNA BLUE SHIELD $0.00 $145.00 $0.00 $0.00 24537 AETNA $0.00 Bassett, Eleanor Herron, John Holt, Maxine Kellog, Keenan Lincoln, Frank Markham, Melanie McDonald, Lydia McLean, Mary Over 120 Total days Balance $0.00 $145.00 $0.00 $42.41 $0.00 $145.00 $0.00 $145.00 $0.00 $15.00 $0.00 $260.00 $0.00 $260.00 $260.00 $260.00 $260.00 $1,272.41 85940 AETNA $0.00 $0.00 $15.00 $0.00 $0.00 $0.00 $0.00 14263 AETNA MEDICARE $0.00 56374 $260.00 $0.00 $0.00 AETNA $260.00 $0.00 $0.00 24395 AETNA $0.00 $0.00 $0.00 $145.00 $260.00 $550.00 $57.41 Fig. 16.1
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