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Discussion: Financial responsibility of the patient
Discussion: Financial responsibility of the patientDiscussion: Financial responsibility of the
patientRemember to submit your work following the file naming convention
FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not
necessary to manually type in the file extension; it will automatically append.Start by
reading and following these instructions:Quickly skim the questions or assignment below
and the assignment rubric to help you focus.Read the required chapter(s) of the textbook
and any additional recommended resources. Some answers may require you to do
additional research on the Internet or in other reference sources. Choose your sources
carefully.Consider the discussion and any insights you gained from it.Create
your Assignment submission and be sure to cite your sources, use APA style as required,
check your spelling.Assignment:For this assignment, you create a PowerPoint Presentation
discussion ACA and health insurance. Address the following questions in the
presentationTitle slideDiscuss in your own words at least 2 advantages and 2 disadvantages
to MCO’s (2-3 slides)Discuss the specific characteristics of HMO’s (how are HMO’s different
from other plans?) (2-3 slides)Discuss the specific characteristics of PPO’s (2 to 3 slides)In
your own words, explain how the Obamacare/Affordable Care Act has changed healthcare
in America. (3-4 slides)Show the case scenarios (below) (4-6 slides)In each case scenario
that follows, calculate the financial responsibility of the patient and/or carrier and the
discounted amount that the physician must write off. Show calculations and identify
amounts. Students should complete each case on a separate slide. Students can place the
questions on the slide, then provide the answers with calculations.Felix Grossman was seen
today for an upper respiratory infection. Total charges for today’s services are $140. The
allowed amount is $90. What are the discount amount and the amount the carrier pays to
the provider?Emma Mastrangelo had a CT scan of the brain today because of recurrent
migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The
allowed amount is $462.60. What are the patient’s responsibility, discount amount, and the
amount the carrier pays the provider?Mabel Smith was seen in the office today for a
checkup on her rheumatoid arthritis. Total charges are $85. The allowed amount is $52. She
has a copay of $10. What is the discount amount, and the amount the carrier pays the
provider?Rufus Durst had cholecystectomy performed today. Total charges are $2995.70.
His benefits pay 60 percent of this procedure. The allowed amount is $1745.32. What are
the patient responsibility amount, discount amount, and the amount the carrier pays? What
amount will the physician write off?For this section, ensure the information is referenced
and cited in your slides. The presentation should start with a title slide and end with
reference slides. If you include pictures, your pictures should also be referenced and
cited.Assignment Expectations:Length:Structure:References:Format:ORDER NOW FOR
ORIGINAL, PLAGIARISM-FREE PAPERSYou must proofread your paper. But do not strictly
rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a
lack of effort on your part and you can expect your grade to suffer accordingly. Papers with
numerous misspelled words and grammatical mistakes will be penalized. Read over your
paper – in silence and then aloud – before handing it in and make corrections as necessary.
Often it is advantageous to have a friend proofread your paper for obvious errors.
Handwritten corrections are preferable to uncorrected mistakes.Use a standard 10 to 12
point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with
small margins or single-spacing are hard to read. It is better to let your essay run over the
recommended number of pages than to try to compress it into fewer pages.Likewise, large
type, large margins, large indentations, triple-spacing, increased leading (space between
lines), increased kerning (space between letters), and any other such attempts at “padding”
to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your
professor.The paper must be neatly formatted, double-spaced with a one-inch margin on
the top, bottom, and sides of each page. When submitting hard copy, be sure to use white
paper and print out using dark ink. If it is hard to read your essay, it will also be hard to
follow your argument. Discussion: Financial responsibility of the patient

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Financial responsibility of the patient.docx

  • 1. Discussion: Financial responsibility of the patient Discussion: Financial responsibility of the patientDiscussion: Financial responsibility of the patientRemember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.Start by reading and following these instructions:Quickly skim the questions or assignment below and the assignment rubric to help you focus.Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.Consider the discussion and any insights you gained from it.Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.Assignment:For this assignment, you create a PowerPoint Presentation discussion ACA and health insurance. Address the following questions in the presentationTitle slideDiscuss in your own words at least 2 advantages and 2 disadvantages to MCO’s (2-3 slides)Discuss the specific characteristics of HMO’s (how are HMO’s different from other plans?) (2-3 slides)Discuss the specific characteristics of PPO’s (2 to 3 slides)In your own words, explain how the Obamacare/Affordable Care Act has changed healthcare in America. (3-4 slides)Show the case scenarios (below) (4-6 slides)In each case scenario that follows, calculate the financial responsibility of the patient and/or carrier and the discounted amount that the physician must write off. Show calculations and identify amounts. Students should complete each case on a separate slide. Students can place the questions on the slide, then provide the answers with calculations.Felix Grossman was seen today for an upper respiratory infection. Total charges for today’s services are $140. The allowed amount is $90. What are the discount amount and the amount the carrier pays to the provider?Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What are the patient’s responsibility, discount amount, and the amount the carrier pays the provider?Mabel Smith was seen in the office today for a checkup on her rheumatoid arthritis. Total charges are $85. The allowed amount is $52. She has a copay of $10. What is the discount amount, and the amount the carrier pays the provider?Rufus Durst had cholecystectomy performed today. Total charges are $2995.70. His benefits pay 60 percent of this procedure. The allowed amount is $1745.32. What are the patient responsibility amount, discount amount, and the amount the carrier pays? What amount will the physician write off?For this section, ensure the information is referenced
  • 2. and cited in your slides. The presentation should start with a title slide and end with reference slides. If you include pictures, your pictures should also be referenced and cited.Assignment Expectations:Length:Structure:References:Format:ORDER NOW FOR ORIGINAL, PLAGIARISM-FREE PAPERSYou must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. Discussion: Financial responsibility of the patient