Wednesday, February 29, 2012

I need to write a short story personifying the life cycle of an insurance claim?

For my Health Insurance Coding class, my teacher has given us an assignment to create a short story personifying the 10 steps to the life cycle of an insurance claim. I'm usually pretty good with writing, but I have absolutely no idea where to start. Any input? Here are the 10 steps according to my professor:



1. Contract Negotiation between the patient and the insurance company / the healthcare provider accepts the assignment.

2. Patient appointment scheduled / pre-registration

3. Patient completes registration and chart is started.

4. Service rendered

5. Data entered/charges entered in software from encounter forms. Copay is collected.

6. Print claim or submit electronically.

7. Electronic claims go to clearinghouse or printed claims go via postal mail.

8. Insurance company receives claim and adjudicates.

9. Provider receives a remittance, patient receives explanation of benefits

10. If claim is paid, provider posts to account. If rejected, provider can appeal.



I also have to remember these steps in order for a test that I have on Monday. Any advice towards that will be helpful as well.

Thanks!I need to write a short story personifying the life cycle of an insurance claim?
Think of the claim as a piece of paper, equalling a person or animal. Then, make up an adventure, as the paper is shuffled, pushed, pulled, and taken through the different places en route to being completed.



For the memorizing, change each point into a one or two-word idea.

1. negotiation accepted (NA)

2. appointment-preregister (AP)

3. register-chart (RC)

4. service (S)



Then make it into a single sentence you can remember. Like,

Not All-Advance Placement- Requires Careful- Selection .



At the test do it in reverse:



Not All= negotiation accepted, etc.



Good luck!I need to write a short story personifying the life cycle of an insurance claim?
Make it a story about an independent "license to kill" guy and the CIA or something like that.



healthcare provider accepts the assignment- "Jake accepted his assignment"



They pay him, if they don't pay him...oooh boy watch out :)

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