DQ 1
Elizabeth Sanders is an 83-year old widow who is a long-timepatient at your practice. Her primary insurance coverage isMedicare, and her secondary insurance is Blue Cross-Blue Shield.She has had several visits recently for a variety of ailments. Shecurrently owes the practice $250 for tests that were denied by bothMedicare and Blue Cross-Blue Shield. Her account is now 75 daysold. You spoke to her approximately 2 weeks ago, and she said thatshe was not financially able to pay. She also stated, “I should nothave to pay because it was the doctor’s fault for ordering all ofthose tests that he knew Medicare wouldn’t cover. Those testsdidn’t show anything anyway, he was just trying to get more moneyfrom me.” She then tells you that you should call Medicare because,“They paid for the same test for my friend. You probably put thewrong diagnosis on the paperwork, and that’s why they won’t pay.”She denies ever receiving the first collection letter that yousent.What would your next step be in the attempt to collect on Ms.Sanders’ account? Explain your rationale. How would you address Ms.Sanders’ claim that Medicare paid for the same test for her friend?Which is more important: collecting the debt or retaining thecustomer?
DQ-2
Many people do not think of a medical office as a business.What is the purpose of a medical office having an effectivefinancial policy? Why is it important?
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