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Unit V Health Discussion
- Your initial post should be at least 200 words in length.
Post 3: Response post to a second classmate or the instructor’s follow-up question is due by the end of day on Tuesday.
You recently helped your patient review a denied insurance claim for a routine diagnostic test. The insurance company stated the service was not medically necessary, even though the test was ordered by their doctor to monitor a chronic condition. This experience left you questioning how insurers determine what is “necessary” and why claims for essential care can be denied in some cases.
In your post, share your thoughts on how medical coders and healthcare providers can work together to minimize claim denials based on medical necessity. What steps can be taken to ensure that documentation and coding align with payer policies? Have you or someone you know faced a similar issue with insurance coverage? How would you address these situations in your future healthcare role?
Unit V Health Discussion
- Your initial post should be at least 200 words in length.
Post 3: Response post to a second classmate or the instructor’s follow-up question is due by the end of day on Tuesday.
You recently helped your patient review a denied insurance claim for a routine diagnostic test. The insurance company stated the service was not medically necessary, even though the test was ordered by their doctor to monitor a chronic condition. This experience left you questioning how insurers determine what is “necessary” and why claims for essential care can be denied in some cases.
Check tips on how to complete your BSN Assignment.
In your post, share your thoughts on how medical coders and healthcare providers can work together to minimize claim denials based on medical necessity. What steps can be taken to ensure that documentation and coding align with payer policies? Have you or someone you know faced a similar issue with insurance coverage? How would you address these situations in your future healthcare role?
Unit V Health Discussion
- Your initial post should be at least 200 words in length.
Post 3: Response post to a second classmate or the instructor’s follow-up question is due by the end of day on Tuesday.
You recently helped your patient review a denied insurance claim for a routine diagnostic test. The insurance company stated the service was not medically necessary, even though the test was ordered by their doctor to monitor a chronic condition. This experience left you questioning how insurers determine what is “necessary” and why claims for essential care can be denied in some cases.
Check tips on how to complete your BSN Assignment.
In your post, share your thoughts on how medical coders and healthcare providers can work together to minimize claim denials based on medical necessity. What steps can be taken to ensure that documentation and coding align with payer policies? Have you or someone you know faced a similar issue with insurance coverage? How would you address these situations in your future healthcare role?
