Imma2015 Assignment 1

If the prenatal don't complete her payments for the prenatal care visits receive. We need to bill the patient the final

The main benefit associated with this policy is that health insurance companies will typically pay for delivery and care carried out by a nurse midwife in the hospital that is compliant with these laws. Large companies, such as Blue Cross and Blue Shield of Alabama, will not pay for any midwife outside of the hospital, even if she had a permit by the state. The other benefit is that in the event that some emergency was to occur before, during, or after delivery, a trained physician and advanced technology are readily available to take over.

Provider was calling because the newborn charges were denying because it had been paid under the mother’s claim. The provider stated

Normal open enrollment for health insurance coverage ends February first of every year, but allows a late entrance penalty for voluntary health benefits such as dental. The penalty, including a 12-month and 24-month waiting period for certain benefits, is in place to avoid the existence of adverse selection since employees would only enroll in the plan when they needed healthcare goods and services, if not waiting period existed for late

Insured Members are receiving credit for their prior coverage with the prior iCHIP carrier. There are three possibilities (see below) to determine if the pre-existing, maternity, or the wellness waiting periods are applicable.

Birth to Three program has a certain requirement that the child needs to meet for him/her to be deemed eligible, those requirements

Gloria Benson has been working for the Jackson State Health Department (JSHD) for about 15 years and has been the Prenatal Presumptive Eligibility (Prenatal PE) manager for about 9 years. Recently the JSHD received additional grant money to expand on the Prenatal PE program by offering new benefits to the people of Jackson. The contract originally outlined that, Presumptive Eligibility gives pregnant women of Jackson, JackCare coverage for sixty-two (62) days to allow time to apply for regular Medicaid through the federally marketplace located on the healthcare.gov website. If no Medicaid application is filed during the Presumptive span of eligibility, then coverage could end. With the expansion the contract outlines that, applications for

Please provide updated information regarding the aforementioned document. As you are aware, I have made attempts to obtain updated medical document for the child since the document submitted is outdated - February 2014. Justin's mother informed me that the child was seen by the Primary Care Physician at your facility sometime in March 2015.

If we are unable to verify that the newborn has active coverage within 30 days of the newborn inpatient encounter, the encounter is then changed to self-pay.

I review prenatal account and discuss with DTW and the patient complete her prenatal payment since she start with BCBS on 12.1.2016 to 12.30.2016 and Aetna start effective on 01/01/2017.The billing department from DTW told me that they receive payments already for her visits. On this case would you please adjust her balance since we receive 2 payments for the two visits that she wasn't coverage.

Medicaid and Commercial insurance plans require that newborns be enrolled in insurance within 30-31 days from a date of birth. Currently, the nonmember policy states that for non-member Medicaid newborns there is the option of being treated at KP for the first 60 days of life. I would make a guess that the same policy would apply for uninsured and commercial insured non-members.

Yes, That is the same prenatal patient. I just have one more request about this account. Could you please add some note on V#10922800 saying that the patient BCBS was only active for January 2015 .On that way if the patient call later to ask about her bill we can let the patient know the reason why she is responsable for the balance.

There are essentially two types of individual health insurance that you can purchase that offer coverage for maternity: One type of health plan is known as an indemnity insurance plan. This form of health plan will allow you to pick your own medical doctor and hospital. Because of this freedom, an indemnity health plan can turn out

All infants who are premature or at high risk need to be treated at birth at the NICU by specialists. [3]

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily