Practice Case Studies

"Knowledge is like paint, it does no good until it is applied."  - Doe Zantamata

Medical billers are like detectives and their claims can often be like cases. Most claims are simple with no real twists or turns. Others can be like a puzzle where you must revisit the evidence in order to find the clue that cracks the case wide open. Throughout many years, I have come across countless claims that have proven not everything in insurance goes smoothly. What I have found is that these are the cases that separate the good medical billers from the great. I have extracted what made a few of those cases unique and presented them in a case study. A new case will be added frequently for you to try your hand at solving. Do you have what it takes to resolve a claim?

THE CASE OF THE, 'I DON'T HAVE YOU COVERED.'

THE CASE OF THE 'I DON'T HAVE YOU COVERED.' -SOLVED

THE CASE OF THE 'BOY, I HATE SURPRISES.'

THE CASE OF THE 'BOY, I HATE SURPRISES' -SOLVED

THE CASE OF THE 'THREE BOYS WITH THREE PLANS.'

THE CASE OF THE 'THREE BOYS WITH THREE PLANS' -SOLVED

THE CASE OF THE 'KISS MY HEALTHCARE GOODBYE.'

THE CASE OF THE 'KISS MY HEALTHCARE GOODBYE.' -SOLVED

THE CASE OF THE 'I NEED THE REST OF MY MONEY.'

THE CASE OF THE 'I NEED THE REST OF MY MONEY.' -SOLVED

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