Computers in the Medical Office Chapter 5: Entering Insurance, Account, and Condition Information McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-2 What is a Case? A grouping of transactions that relate to a particular condition McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-3 When is a new case created? New cases are set up when a patient is treated for a new condition, or when there is a change in insurance Patients may have more than one case open at a time McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-4 Case Command Buttons Edit Case New Case Delete Case Copy Case Print Grid Close McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-5 Case Folder McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-6 Information Stored in Case Folder Personal Tab Account Tab Diagnosis Tab Policy 1 Tab Policy 2 Tab Policy 3 Tab McGraw-Hill Career Education Condition Tab Miscellaneous Tab Medicaid and TRICARE Tab Comment Tab EDI Tab © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-7 Personal Tab Contains a description of the case, the guarantor, and other information about the patient’s work, school, and marital status McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-8 Account Tab Lists basic information about the patient's account, including referring and attending providers McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-9 Diagnosis Tab Records up to four diagnosis codes McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-10 Policy 1 Tab Contains information about the patient’s primary insurance carrier McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-11 Policy 2 Tab Contains information about the patient’s secondary insurance carrier McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-12 Policy 3 Tab Contains information about the patient’s tertiary insurance carrier McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-13 Condition Tab Shows information relating to the general status or condition of the patient McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-14 Miscellaneous Tab Records outside lab work and the entry of lab charges, as well as other information McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-15 Medicaid and TRICARE Tab Displays information regarding Medicaid and TRICARE claims McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-16 Comment Tab Enter case notes on this tab. This note will print on statements if you format the statement to include case comments. McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. 5-17 EDI Tab Enter electronic claim information specific to this case McGraw-Hill Career Education © 2009 by The McGraw-Hill Companies, Inc. All rights reserved.
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