Question

Mr. Donaldson, a patient at New Hope Clinic where you work was in a couple of days ago for a service. Today, Mr. Donaldson, called stating his Medicare Claim was denied because as of two weeks ago he is no longer entitled to Medicare benefits.
a. How would you handle this call?
b. Would it be wrong to adjust Mr. Donaldson s date of service so that Medicare would pay the claim?
c. If so, why? If not, why not?
d. What can happen to the clinic if they adjust the date of service?

Answer 1

That answer letter is d