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Wisdom tooth removal process
Wisdom tooth removal process
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On September 14th, 2016 I had a wisdom tooth removed at Triad Oral Surgery by Dr. Stefan Simoncic. Before my appointment I was informed by my insurance company (Cigna) that although there were waiting periods and they would not cover the cost of the procedure I still would receive a discounted rate for going to an oral surgeon that was in the network. This is why I chose Triad Oral Surgery. At the time of service I was told I would need to pay the amount of $1332.0, which I paid with a debit card. I was also informed that this was the discounted rate. It wasn't until later that I reviewed my recent claims and learned the discounted rate I should have been charged was actually $730.00. I notified Triad Oral Surgery that I had been overcharged
The Plaintiffs of the case are Glynace H. Norton and his wife, Anne Graves Norton, The defendants of the case are the insurer of the Baton Rouge hospital: Argonaut Insurance Company, Mrs. Florence Evans R.N,,ADON (Registered Nurse/Assistant Director of Nursing services) whom had administered the fatal medication; and Aetna Casualty & Surety Company, that covered the liability insurance for Dr. John B. Stotler, who delivered the negligent order.
The process of choosing a health insurance provider should have been more consumer friendly. People
This week’s course work was and excellent review of the material that I have learned previously. I definitely like our textbook; however, it gets a little heavy to hold after a while.
Mr. Michael Hicks came thru the surgery with no complications during the surgery however, after the surgery there were many complications that occurred. Mr. Hicks suffered some complications after the procedure and sued Dr. Borud, the hospital, five other doctors and two nurses. The case was not settled in court, but was settled for confidential terms. Mr. Hicks deserves compensation for his time lost as well as the wrong doing performed by the hospital and the medical staff on the behalf of his case during his procedure. Mr. Hicks expected to wake up fine and his scare fixed in the time frame of around ninety minutes, not seven hours, plus have complicati...
Although Pfizer was not required to warn the public and Kline, they were responsible for warning physicians. Pfizer dismissed Kline’s Complaints pursuant to Federal Rule of Civil Procedure 12(b)(6), which successfully dismissed Counts I and VII. Motion to Dismiss under Federal Rule of Civil Procedure 12(b)(6) “for failure to state a claim for which relief can be granted.” As the Plaintiff, Kline should have provided several sets of proof in order to support his claim and be granted the relief. Kline failed to provide the Fact Sheet and Authorization forms under the Joint Coordinate Plan.
One of the biggest contributors to health care costs that I have seen during my time in the healthcare industry is insurance fraud. One example of such fraud came about two months ago. I was taking a phone call from a provider that was upset that one of their claims had denied even though all of their previous claims had been paid. In researching with a partner plan it was determined that the claim denied because this medical provid...
Jacobson, P. (1999, July/August). Legal challenges to managed care cost containment programs: an intital assessment. Courts & Managed Care, 69-85.
Sarpel, U., Vladeck, B. C., Divino, C. M., & Klotman, P. E. (2008). Fact and Fiction: Debunking Myths in the US Healthcare System. Annals of Surgery, 247(4), 563-569. doi:10.1097/SLA.0b013e318159d566
There are numerous amounts of billing codes within the Medicare system. Many have the same codes to one medical piece of equipment. If a biller tries to make a claim for a device, such as a wheelchair and walker, and the claim was denied based on excessive usage of that particular code because of its geographic region, then the biller can easily resubmit the claim using an alternative code that will allow the claim to go through with minor alternations to the device (AGHAEGBNO, 2001). The biller can complete this task several times until the claim is satisfied. The biller can also bill for services that were not provided in order to receive higher payments from health care providers. These are forms of multiple, double and improper billing abuses that are defrauding the system tremendously. Health care claims are coming in quickly and some payments are even expedited and reused to medical provide...
Introduction: In Canada, general dental health is not part Canada’s national system of health insurance (Medicare) (1) except for some dental surgical procedures that are performed at hospitals. Since Oral health does not come under the Health Act about ninety-five percent of the oral health care services are offered on a fee-for-service basis. Oral health care is under provincial or territorial jurisdiction like other health care services and publically financed dental care programs provide the remaining five percent of oral health care services (2). Thus, majority of Canadians receive oral health via privately owned dental clinics. Privately owned dental care gives these services providers control over dental service charges, types of available treatment for the patients and number of follow-up appointment for treatments or routine care. Service users pay for the dental expenses from their own pockets or utilize insurance coverage (1).
Over the initial two month period he had cut his smoking to 12 out of the 20 cigarettes in the pack. He reported having difficulty fighting the cravings for the cigarettes even with the use of nicotine replacement therapy, which including nicotine patches and nicotine gum. As a result I suggested behavioral therapy or nicotine replacement therapy. John wanted to know if his insurance would cover the behavioral therapy so I called multiple doctors’ offices and found one 45 minutes from his house that would accept his insurance. I gave John the information and asked if he wanted to make an appointment, he had one of his neighbor’s watch his wife with Alzheimer’s and made the appointment for one week out. One week after John’s behavioral therapy appointment I can back to his house to check his progress and he said his therapist helped him identify triggers and plans to get through the cravings and as a result he had stopped smoking 10 out of 20 cigarettes in his pack per day. Upon arrival with John for the next visit he said he had managed to reduce his smoking 12 out of 20 in the pack and his wife had cut back 5 out of 20 a day as well. He reported feeling a little better and had less chest pain then
In the past, diseased or damaged teeth could not be salvaged and in most cases, had to be pulled out. However, in the last three decades, endodontic dentistry has evolved to quite an extent and today, professionals trained in this specialty can help save teeth and repair any inherent damage. Common endodontic procedures include root canal therapy, fixing of broken teeth and repairing dental trauma.
There are two types of consumers; the informed and the uninformed. The patient, i.e. the consumer, is typically unaware of the total cost of health services provided to them. They may have a copay or deductible, but the explanation of benefits and outline of care comes after treatment has been rendered. This approach has made it difficult for patients to be able to “shop around” for the best prices when in most cases they are not sure what the cost treatment will be. They were, by no fault of their own, uninformed consumers due to plan designs.
For so many years I’ve asked myself the question, “what are you going to do with your life?” For a period of time I struggled with this question. Today, I sit staring at my computer, confronting myself, asking my subconscious “what do I want to do for the rest of my life?” Have I finally found the answer I 've been looking for, or am I under the false assumption that this is the right path for me. This semester has been the ultimate opportunity to explore my questions, doubt, issues, and concerns. I feel that by the end of this paper I will have answered all these questions, and will have made the best decision for my future.
Cosmetic dentistry is a specialized field that deals with improving the aesthetics of teeth and the human face. The teeth are an important part of human beauty. Even minor damage to the teeth, such as breakage or loss can drastically alter the overall appearance of the face. This is where cosmetic dentistry comes in to restore beauty. Cosmetic dentistry has become a highly specialized branch due to various advancements in surgical procedures and diagnostic techniques. Several new materials have also been discovered. These materials are very close to the natural enamel and bone from which teeth are made and are virtually indistinguishable. Cosmetic dentistry is an option in conditions such as teeth loss, gaps between teeth, cracked or chipped teeth, cavities and dental