for DR.SAMUELSON only!!!!

Week#4-To Do List-SMHS

1. Week 4: Readings

Please use the assigned course book to read the following sections:

Part IV: Sales, Finance, and Administration

Chapter 17: Enrollment and Billing

Chapter 18: Claims and Benefits Administration

Chapter 19: Health Care Fraud and Abuse

Chapter 20: Member Services

2. https://hhs.texas.gov/services/health/medicaid-and-chip/programs

3. Discussion

Discuss what you believe to be the most common Claims and Benefits Administration problems, their repercussions, and how to identify and rectify them.

4. Midterm

The midterm exam consists of 20 questions. The questions consist of multiple choice and true/false. You will have two and a half hours in which to complete and submit your answers.