You’re working as a medical biller for a surgeon’s office. part of your job responsibilities each week is to review denied claims for possible resubmission to get reimbursement. this week you’re working on a denied claim from medicaid for geraldine whitmore. the medicaid program was billed for an inpatient hospital stay for mrs. whitmore. she had elective surgery for removal of her gallbladder and was in the hospital for three days. you need to investigate and find out why her claim was denied.

explain what you would do to find out why mrs. whitmore’s claim was denied.

based on what you learned about medicaid rules, provide one possible reason that the claim could have been denied.

explain why you do or do not think you should resubmit the mrs. whitmore’s claim to medicaid.

i think the answer is c

hope this

low context culture   (lc.):

association:    

relationships begin and end quickly. many people can be inside one's circle; circle's boundary is not clear.

things get done by following procedures and paying attention to the goal.

one's identity is rooted in oneself and one's accomplishments.

social structure is decentralized; responsibility goes further down (is not concentrated at the top).

interaction:

low use of nonverbal elements. message is carried more by words than by nonverbal means.

verbal message is explicit. context is less important than words.

verbal message is direct; one spells things out exactly.

communication is seen as a way of exchanging information, ideas, and opinions.  

disagreement is depersonalized. one withdraws from conflict with another and gets on with the task. focus is on rational solutions, not personal ones. one can be explicit about another's bothersome behavior.

territoriality:

space is compartmentalized and privately owned; privacy is important, so people are farther apart.

temporality:

things are scheduled to be done at particular times, one thing at a time. what is important is that activity is done efficiently.

change is fast. one can make change and see immediate results.

time is a commodity to be spent or saved. one’s time is one’s own.

learning:

reality is fragmented and compartmentalized. one source of information is used to develop knowledge. thinking is inductive, proceeds from specific to general. focus is on detail.

learning occurs by following explicit directions and explanations of others.

an individual orientation is preferred for learning and problem solving.

speed is valued. how efficiently something is learned is important.

hope that                                         : )

hey, the answer to the question would be d.) data on injury causes and rates.