Partial Payments

Question 1

Despite the efforts to submit claims that are “clean,” denials, rejections, and partial payments will occur. When a facility receives a denial, rejection, or partial payment, a determination will need to be made regarding the action to be taken by the facility (accept the denial, rejection, or partial payment, resubmit the claim, or appeal).

1. Use the attachment to complete the assignment
2. For each reason in the table you downloaded, indicate the appropriate action (accept the denial, rejection, or partial payment, resubmit the claim, or appeal) and provide the rationale for your decision.

Question 2

How do government policies and/or regulations factor into changes in economic activity on both a domestic and global scale?

• Give a specific example of a policy or regulation that has helped economic activity.
• Give a specific example of a policy or regulation that has hindered economic activity.
• If you were an economist who was tasked with evaluating this policy or regulation, what are some ideas you would suggest for changing it in a way that would achieve the same goal but not hinder economic activity?
• Finally, state whether or not you enjoy these types of evaluations and if you would consider these types of responsibilities in a future career.