Posted: September 14th, 2017

health care

health care

Issue: Dr. Goode, a family Practitioner, recently left a PPO and contracted with HMO, Inc. to receive closed access patients. Dr. Goode does not notify his patients that they need to see him prior to going to a specialist. One of his patients, Mr. Jones, goes to a cardiologist without prior approval from him.
Mr.Jones, who saw the cardiologist without authorization receives a bill for the visit and all tests that were conducted at the visit. The bill comes to 1,200.00. Mr. Jones is extremely upset and calls the HMO customer Service.
Read the case and the 2 questions at the end of the case. Study the text and lecture and reference, where you obtained your answer.Question should be answered 3-4 complete sentences to receive full credit.
1).What should customer service do?
2).What can it do to minimize these situations
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