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.