O'Man Ch 17 Patient Billing and Collections

Which of the following are included in a day sheet?

Which is NOT one of the 4 components of the pegboard system?

Which act provides guidelines for collecting an individual's credit information?

Which type of payments tend to arrive in the mail in one large wave, requiring extra time to post payments?

Which agency should the patient be referred to when their account has been turned over to collections?

The accounts considered currrent and of minimal cause for concern are less than ___ days old.

Which of the following info should be given to patients regarding financial obligations?

Which of the following are considered adjustments?

Adjustments are subtracted from the account balance. Most adjustments are _____>

When using the pegboard system medical offices make a photocopy of the__&mail it in place of patient billing statements

A payment is also referred to a(n) ____.

An adjustment is a receipt of money that decreases the account balance.

Accounts less than 90 days old are considered current and are of minimal cause for concern.

A bulk remittance statement creates additional paperwork

____ are changes made that affect the patient's balance but are NOT a new charge or payment

A claim that was never accepted into the payer's computer system because of invalid information is considered _____.

A collection problem that requires immediate action because the patient has a balance due&moved w/o updating info is a__

A medical assistant should always act demanding and authoritative when asking patients for payment.

What are the typical components of a patient management system?

Patient accounting software is referred to as a practice management system (PMS).

Remark codes are used by insurance carriers to identify reasons for payment adjustments and denials

What provides a guide for determining the fair collections practices for creditors?

The record of the charges and payments for a specific patient is a patient account.

When a provider is contracted with an insurance company the amount disallowed by the insurer is the ________.

Patient ledger is a chronological record of the charges, adjustments, payments, & current balance for a specific patient

Once a patient's account is in collections, most offices terminate the physician—patient relationship

The Equal Credit Opportunity Act of 1975 provides guidelines for collecting an individual's credit information.

Which of the following are typical reasons for a denied claim?

Who is NOT responsible for bills unless they are declared emancipated?

A copayment is a fixed amount that patients' insurance policies may require them to pay for certain types of visits

What requires a written disclosure concerning the payment of any fee that will be collected in more than 4 installments?

Contracts that may require copays to be paid at the time of the visit & may not be billed at a later time are__contracts

What should the MA NOT do when using a computerized billing system?

The average number of days that money has been owed to the practice is known as days in _____.

Outstanding Medicare accounts over_days old should be investigated because payments should be received within 14-21 days

When pts do not have insurance the office can offer a reasonable discount if they pay in full at the time of service

The pegboard system is also known as the ___ method.

To prevent a claim from being denied or rejected submit an insurance claim within__days of the date of the procedure.

The monetary cost for services or supplies that increases the account balance is called _____.

What does the RA/EOB NOT list?

The pegboard system is a manual bookkeeping system for patient accounting

Approximately 25% of patient accounts are billed each ___ in cycle billing.

Which is NOT a typical accounts receivable transaction?

A day sheet is running total of all patient account transactions each day & is an important tracking and monitoring tool

According to Medicare, what is the #1 reason for rejected claims?

Insurance companies refer the prevailing fee as the ____ fee.

If a patient passes away, their bill should be sent to the estate of the _____

What should the MA NOT do?

MAs should be able to quote the cost of services from the ___.

A patient's account may become delinquent because he or she believes that the insurance will cover the bill.