Chapter 15 - Patient Billing and Collections (Pearson)

The ___ provides guidelines for collecting an individual's credit information.

Which of the following are reasons that a bill becomes delinquent?

The __contains information about a specific patient account, including current balance, adjustments, payments, & charges

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

What is included in a patient billing record?

___ refers to a patient's inability to pay.

Patients should contact the ___ once their account has been turned over for collections.

Before choosing a collection agency the medical office should ____.

What are extremely overdue accounts called?

Which transactions are NOT recorded on the day sheet?

Which of the following is NOT considered an adjustment?

Most adjustments are ___ that are subtracted from the account balance.

What form of communication is more effective than a letter when attempting to collect on a delinquent account?

25% of a patients accounts are billed every ____ in cycle billing.

The RA/EOB lists all the following EXCEPT ____.

Which of the following is NOT a typical reason for a denied claim?

An electronic RA/EOB is called _____.

Which of the following is NOT one of the usual collection techniques?

At the end of the day, which of the following does NOT have to be reconciled to a day sheet?

What must be considered when referring an account to a collection agency?

When using a computerized billing system to post charges, the MA should do all of the following EXCEPT:

What kind of contracts require copayment to be made immediately rather than at a later time?

___ are NOT responsible for bills unless they are declared emancipated.

When using a collection agency for delinquent accounts, which information must be provided?

Which of the following is NOT a typical accounts receivable (AR) transaction?

What is the first thing you must do when using a computerized billing system?

The prevailing fee is referred to by insurance companies as the _____ fee.

___ is a discount that physician's may opt to offer to other physicians, staff, family members, or clergy.

A_claim is one that is never accepted into the payers computer system b/c of invalid info.-incorrect Pt identification #

To prevent a claim from being denied or rejected, submit an insurance claim within __ days of the procedure date.

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

A collection problem that requires immediate action b/c this Pt has a balance due & has moved w/o a forwarding address.

__ are used by insurance companies to identify reasons for payment adjustments and denials.

____ refers to the monetary cost for services or supplies that increases the account balance.

When a patient dies, a bill should be sent to the estate of the ____.

Which of the following is NOT listed on the Explanation of Benefits (EOB) form?

___ tend to arrive in the mail in one large wave, requiring extra time to post payments.

Medicare states that the number one reason for rejected claims is ____.

Which of the following is NOT included on an office day sheet?

Which of the following is NOT a typical component of a practice management system (PMS)?

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

To make sure the accounts and entries are correct; the day sheets need to be __ at the end of the day.

Which act determines fair collection practices for creditors?

Which type of information should patient's be given regarding financial obligations?

Which act requires a complete written description of any fee collected in more than 4 installments?

A __ is a carryover from the days of manual billing.

Accounts less than __ days old are considered current & of minimal cause for concern.

In accounting terms, a payment is also referred to as a _______.

Insurance __ codes are used on the EOB to explain payment adjustments and denials.

The __ component of the PMS helps identify who accessed the system.

A practice that generally receives Medicare payments within 14-21 days should investigate outstanding accounts over_days

Prenumbered and carbonless copy receipts are examples of an ____.