Chapter #28 Billing, Payments and collections

Breakdown of days overdue balances. Broken down into 30/60/90/180 days.

DOS:

Credere, the Latin word for credit is defined as:

A fixed amount established by an insurance plan for sharing the cost of health services between the insurance and the Pt

A specified amount of money that the insured must pay before an insurance company will pay a claim:

A credit ______ exists when an account is overpaid,

Being legally declared unable to pay debts;

If you make collection calls before or after the legal hours in your state, you can be liable for:

The _____billing cycle is typically more efficient in smaller medical practices

The revenue cycle includes the life of patient accounts from creation to payment

Look by alphabetical order.

The total amounts owed to the medical practice appears in the ________ ________log

An ______claim involves sending a bill owed by a deceased patient to any known next of kin.

The most you have to pay for covered services in a plan year.

ATOS:

When a job that could be performed by employees within a facility is instead contracted to another company

A person who has disappeared or moved to avoid payment of bills is called a skip.

______ billing is commonly used in large medical practices.

Collection agencies create billing statements

Written communication is the best opportunity for collecting a patient payment.

A patient ledger within a practice management system may be called an _______

Meaning the patient does not have enough money in the bank account to cover the amount of the check.

The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible.

All are special collection circumstances except

Specifies when there is an agreement between the physician and patient to accept payment in more than four installments

A way to identify accounts according to the length of time the accounts have been delinquent.

Part of the EHR to deal with day-to-day financial and administrative operations of a medical practice

The specific provisions of the Truth in Lending Act that explains in detail who and what is covered by the regulation

Start of credit for medical services began:

To dun means to attempt to collect an overdue bill.