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Chapter 27 Preparing Insurance Claims and Posting Insurance Payments and Chapter 28 Patient Billing, Posting Patient Payments, and Collecting Fees

front 1

Providers have been urged to send claims electronically since:

back 1

2005

front 2

What is the standard claim form used for billing in medical offices?

back 2

CMS-1500

front 3

Prior to sending any claims to a third party for reimbursement, you should be certain that you have a copy of:

back 3

the patient's insurance card.

front 4

Which of the following must be in place in order to file a claim electronically?

back 4

Electronic Data Interchange (EDI)

front 5

When applying an insurance payment to a patient account on a computerized system, you are not required to post the:

back 5

amount owed by the patient.

front 6

When would a bill for secondary insurance coverage be created?

back 6

After the payment is received from the primary insurer

front 7

A book in which a list of insurance claims is kept is known as a:

back 7

manual insurance log.

front 8

Which of the following means that the doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services?

back 8

Medicare assignment

front 9

If a doctor, provider, or supplier doesn’t accept assignment of Medicare insurance, they are referred to as ____ providers

back 9

nonparticipating

front 10

In some cases, the patient might have to submit his or her own claim to Medicare, using Form _____ in order to receive reimbursement for the costs.

back 10

CMS-14905

front 11

What type of claim is automatically forwarded from Medicare to a secondary insurer after Medicare has paid its portion of a service in the EHR?

back 11

Crossover claim

front 12

It is recommended that a patient's signature on file be updated:

back 12

annually.

front 13

Whose Social Security number is used as the insurance plan ID number?

back 13

Policy holder

front 14

The medical assistant would log into the payer's website and enter the information on the visit if the patient is a member of a health insurance plan operated by a payer that supports:

back 14

real time adjudication.

front 15

Misusing codes on a claim, such as upcoding or unbundling codes, is an example of:

back 15

Medicare fraud and abuse.

front 16

A provider can charge more than the Medicare-approved amount, but there is a limit called ______ , which is up to 15 percent over the amount that nonparticipating providers are paid.

back 16

the limiting charge

front 17

An insurance adjustment is the difference in amount from what the provider charged and the:

back 17

contracted amount with a particular insurance company.

front 18

The amount of a non-covered service, the deductible, or out-of-pocket requirements is noted on the EOB as:

back 18

not allowed amount.

front 19

national provider identifier

back 19

the name of the standard unique health identifier for health care providers

front 20

secondary insurance

back 20

exists when a patient is covered under more than one insurance plan

front 21

reimbursement

back 21

payment for provider services ( from insurance company)

front 22

scrub

back 22

ensures that claims are correctly coded before being sent to the insurance company, which reduces denials and increases payments to the practice

front 23

carrier

back 23

the company who provides the insurance policy

front 24

electronic media claims

back 24

a flat file format used to transmit or transport claims

front 25

clearinghouse

back 25

a private or public company that often serves as the middleman between physicians and billing groups, payers and other health care partners for the transmission and translation of electronic claims information into the specific format required by payers

front 26

electronic claims tracking

back 26

computer software designed for monitoring insurance claims

front 27

Which of the following is a disadvantage of using an outside billing service to handle patient accounts?

back 27

You do not have records in your office of current balances for your patients.

front 28

What should you do if the practice is participating with the patient's insurance plan and the patient owes a copay at the time of service?

back 28

Collect only the copay.

front 29

What should you do if a patient's check is returned after its initial deposit and is marked non-sufficient funds (NSF)?

back 29

Contact the bank to verify availability of funds

front 30

With monthly billing, it is usually safe to mail a bill _____ business days in advance to ensure it is received by the first of the month.

back 30

5 to 7

front 31

Which of the following is the least effective means of collecting patient fees?

back 31

Through written communication

front 32

Unless otherwise communicated, when calling a patient about a past due bill, which number should you call first?

back 32

home

front 33

When an account is overpaid, and a refund is required to be made back to the patient or to a health insurance plan by the medical facility, a(n) ____ balance exists.

back 33

credit

front 34

Payment plans are typically set up to have an account paid in full within ___ months.

back 34

12

front 35

Collection agencies typically come into play when a bill is delinquent for more than ____ months.

back 35

6

front 36

The Federal Trade Commission (FTC) enforces the _____ which prohibits debt collectors from using abusive, unfair, or deceptive practices to collect from a patient or customer.

back 36

fair debt collection practices act

front 37

The two common methods of billing are monthly billing and ___ billing

back 37

cycle

front 38

If a patient comes in for a physical examination because they are applying for life insurance coverage, who is the bill sent to?

back 38

Life insurance company

front 39

A patient ledger within a practice management system may be called a(n):

back 39

account history.

front 40

Which of the following is a way to identify accounts according to the length of time they have been delinquent?

back 40

aging of accounts

front 41

When it is necessary to collect a bill owed by a deceased patient, who is the statement sent to?

back 41

The estate of the deceased in care of any known next of kin at the patient's last known address

front 42

Accounts are considered current if within ___ of the billing date.

back 42

30 days

front 43

viability

back 43

capable of normal growth and development

front 44

third-party

back 44

someone other than the two principals in a transaction; when referring to checks made out to the patient by another unknown person

front 45

skip

back 45

a person who has disappeared or moved to avoid payment of bills

front 46

termination

back 46

ending

front 47

outsourcing

back 47

an arrangement by which a task operation or job that could be performed by employees within a company is instead contracted to another company

front 48

expended

back 48

spent or used as with money or energy

front 49

idle

back 49

uninvolved; doing nothing

front 50

nonsufficient funds

back 50

meaning the patient does not have enough money in the back account to cover the amount of the check

front 51

date of service

back 51

the calendar date a service begins or is provided

front 52

all time of service

back 52

when service is rendered

front 53

antagonize

back 53

to annoy; to arouse opposition

front 54

bankruptcy

back 54

being legally declared unable to pay debts

front 55

alpha search

back 55

look by alphabetical order

front 56

aging of accounts

back 56

dividing accounts into categories according to the amount of time since the first billing date

front 57

accounts receivable

back 57

a reporting system to see who has not paid on his or her account

front 58

account history

back 58

automatically shows the balance of the account and the number of days the account has been due