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Insurance chapter 10
Chapter 10 Insurance
| Question | Answer |
|---|---|
| a large percentage of reimbursement in the physicians office is generated from third party payer | True |
| information provided on the patients registration form will prove critical to any billing and collection efforts | True |
| In trying to collect an unpaid balance, a telephone interview is preferred to as a personal interview | False |
| A personal check is a guarantee of payment | False |
| Insurance billing specialists who handle checks or cash should be bonded and insured | True |
| You should not give patients the option of asking if they would like to pay now or later | True |
| ALL ACCOUNTS OLDER THAN 120 DAYS SHOULD GO TO A COLLECTION AGENCY | False |
| A MEDICAL PRACTICE CANNOT REFUSE TO LET AN ESTABLISHED PATIENT SEE THE DOC BECAUSE OF DEBT | True |
| ONE PERSON OR ONE DEPARTMENT SHOULD HANDLE ALL BILLING QUESTIONS | True |
| In a telephone collection call, patient does not respond, it probably means "no" | False |
| Most medical practices operate with a set of fees that must apply to total bill | True |
| When physician offers a discount, it must apply to total bill, not just the portion that is paid by the patient | True |
| IT IS ILLEGAL TO OFFER PATIENTS A CASH DISCOUNT WHEN THE ENTIRE FEE IS PAID AT TIME OF SERVICE | True |
| IN MOST SITUATIONS, BOTH PRIVATE INSURES AND THE FEDERAL GOVERNMENT BAN WAIVING THE COPYMENT | True |
| REFUNDS MAY BE MADE BY CHECK ON ACCOUNTS IN WHICH PAYMENT WAS MADE BY CREDIT CARD | False |
| What should be done to inform a new patient of office fees and payment policies | all the above (send brochure, send comp letter, discuss fees) |
| PROFESSIONAL COURTESY MEANS | making no charge to anyone |
| WHEN COLLECTING FEES, YOUR GOAL SHOULD ALWAYS BE TO | collect the full amount |
| MEDICAL PRACTICE HAS A POLICY OF BILLING ONLY FOR CHANGES IN EXCESS OF $50. WHEN THE MEDICAL ASSISTANT REQUESTS A $45 PAYMENT FOR THE OFFICE VISIT, THE PATIENT STATES "JUST BILL ME." HOW SHOULD THE MEDICAL ASSISTANT RESPOND? | State the office policy and ask for the full fee |
| The most common method of payment in the medical office is | person checks |
| WHEN THE PHYSICIANS OFFICE RECEIVES NOTICE THAT A CHECK WAS NOT HONORED, THE FIRST THING TO DO IS TO | call the bank and the patient |
| Accounts receivable are usually aged in time periods of | 30, 60, 90, and 120 days |
| What is the type of billing system in which practice management software is used? | computer billing |
| EMPLOYMENT OF A BILLING SERVICE IS CALLED | outsourcing |
| WHAT IS A CARD CALLED THAT PERMITS BANK CUSTOMERS TO MAKE CASHLESS PAYMENTS FROM FUNDS ON DEPOSIT WITHOUT INCURRING REVOLVING FINANCE CHARGES FOR CREDIT | Debit card |
| Which group of accounts would a collector target when he or she begins making telephone calls | 60-90 days account |
| When writting a collector letter | use friendly tone and ask why payment hasnt been made |
| IF AN INSURANCE COMPANY SEEMS TO BE IGNORING ALL EFFORTS TO TRACE A CLAIM, SEND A COPY OF THE | History of the account |
| A patient is likely to be most cooperative infurnishing details necessary for a complete registration process | before any services are provided |
| ALL COLLECTION CALLS SHOULD BE PLACED | after 8 AM and before 9 PM |
| IN MAKING COLLECTION TELEPHONE CALLS TO A GROUP OF ACCOUNTS, HOW SHOULD THE ACCOUNTS BE ORGANIZED TO DETERMINE WHERE TO BEGIN? | Organize the accounts according to amounts owed and start with the largest amount |
| CASH FLOW IS | The ongoing availability of cash in the medical practice |
| WHEN INSURANCE CARRIERS DO NOT PAY CLAIMS IN A TIMELY MANNER, WHAT EFFECT DOES THIS HAVE ON MEDICAL PRACTICE? | Decrease cash flow |
| WHAT DOES THE INSURANCE BILLING SPECIALIST NEED TO MONITOR TO BE ABLE TO EVALUATE THE EFFECTIVENESS OF THE COLLECTION PROCESS? | Accounts recievable |
| What is the name of the act designated to address the collection practices of third-party debt collectors and attorneys who reguluarly collect debts for others? | Fair debt collection practices act |
| THE AMOUNT DUE LISTED ON THE PATIENTS FINANCIAL ACCOUNTING RECORD IS ALSO REFERRED TO AS THE ACCOUNT _________ | Balance |
| THE STATEMENT "THIS BILL IS NOW 30 DAYS PAST DUE. PLEASE REMIT PAYMENT," IS CALLED A __________________ | Dun message |
| A PATIENT WHO OWES A BALANCE ON HIS OR HER ACCOUNT AND MOVES BUT LEAVES NO FORWARDING ADDRESS IS CALLED A/AN ____________ | Skip |
Created by:
Lea99