Billing

Question 1

The amount of money that a patient is responsible for before the insurance kicks in is called:

A. Coinsurance

B. Deductible

C. Out-of-Pocket expenses

D. Indemnity

Answer 1

B. Deductible

Question 2

The term used to describe the money the insured patient pays on a claim is called:

A. Policyholder

B. Out-of-pocket expenses

C. Coinsurance

D. Indemnity

Answer 2

B. Out-of-pocket expenses

Question 3

You performed an extensive audit and found an overpayment of $3 million dollars. What would you do first?

a. Consult with attorney
b. Notify upper management
c. Notify CMS or local Medicare intermediary

Answer 3

a. Consult with attorney