Chapter 11

Question 0

A cancellation of an unpaid debt is

Answer 0

Write off

Question 1

The medical practice generally agree to pay the credit card company

Answer 1

1.8%

Question 2

If a billing cycle is charged you are legally required to notify patients

Answer 2

3 months prior to the billing cycle

Question 3

Physicians set fees for office visits, laboratory work, and in office visits based on

Answer 3

UCR concept

U- Usual. Fair value of service
C- Customary. Competitive rates charged by other physicians
R- Reasonable. Meets the other two criteria

Question 4

RBRVS

Answer 4

Resource Based Relative Value Scale

Fees are based on the relative value of a particular service and adjusted for geographical differences

Question 5

Medicare Fee schedule has 3 columns

Answer 5

A participating fee- amount paid to physicians who participate or agree to a certain fee.

A nonparticipating fee- amount paid to physicians who do not have agreements with Medicare

A limiting charge- amount physician can charge a Medicare patient

Question 6

If a new patient pays by check

Answer 6

Get 2 forms of id

Question 7

Most practices require patients to submit insurance card at each visit remember to

Answer 7

Always make copy of both sides of the patient card and place in appropriate section if chart for billing reference

Question 8

EOB

Answer 8

Explanation of benefits -

Shows how much you may collect for the service

Question 9

Aging schedule

Answer 9

Record of patients name,balance,payments made,time of outstanding debt and relevant comments

Question 10

Professional courtesy

Answer 10

Charging other health care professionals at a reduced rate

Question 11

Adjustment

Answer 11

Change in a posted acct

Question 12

When an insurance adjustment is made to a fee

Answer 12

The insurance carriers EOB shows how much the office may collect for the service

Question 13

When you are collecting a debt from an estate it is best to

Answer 13

Send a final bill to the estates executor

Question 14

If you are attempting to collect a debt from a patient you must

Answer 14

Use reasonable restraint

Question 15

Federal regulations require each medical office to describe its service and procedures and to give the procedure codes and prices by

Answer 15

Posting a sign stating a list is available

Question 16

Patients who choose to become participating providers with third party payers usually do so in order to

Answer 16

Build a solid patient base

Question 17

The Fair Debt Collection Act of 1996

Answer 17

Requires debt collectors to treat debtors fairly. Prohibits harassment , misrepresentation, threats, disseminating, false info,about the debtor

Question 18

Three most common ways of collecting an overdue account are:

Answer 18

. Sending an overdue notice to the patient

. Telephoning the patient to let them know the account is overdue

. Informing the patient at their next office visit