Office Financial Flashcards
The main purpose for verifying a patient’s insurance coverage at every visit is to
A. prevent claim rejection due to ineligibility or non-active status.
B. maintain confidentiality of protected health information.
C. expedite the age analysis process of delinquent accounts.
D. establish rapport and respectful approach to care.
prevent claim rejection due to ineligibility or non-active status.
Which of the following must be filled out by the patient in order to forward payment to the physician’s office?
A. coordination of benefits
B. assignment of benefits
C. remittance advice
D. explanation of benefits
Assignment of benefits
Which of the following documents does the provider or facility need to submit in order to receive reimbursement from an insurance company?
A. ABN
B. CMS-1500
C. medical consent form
D. explanation of benefits
CMS-1500
Which of the following forms is used by the medical office to ensure that insurance payments are made directly to the physician?
A. CMS 1500
B. patient consent
C. assignment of benefits
D. UB-04
assignment of benefits
When posting an insurance payment via an EOB, the amount that is considered contractual is the
A. insurance allowed amount.
B. NON-PAR payment allowable.
C. co-insurance.
D. patient responsibility.
A list of all account balances and the amounts owed to the medical practice at the end of the day is called an
A. accounts receivable report.
B. aging summary analysis.
C. accounts payable report.
D. insurance aging report.
accounts receivable report.
A medical office assistant’s knowledge of a statute of limitations for collecting an overdue account is an example of managing the collections process while complying with
A. AMA guidelines.
B. practice management guidelines.
C. state and federal guidelines.
D. HIPAA guidelines.
state and federal guidelines.
The process of finding out if a service or procedure is covered under a patient’s insurance policy is called
A. predetermination.
B. preauthorization.
C. precertification.
D. preexisting
precertification
The medical office assistant receives payments in full from both a primary private insurance company and a 65-year-old patient. At the end of the day she realizes there was an overpayment on the patient’s account. Which of the following should the overpayment be refunded to?
A. the patient
B. the insurance company
C. Medicare
D. the physician
the patient
