Patient Financial Services Representative 1

Question 1

If a 20-year old student is covered by his parents’ insurance and accepts medical services, who should the provider pursue payment from?

Answer 1

The student

Question 2

If a mentally competent adult patient is listed as a guarantor but is incapable of signing, what should be done?

Answer 2

The provider should try obtain the patient’s signature as soon as the patient is able

Question 3

For an assignment of benefits to be valid, whose signature is required?

Answer 3

The policyholder

Question 4

An assignment of benefits signature informs the insurance company that payments should be made to whom?

Answer 4

The provider

Question 5

Ms. Smith brings in her child, who is a minor, for a treatment. Since the child’s parents are divorced, who should the Patient Access representative list as the guarantor?

Answer 5

This is dependent on the facility’s policy

Question 6

If circumstances prevent a provider from capturing a financial guarantee signature, what allows the provider to still hold the patient liable for payment?

Answer 6

Implied-in-law contract

Question 7

Which signed form makes it clear who is responsible for paying a patient’s medical bills?

Answer 7

Financial guarantee statement

Question 8

The consent to release information form does which of the following?

Answer 8

Protects patients’ rights to medical privacy

Question 9

When a mentally competent adult is unable to sign a consent for medical treatment form, who has the right to sign it in their place?

Answer 9

All of the above- look this up

Question 10

Federal, State, _______________, and Private funding programs, referred to as _______________, are a financial assistance option.

Answer 10

Local; FSLP

Question 11

Effective financial counseling has become increasingly crucial because _______________ patients continue to owe greater amounts out-of-pocket.

Answer 11

both insured and uninsured

Question 12

By improving financial counseling efforts, healthcare organizations can ____________.

Answer 12

increase collections

Question 13

Maria Juarez has no insurance coverage but has been admitted as an inpatient through the ED. A financial counselor reviews her file in order to evaluate all possible balance resolution methods. Which outcome would be ideal for the organization?

Answer 13

Maria pays in full

Question 14

A financial counselor works with Jeff Smith to help him pay for an expensive treatment. The counselor realizes that alternate funding programs might be the best option for Jeff. Which of the following is true about alternate funding programs?

Answer 14

Both the first and third option- look this up

Jeff might qualify for a program based on his gender, ethnicity, age, or illness

Some programs might expire after a given duration

Question 15

Inpatient services can be challenging to collect charges for because ____________.

Answer 15

providers have less time to check insurance and eligibility prior to admission

Question 16

Outpatient care ____________.

Answer 16

is often scheduled in advance

Question 17

In the emergency department, financial counselors should follow which strategies to reduce uncompensated care?

Answer 17

All of the above
A When possible, offer financial counseling at bedside or at the discharge desk
b. Screen patients for Medicaid eligibility if they do not have insurance coverage
c.For patients with a prior self-pay balance, screen for further financial counseling investigation