Posting Insurance Payments Flashcards

1
Q

What does the Enterprise Payment Posting allow you to do?

A

Lets you post hospital and professional payments in the same workspace, and in the same batch.

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2
Q

From where does the system pull in the allowed amount during Insurance Payment Posting?

A

Reimbursement Contract

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3
Q

If the allowed amount in the EOB differs from what shows up on the Insurance Payment posting form, should you change it?

A

yes

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4
Q

Which button allows you to tell the system which responses should remain in fields when you move to another check?

A

set defaults button

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5
Q

What action do you take if you forget to post an entire check?

A

click new check

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6
Q

What action do you take if you forget to post to one invoice

A

click>check>level>pencil and select add pb detail

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7
Q

What action do you take if you posted to an invoice incorrectly?

A

click detail>level pencil>and select edit detail

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8
Q

What action do you take if you posted to an invoice more than once?

A

Contact supervisor who then clicks detail level>Pencil>and selects delete detail

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9
Q

What is the purpose of creating a payment posting batch?

A

It is used as a holding tank for the payment information you enter in the system.

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10
Q

To track the amount a bank deposit posted in the system, payment posting batches can be linked to what?

A

cash control groups

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11
Q

How do you look up an invoice number when you cant read it or it doesn’t appear on the EOB?

A

Use .p to look up by patient or .a to look up by account

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12
Q

If a payor sends payment for an invoice or patient that does not exist in the system, what should you do?

A

If you can’t find the invoice or the patient, post the payment undistributed to a clearing account. (If you can’t find the invoice, but can find the patient in the system, consider posting by Patient and service date or account and service date

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13
Q

T/F? An allowed amount always automatically appears on the Insurance payment posting form?

A

False

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14
Q

What should you do when the system allowed amount is different from the allowed amount on the EOB?

A

Override the system amount by entering the amount from the EOB in the allowed field

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15
Q

What should you enter in the POST field when posting a pb denial?

A

claim denied

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16
Q

What step in payment posting sends payments to guarantor accounts?

A

processing the batch

17
Q

T/F? A batch must balance before you can process it?

A

True

18
Q

Name one way you can identify where you made a posting error

A

Run the pending payment posting batch report (click the report button)