Posting insurance payments Ch. 9 Flashcards
Payer responses flow
Invoice numbering on the professional claim form
Patient account number on the CMS 1500 claim form = invoice number in the system.
Payment posting finding the right charges
Actions deal with transferring the liability of remaining balances
Example of actions:
Next responsible party-moves the remaining balance to the next party in the visit filing order.
Not allowed adjustments - writes off the amount over the allowed amount.
New payments vs. new checks
New payment: click the new payment when you need to post money from the same check to a new invoice.
New check: use this when you are ready to post for another payer check.
Post insurance payments-
From where does the system pull in the allowed amount during insurance payment posting ?
Reimbursement contracts
Posting insurance payments: If the allowed amount in the EOB differs from what appears on the insurance payment posting form, should you change it?
Yes
Review chapter 9: true or false: an allowed amount will always appear automatically on an insurance posting line.
False: one will only appear if that charge code is included in a reimbursement contract.
Review chapter 9: what step in payment posting sends payments to PB visit accounts?
Processing the batch
Review chapter 9: true or false: a batch must balance before you can successfully process it.
True
