Knowledge Test Week 6

Question 1

What is a billing method where a patient statements are sent out at specific points in the month to a certain group of patients?

Cycle
RBRVS
Collections
Aging

Answer 1

Cycle

Question 2

What will the insurance specialist use to collect overdue accounts from patients?

Day sheet
Insurance aging report
Patient aging report
Physician aging report

Answer 2

Patient aging report

Question 3

When a bad debt is written off a patient’s account, which of the following is true?

AR is decreased
AR is uncollectible
AR is not affected
None of the above

Answer 3

AR is uncollectible

Question 4

Which are claims where no payment has been made by the payer?

EOB
RA
Clean
Denied

Answer 4

Denied

Question 5

Transfer of money from one bank to another is called __________.

ABN
EFT
EOB
ERA

Answer 5

EFT

Question 6

If an overpayment is received from a third-party payer for a particular patient, what must be done?

It is returned to the third-party payer
It is applied to another patient’s account with the same insurance
It is kept once posted to the patient’s account
It is returned to the patient

Answer 6

It is returned to the third-party payer

Question 7

Whenever communicating with a patient, courtesy is expected even with the most informal correspondence, which is __________.

Email
During an encounter
Telephone call
Mailing a letter

Answer 7

Email

Question 8

If an account is written off as a bad debt, what is posted in the charges column?

A negative amount
A positive amount
A credit
Nothing

Answer 8

A negative amount

Question 9

Which payer is the “payer of last resort”?

CHAMPVA
Medicaid
TRICARE
Medicare

Answer 9

Medicaid

Question 10

Which health insurance plan is for low income individuals?

Medicaid
Medicare
TRICARE
CHAMPVA

Answer 10

Medicaid

Question 11

Which health insurance plan is for veterans’ dependents?

Medicare
Medicaid
CHAMPVA
TRICARE

Answer 11

CHAMPVA

Question 12

Which methods are most commonly used first by a practice to attempt to get a patient’s payment on overdue accounts?

Collection agencies
Patient dismissal
Letters and calls
Payment plans

Answer 12

Letters and calls

Question 13

What type of report can be helpful in the claim tracking process?

Insurance aging report
Patient aging report
Audit
EOB

Answer 13

Insurance aging report

Question 14

If a payer is awaiting additional information to complete a claim, what is the claim status?

Pending
Reimbursed
Adjudicated
Rejected

Answer 14

Pending

Question 15

Which report includes all patients and summarizes all charges and payments for a single date?

Progress note
Day sheet
Aging report
Claim form

Answer 15

Day sheet

Question 16

Which is the common billing practice today that is required for Medicare and Medicaid claims?

Using a collection agency
Paper claim submission
Retrospective audit
Electronic claim submission

Answer 16

Electronic claim submission

Question 17

What is an insurance task that keeps up to date with where a claim is in the payment process?

Retaining
Cross walking
Tracking
Editing

Answer 17

Tracking

Question 18

Which entity is paid a percentage of the amount of payment received from the patient?

Clearinghouse
Collection agency
Insurance plan
All of the above

Answer 18

Collection agency

Question 19

What does the legal term, respondeat superior mean?

The patient will sue the physician
The insurance specialist is superior to all billing personnel
Employer is legally responsible for employee’s actions
The employee is responsible for their own actions

Answer 19

Employer is legally responsible for employee’s actions

Question 20

Which is the length of time records are kept?

Ledger
Policy
Electronic
Retention

Answer 20

Retention

Question 21

What happens to a patient’s balance that is written off their account?

The amount is left as is
The amount is subtracted
The amount is added
The amount is turned over to a collection agency

Answer 21

The amount is subtracted

Question 22

Which is a reason for claim denial?

Incorrect patient information
Missing policy number
Coding errors
All of the above

Answer 22

All of the above

Question 23

Which medical plan is for active military personnel and their dependents?

Medicare
TRICARE
Medicaid
CHAMPVA

Answer 23

TRICARE

Question 24

What document sent to the patient and sometimes the provider shows the services, charges, and reimbursement but has been mostly replaced with an electronic version?

Crosswalk
RA
Appeal
EOB

Answer 24

EOB

Question 25

Determining primary and secondary payer for a patient with two insurance coverages, is a process of coordination of __________. Review Later Processing Eligibility Policies Benefits

Answer 25

Benefits

Question 26

Which coverage provides wage replacement and medical benefits? Review Later Group plans Workers' compensation Commercial plans BCBS

Answer 26

Workers' compensation

Question 27

When a patient's debt is eliminated by a court of law, what process has taken place? Review Later Bad debt Dismissal Collections Bankruptcy

Answer 27

Bankruptcy

Question 28

Which is a patient bill that includes dates of service, services provided, charges, and what the patient owes to the practice? Review Later Collections Bad debt Statement Plan

Answer 28

Statement

Question 29

A financial arrangement made to reimburse a monthly amount until a debt is paid in full is called what? Review Later Accounts payable Patient dismissal Payment plan Accounts receivable

Answer 29

Payment plan

Question 30

Which is an external approach to collections? Review Later Using a collections agency Making calls after hours Sending letters to a patient None of the above

Answer 30

Using a collections agency