MEDICAL OFFICE PROCEDURE # 8
QUESTIONS AND ANSWERS
1. AN APPOINTMENT WAS SCHEDULED FOR A NEW PATIENT, WHO ASKED
HOW MUCH THE FEE WOULD BE FOR THE VISIT. THE ADMINISTRATIVE
MEDICAL ASSISTANT SHOULD. - ANS-PROVIDE AN ESTIMATE OF THE
EXAMEN BUT EXPLAIN THAT THE ESTIMATE IS PRIOR TO OTHER
SERVICES, SUCH AS BLOOD WORK
2. BEFORE MAILING PATIENT STATEMENT, WHICH OF THE FOLLOWING
REPORT SHOULD BE REVIEWED FOR DELINQUENT ACCOUNTS? -
ANS-AGING REPORT
3. CLEAN CLAIM - ANS-health insurance claim form that has been completed
correctly without any errors or omissions
4. CLEARINGHOUSE - ANS-a service bureau company that receives electronic
or paper claims from the provider, checks and prepares them for
processing, and transmits them in HIPAA-complaint format to the correct
carriers
5. CMS-1500 CLAIM FORM - ANS-Standard insurance form used by all
government and most commercial insurance payers. also known as
Universal Claim form
6. CMS-1500 FORM - ANS-the standard form used by health-care providers to
bill for services, including disease state management services.
7. COLLECTION AGENCY - ANS-Businesses hired by lenders to pursue
payments on debts that borrowers have not paid back according to the
terms of the credit contract
8. COLLECTION AT THE TIME OF SERVICE - ANS-the payment for services by
patients at the time of the visit, by cash, check, or credit card where
acceptable; the payment method required for insurance copayments
(C0-PAY as required by HMO's
9. COLLECTION RATIO - ANS-Measures the effectiveness of the billing
system. The basic formula for figuring the collection ratio is to divide the
total collections by the net charges (gross charges minus any discounts) to
reach the percentage figure.
10. CYCLE BILLING - ANS-producing monthly statements for subsets of
customers at different times
QUESTIONS AND ANSWERS
1. AN APPOINTMENT WAS SCHEDULED FOR A NEW PATIENT, WHO ASKED
HOW MUCH THE FEE WOULD BE FOR THE VISIT. THE ADMINISTRATIVE
MEDICAL ASSISTANT SHOULD. - ANS-PROVIDE AN ESTIMATE OF THE
EXAMEN BUT EXPLAIN THAT THE ESTIMATE IS PRIOR TO OTHER
SERVICES, SUCH AS BLOOD WORK
2. BEFORE MAILING PATIENT STATEMENT, WHICH OF THE FOLLOWING
REPORT SHOULD BE REVIEWED FOR DELINQUENT ACCOUNTS? -
ANS-AGING REPORT
3. CLEAN CLAIM - ANS-health insurance claim form that has been completed
correctly without any errors or omissions
4. CLEARINGHOUSE - ANS-a service bureau company that receives electronic
or paper claims from the provider, checks and prepares them for
processing, and transmits them in HIPAA-complaint format to the correct
carriers
5. CMS-1500 CLAIM FORM - ANS-Standard insurance form used by all
government and most commercial insurance payers. also known as
Universal Claim form
6. CMS-1500 FORM - ANS-the standard form used by health-care providers to
bill for services, including disease state management services.
7. COLLECTION AGENCY - ANS-Businesses hired by lenders to pursue
payments on debts that borrowers have not paid back according to the
terms of the credit contract
8. COLLECTION AT THE TIME OF SERVICE - ANS-the payment for services by
patients at the time of the visit, by cash, check, or credit card where
acceptable; the payment method required for insurance copayments
(C0-PAY as required by HMO's
9. COLLECTION RATIO - ANS-Measures the effectiveness of the billing
system. The basic formula for figuring the collection ratio is to divide the
total collections by the net charges (gross charges minus any discounts) to
reach the percentage figure.
10. CYCLE BILLING - ANS-producing monthly statements for subsets of
customers at different times
