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Stack #1294751
| Question | Answer |
|---|---|
| it is often the practice administrator who is responsible for the business portion of the practice | true |
| a large percentage of reimbursement in the physician's office is generated from third-party payers | true |
| information provided on the patient registration form will prove critical to any billing and collection efforts | true |
| if a patient refuses to divulge any needed information on the patient registration form, the policy should be bill the patient using the information that has been given | false |
| a collection rate of 80% to 85% should be a goal for the practice administrator in charge of collections in the physician's office | false |
| when no business or home telephone number is listed on the patient registration form, this may be an indication of a future nonpaying patient | true |
| most medical practices operate with a set of fees that must be applied to all patients in the practice | true |
| under federal regulations, a list of the most common services the physicians offers including procedure code numbers with a description of each service and its price, must be posted in the office waiting room | false |
| when a physician offers a discount, it must apply to the total bill, not just the portion that is paid by the patient | true |
| it is legal to offer patients a cash discount when the entire fee is paid at the time of service | true |
| in most situations, both private insurers and the federal government ban waiving the copayment portion of the patient's fee | true |
| standard policy should be to reduce fees of any patient who dies after receiving medical care | false |
| you should not give patients the option of asking if they would like to pay now or have a bill sent | true |
| a medical practice cannot refuse to let an established patient see the doctor because of a debt | true |
| in trying to collect an unpaid balance, a telephone interview is preferred to a personal interview | false |
| a personal check is a guarantee of payment | false |
| if a patient writes "paid in Full" on a check against an account that will not be paid in full with the check, the acceptance of the check indicates an acceptance of the paid in full remark | false |
| one person or one department should handle all billing questions | true |
| the best and most effective collection statements include a handwritten note | true |
| refunds may be made by check on accounts in which payment was made by credit card | false |
| a patient has a $600 balance and agrees to a payment plan of $100 in six installments. If he or she skips the third installment and sends $25.00 the following month, the physician can send the account to a collection agency | true |
| the fair credit reporting act states that a patient has 60 days from the date a statement is mailed to complain about a error | false |
| when a physician continues to treat a patient with an overdue account, the courts have viewed this as an extension of credit; therefore, patients who fall into this delinquent status should be referred elsewhere | true |
| according to the FDCPA, debtors can never be contacted at work | false |
| in a telephone collection call, the first 2 minutes will set the scene for your relationship with the patient | false |
| in a telephone collection call, if a patient does not respond, it probably means no | false |
| medicare accounts may not written off until sequential statements have been sent with an increasing intensity in the collection message and a genuine collection effort has been made | true |
| all accounts older than 120 should go to a collection agency | false |
| statements should not be sent to a patient who has filed bankruptcy | true |
| insurance billing specialist who handle checks or cash should be bonded and insured | true |
| Cash Flow is | the ongoing availability of cash in the medical practice |
| when insurance carriers do not pay claims in a timely manner, what effect does this have on the medical practice | decreased cash flow |
| what does the insurance billing specialist need to monitor to be able to evaluate the effectiveness of the collection process | accounts receivable |
| the average amount of accounts receivable should be | 1.5 to 2 times the charges for 1 month of service |
| accounts that are 90 days or older should not exceed | 15% to 18% of the total accounts receivable |
| what should be done to inform a new patient of office fees and payment policies | send a patient information brochure, send a confirmation letter and discuss fees and policies at the time of the initial contact |
| the patient is likely to be the most cooperative in furnishing details necessary complete registration process | before any services are provided |
| the reason for a fee reduction must be documented in the patient's | medical record |
| professional courtesy means | making no charge to anyone, patient or insurance company, for medical care |
| when collecting fees, your goal should be to | collect the full amount |
| a medical practice has a policy of billing only for charges in excess of $50.00. When the medical assistant requests a $45.00 payment for the office visit, the patient states, "Just bill me." How should the medical assistant respond | State the office policy and ask for the full fee |
| the most common method of payment in the medical office is | personal check |
| when the physician's office receives notice that a check was not honored, the first thing to do is | call the bank or the patient |
| accounts receivable are usually aged in time periods of | 30 60 90 and 120 days |
| messages included on statements to promote payment are called | dun messages |
| what is the type of billing system in which practice management software is used | computer billing |
| employment of a billing service is called | outsourcing |
| the first statement should be | presented at the time of service |
| the first telephone call to the patient to try to collect on an account should be made | after there is no response from the third statement |
| what is a card called that permits bank customers to ake cashless purchases from funds on deposit without incurring revolving finance charges for credit | debit card |
| how many installments must a payment plan have to require full written disclosure | 4 or more |
| patient accounts that are 90 days or older should not exceed what percent of the total office accounts receivable | 15% to 18% |
| what is the name of the federal act that prohibits discrimination in all areas of granting credit | Equal Credit Opportunity Act |
| What is the name of the act designed to address the collection debt collectors and attorneys who regularly collect debts for others | fair debt collection practices act |
| all collection calls should be placed | after 8 am and before 9 pm |
| which group of accounts would a collector target when he or she begins making telephone calls | 60 to 90 day accounts |
| in making collection calls to a group of accounts, how should the accounts be organized to determine where to begin | organize the accounts according to the amounts owed and start with the largest amount first |
| a plan in which employees can chose their own working hours from within a broad range of hours approved by management is called | flex time |
| when writing a collection letter | use a friendly tone and ask why payment has not been made |
| if an insurance company seems to be ignoring all efforts to trace a claim, send a copy of the | history of account |
| Netback is a term used to describe | a collection agency's performance |
| the part of the legal system that allows laypeople to settle a legal matter without use of an attorney is the | small claim court |
| in a bankruptcy case, most medical bills are considered | unsecured debt |
| which type of bankruptcy is considered "wage earner's bankruptcy | chapter 13 |
| Credit come from a latin word that means | to trust |
| the unpaid balance due from patients for services that have been rendered is called | A/R |
| the relationship of the amount of money owed to the physician and the amount collected on the physician's accounts receivable is called the | collection ratio |
| the patient information sheet is also known as the | patient registration information form |
| the patient registration form should be updated at least every | 6 months |
| all discounted fees need to be noted on the patients | financial account record |
| assets or debts that have been determined to be uncollectible and are there taken off the accounting books as a loss are called | write offs |
| the amount due listed on the patient financial record accounting record is also referred to as a | balance |
| if the endorsement on the back of the payment check does not match the name on the front, there may be a case of | forgery |
| the procedure of systematically arranging the accounts receivable by age from the date of service is called | age analysis reporting |
| the statement This bill is now 30 days past due. Please remit payment is called a | dun message |
| an outside party who takes over the task of preparing and mailing statements is known as a | billing service |
| Accounts that are billed in a spaced interval is called a | billing cycle |
| the truth in lending consumer credit cost disclosure requires businesses to disclose all | direct and indirect costs related to granting credit |
| a formal regulation or law setting time limits on legal action is known as a | statue of limitation |
| according to the FDCPA, do not contact a third party more than | once unless requested to do so by the party or the response was erroneous or incomplete |
| the collection abbreviation TTA means | turned to agency |
| the collection abbreviation OOT means | out of town |
| when dealing with managed care contracts, do not sign contracts that use the term | hold harmless clause |
| patient accounts turned over to a collection agency should have a | letter of withdraw |
| a patient who owes a balance on a account and leaves no forwarding address is called an | skip |
| in filing a claim in a small claim court, the physicians office | plaintiff |
| in dealing with an estate claim a call should be placed with the | executor |
| a lien is a claim on the property of another for a | debt |
Created by:
hudsondrummerman