Question 1

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has been billed and fully paid?

Accepted Answer

A)   Ready to Send
B)   Sent
C)   Done
D)   Completed

Question 2

The appropriate codes for the ____________ are selected from the Payment Code, Adjustment Code, Withhold Code, Deductible Code, and Take Back Code boxes.

Accepted Answer

A)   insurance carrier
B)   provider
C)   patient
D)   physician

Question 3

What is the purpose of the Options . . . button in the Apply Payment/Adjustments to Charges dialog box?

Accepted Answer

A)   It is used to change the default statement printing settings.
B)   It is used to change the default settings for patient payment application codes.
C)   It is used to change the program options for writing off balances.
D)   All of these are correct. B

Question 4

A patient in a managed care plan receives services valued at $615 according to a provider's usual fee, but the allowed charge is only $570. The patient has a required copayment of $20. Calculate the patient's payment for the services.

Accepted Answer

A)   $20
B)   $45
C)   $114
D)   $123

Question 5

The Deposit dialog box appears when the ____________ button is clicked in the Deposit List dialog box.

Accepted Answer

A)   Apply
B)   Export
C)   Edit
D)   New

Question 6

If a provider who does not participate in the Medicare program accepts assignment for a Medicare patient, it will be paid ____________ percent less than providers who do participate.

Accepted Answer

A)   5
B)   20
C)   115
D)   15

Question 7

Where are capitation payments entered in Medisoft?

Accepted Answer

A)   Open Report dialog box
B)   Deposit List dialog box
C)   Apply Payment/Adjustments to Charges dialog box
D)   Transaction Entry dialog box

Question 8

Which of the following statements is true about the procedure for adjusting patient accounts?

Accepted Answer

A)   Adjustments should be made one time for each capitation payment.
B)   Adjustments should be made two times for each capitation payment.
C)   Adjustments should be made for each patient who has transactions during the time period covered by the capitation payment.
D)   None of these are correct.

Question 9

You need to locate all the patients who are covered by a monthly capitation payment. How is this task performed in Medisoft?

Accepted Answer

A)   using the Search feature in the Claim Management dialog box
B)   using the Sort By feature in the Claim Management dialog box
C)   using the Change Status button in the Claim Management dialog box
D)   using the List Only . . . button in the Claim Management dialog box

Question 10

Which statements show all charges regardless of whether the insurance has paid on the transactions?

Accepted Answer

A)   patient statements
B)   remainder statements
C)   standard statements
D)   billing statements

Question 11

The default setting is sorting payments by ____________, in the Sort By field of the Deposit List dialog box.

Accepted Answer

A)   date and description
B)   insurance carrier
C)   amount
D)   provider

Question 12

Which of the following is the process in which providers who receive ERAs are able to have the payment information recorded directly to the patient's account?

Accepted Answer

A)   autobilling
B)   autopayment
C)   autodenial
D)   autoposting

Question 13

What is the amount a physician is reimbursed for a service based upon?

Accepted Answer

A)   the provider's agreement with the third-party payer
B)   the patient's insurance benefits
C)   the practice management program
D)   the provider's agreement with the third-party payer and the patient's insurance benefits

Question 14

What dialog box appears when the New button is clicked in the Deposit List dialog box?

Accepted Answer

A)   the Deposit dialog box
B)   the Apply Payment/Adjustments to Charges dialog box
C)   the Select Payor dialog box
D)   the List Only Claims That Match dialog box

Question 15

A patient in a managed care plan receives services valued at $135 according to a provider's usual fee, but the allowed charge is only $120. The patient has a required copayment of $20. What is the amount of the insurance payment?

Accepted Answer

A)   $20
B)   $80
C)   $100
D)   $120

Question 16

A user is able to indicate that a payer is ____________ in the Payor Type box in the Deposit dialog box.

Accepted Answer

A)   an insurance carrier
B)   a patient
C)   a capitation plan
D)   All of these are correct. D

Question 17

A Medicare patient receives services valued at $780 according to a provider's usual fee, but the MPFS allowed charge is only $700. Assuming the deductible has been met, what is the required patient payment?

Accepted Answer

A)   $0
B)   $20
C)   $80
D)   $140

Question 18

What section of the Apply Payment/Adjustments to Charges window contains several options that affect claims and statements?

Accepted Answer

A)   top third
B)   middle section
C)   lower third
D)   upper right-hand section

Question 19

You are working at a practice that prefers to handle all of its monthly billing at one time so that it can focus on providing services the rest of the month. What type of billing should the practice use?

Accepted Answer

A)   roster billing
B)   guarantor billing
C)   cycle billing
D)   once-a-month billing D

Question 20

Which of the following is the ERA that is mandated for use by HIPAA?

Accepted Answer

A)   the ASC X12 835 Remittance Advice Transaction
B)   the 835
C)   the 837
D)   the ASC X12 835 Remittance Advice Transaction and the 835

Exam 7: Posting Payments and Creating Patient Statements

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has been billed and fully paid?

Correct AnswerverifiedShow Answer

The appropriate codes for the ____________ are selected from the Payment Code, Adjustment Code, Withhold Code, Deductible Code, and Take Back Code boxes.

Correct AnswerverifiedShow Answer

What is the purpose of the Options . . . button in the Apply Payment/Adjustments to Charges dialog box?

Correct AnswerverifiedB

A patient in a managed care plan receives services valued at $615 according to a provider's usual fee, but the allowed charge is only $570. The patient has a required copayment of $20. Calculate the patient's payment for the services.

Correct AnswerverifiedShow Answer

The Deposit dialog box appears when the ____________ button is clicked in the Deposit List dialog box.

Correct AnswerverifiedShow Answer

If a provider who does not participate in the Medicare program accepts assignment for a Medicare patient, it will be paid ____________ percent less than providers who do participate.

Correct AnswerverifiedShow Answer

Where are capitation payments entered in Medisoft?

Correct AnswerverifiedShow Answer

Which of the following statements is true about the procedure for adjusting patient accounts?

Correct AnswerverifiedShow Answer

You need to locate all the patients who are covered by a monthly capitation payment. How is this task performed in Medisoft?

Correct AnswerverifiedShow Answer

Which statements show all charges regardless of whether the insurance has paid on the transactions?

Correct AnswerverifiedShow Answer

The default setting is sorting payments by ____________, in the Sort By field of the Deposit List dialog box.

Correct AnswerverifiedShow Answer

Which of the following is the process in which providers who receive ERAs are able to have the payment information recorded directly to the patient's account?

Correct AnswerverifiedShow Answer

What is the amount a physician is reimbursed for a service based upon?

Correct AnswerverifiedShow Answer

What dialog box appears when the New button is clicked in the Deposit List dialog box?

Correct AnswerverifiedShow Answer

A patient in a managed care plan receives services valued at $135 according to a provider's usual fee, but the allowed charge is only $120. The patient has a required copayment of $20. What is the amount of the insurance payment?

Correct AnswerverifiedShow Answer

A user is able to indicate that a payer is ____________ in the Payor Type box in the Deposit dialog box.

Correct AnswerverifiedD

A Medicare patient receives services valued at $780 according to a provider's usual fee, but the MPFS allowed charge is only $700. Assuming the deductible has been met, what is the required patient payment?

Correct AnswerverifiedShow Answer

What section of the Apply Payment/Adjustments to Charges window contains several options that affect claims and statements?

Correct AnswerverifiedShow Answer

You are working at a practice that prefers to handle all of its monthly billing at one time so that it can focus on providing services the rest of the month. What type of billing should the practice use?

Correct AnswerverifiedD

Which of the following is the ERA that is mandated for use by HIPAA?

Correct AnswerverifiedShow Answer

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D

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D

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