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Exam 7: Posting Payments and Creating Patient Statements

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Question 31

Multiple Choice

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A Medicare patient receives services valued at $1,120 according to a provider's usual fee, but the MPFS allowed charge is only $1,035. Assuming the deductible has been met, how much is the amount of the practice's adjustment?

A) $0
B) $85
C) $207
D) $1,035

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Question 32

Multiple Choice

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A procedure on the Medicare nonparticipating fee schedule is priced at $320. How much can the nonparticipating provider charge for the procedure under the Medicare limiting charge?

A) $115
B) $272
C) $320
D) $368

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Question 33

Multiple Choice

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What does the Export button in the Deposit List dialog box do?

Which of the following is the reason that guarantors rather than patients are listed in the Statement Management dialog box?

What happens after a deposit entry is saved in the Deposit dialog box?

What may be entered in the Rejection field in the Apply Payment/Adjustments to Charges dialog box?

A patient in a managed care plan receives services valued at $245 according to a provider's usual fee, but the allowed charge is only $220. The patient has a required copayment of $20. What is the adjustment that must be made by the practice?

A statement needs to be sent to a child who was brought to the practice by her mother but has insurance coverage under her father's plan. Who is the appropriate person to whom a patient statement should be sent?

What is the most common outcome when an insurance carrier pays a provider for a billed amount?

What type of payment is made to physicians on a regular basis?

Which tab in the Statement dialog box lists the transactions placed on the statement?

What must the report selected in the Open Report dialog box match?

In this type of billing system, patient statements are printed and mailed all at once.

Clicking the ____________ button instructs Medisoft to generate statements after all selections are complete in the Create Statements dialog box.

In what section of the Apply Payments to Charges window are the payments entered and applied?

Which of the following explains how to make an adjustment to an account with an applied zero payment?

A practice has agreed to a capitated plan with an insurance carrier under which it covers 20 patients and receives a $3,000-per-month reimbursement payment. What payment will the practice receive if it only treats 10 patients in a month?

Which of the following is the first step in processing a remittance advice?

What type of statement would a practice use to locate charges that still require further payment?

Which statements list only those charges that are not paid in full after all insurance carrier payments have been received?