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Fees, Billing, Collections and Credit
15 Fees, Billing, Collections and Credit
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The fee is determined by the physician or the practice’s partners as a result of taking into consideration the time and services involved, as well as the prevailing fee in the community True False
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Notify them of office financial policies,
It is necessary to initiate a discussion of fees with patients prior to an exam or procedures to Inform them of costs, Notify them of office financial policies, Notify them of credit procedures prior to examinations and procedures All of the above
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Patients are not entitled to an accurate estimate of their obligations prior to receiving care
True False
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Posted information regarding payment policies and fees helps patients become aware of office procedures True False
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Most physicians expect payment for service at the time of service
True False
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HMO stands for Health Maintenance Occupation
Health Maintenance Organization Home Medical Organization Health Medical Organization
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A Superbill is also known as
Encounter form Charge slip A and B None of the above
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The superbill can be used to
Input computer information for billing, Provides the patient with a record of the account activity As a receipt All of the above
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The ledger card is used to
Record the charges Show the adjustments, payments, and current balance for the patient and Can be used to generate the monthly statement All of the above
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Accurate information is absolutely necessary when billing patients
True False
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Most medical offices have converted to computerized billing because it is more cost effective and efficient True False
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A third-party payer is The party or person other than the patient
An insurance company, Who may be responsible for paying the patient’s bill All of the above
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A signed assignment of benefits form ensures that insurance payments are
Made directly to the physician Sent to the patient Paid in a timely manner None of the above
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Payment is often collected at the time of service means
Before the service is provided Immediately after the service is provided A or B None of the above
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Accounts that are extremely overdue become very difficult and costly to collect
True False
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The reasons why a patients’ bill is outstanding may include
The patient does not feel that the bill is important. The patient believes that insurance will cover the bill The patient is unable to pay Any of the above
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Collection techniques may include
Reminder notices Telephone calls Collection letters All of the above
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A telephone call at the right time and in the right manner can be more effective than a letter to collect a delinquent account True False
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When notice is received of a patient’s bankruptcy, all collection attempts must cease and the medical office must file a claim for payment with the courts True False
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Accounts payable (AP) are the amounts the physician owes to others for
Supplies Equipment Services All of the above
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