Health Insurance + Procedural and Diagnostic Coding
Patient Accounts + Preparing Insurance Claims and Posting Insurance Payments
Patient Billing, Posting Patient Payments, and Collecting Fees
Banking Procedures
Accounts Payable and Accounting Procedures
100

What percent of the approved amount after the deductible is satisfied will Medicare pay?

80%

100

Debit balance occurs when...

the amount paid is less than the total due.

100

What is a 'skip'?

a person who has disappeared of moved to avoid payment of bills

100

payee is...

a person to whom money is paid

100

Managerial accounting is also known as:

cost accounting
200

The ICD-10-CM code format includes:

3-7 characters

200

What form is the standard claim form used for billing in medical offices?

CMS-1500

200

Unless otherwise communicated, when calling a patient about a past due bill, which number should you call first?

Home 

200

The chronologic check number appears where on a chck?

Upper Right Corner

200

After write-offs are taken, net collection rates should be:

between 90 and 100 percent

300

Precertification refers to...

obtaining plan approval for service prior to the patient receiving them.

300

What is the bookkeeping strategy to confirm accuracy in debits and credits in a ledger?

Trial balance

300

A(n) ___ balance exists when an account is overpaid and a refund is required to be made back to the patient or to a health insurance plan by the medical facility.

credit

300

A(n) ____ is a transfer of title on the check to the bank in exchange for the amount of money on the face of the check.

endorsement

300

Who is typically responsible for performing a cost-benefit analysis?

An accountant

400

CPT code ranges 00100-01999 and 99100-99140 represent:

Anesthesiology

400

Whose Social Security number is used as the insurance plan ID number?

Policy holder

400

___ __ _____ is actually a way to identify accounts according to the length of time they have been delinquent.

Aging of accounts

400

If you must send cash or currency by mail, you should send it via:

registered mail

400

If assets of a medical practice add up to $20,000, and its liabilities add up to $5,000, what is the net worth of the medical practice?

$15,000

500

Medicare Part _ was created to provide coverage for both generic and brand-name drugs.

D

500
In the past, the ___ ____ was exclusively used to record financial transactions. Today, most offices and clinics use computerized systems to perform the bookkeeping process.

pegboard system

500

A disadvantage of using an outside billing service to handle patient accounts is that:

you do not have records in your office of current balances for your patients

500

Which type of bank account allows checks to be written for a larger amount than is currently in the account?

Overdraft checking account

500

If the current A/R balance is $100,000, and the average monthly gross production is $20,000, what is the A/R ratio?

5.0