Exam 13: Modifiers a Practical Understanding

A ____________________ shows transactions posted and adjustments made on a patient's account.

______________________________ is the maximum amount the insurance or government program will cover for a specified service.

One security measure for electronic medical records is the use of ____________________ to limit access to files.

Fair Credit Billing Act allows a ____-day time limit for patients who have a complaint with a bill to inquire about the error.

A _________________________ is given to the patient at the end of a visit serving as the first statement.

A/R is the amount of outstanding money owed to a practice by patients and insurance companies.

The Medicare Physician Fee schedule is updated annually on January 1.

Patient demographics and copy of driver's license is collected during the ____ process.

Once an account is turned over to a collection agency, the office cannot accept any payments from the patient.

The RBRVS assigns an RVU to each CPT code to reflect the physician's skill, time, and ____.

If a patient is on a payment plan with more than four installments, the physician must disclose finance charges in writing complying with the ______________________________ Act.

Physician services listed on the Medicare Fee Schedule are paid at 80% of the allowed amount.

The billing and collections process begins the first time the patient presents to the office and completes a registration form.

____ is a classification and reimbursement system grouping inpatients in relation to the diagnosis and treatment during hospitalization.

The Medicare Fee Schedule is the method of payment for physicians' services, outpatient physical and occupational therapy, diagnostic tests, and ____.

The reimbursement rate for nonparticipating physicians is slightly higher than those who are PAR.

Allowable charges are based on Usual, Customary and ____________________ fees.

The main objective of accurately coding diagnoses and procedures and submitting claims is to receive reimbursement.

______________________________ is percentage limitation on fees that nonparticipating physicians are allowed to bill Medicare patients above the fee schedule amount.

This type of statement prints the patient statement and return envelope in a continuous form.