Question 1

Where are insurance payments entered in Medisoft?

Accepted Answer

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

Question 2

What can happen if an error occurs during claims processing by the third-party payer?

Accepted Answer

A)  a corrected remittance advice is generated 
B)  an appeal process may be started 
C)  both a corrected remittance advice is generated and an appeal process may be started 
D)  none of these is correct. 
A)  a corrected remittance advice is generated 
B)  an appeal process may be started 
C)  both a corrected remittance advice is generated and an appeal process may be started 
D)  none of these is correct.

Question 3

What button in the Deposit List dialog box is used to apply payments to specific charge transactions?

Accepted Answer

A)  the Unapplied button 
B)  the Apply button 
C)  the Export button 
D)  the New button 
A)  the Unapplied button 
B)  the Apply button 
C)  the Export button 
D)  the New button

Question 4

Which tab in the Statement dialog box includes information about the status, billing method, and type of a statement?

Accepted Answer

A)  General tab 
B)  Transactions tab 
C)  Notes tab 
D)  Comment tab 
A)  General tab 
B)  Transactions tab 
C)  Notes tab 
D)  Comment tab

Question 5

Claims for any secondary or tertiary payer associated with a claim are created when the current insurance payment is saved, if the ____________ box is checked in the Apply Payments/Adjustments to Charges window.

Accepted Answer

A)  Alert When Claims Are Done 
B)  Alert When Statements Are Done 
C)  Bill Remaining Insurances Now 
D)  Write Off Balance Now 
A)  Alert When Claims Are Done 
B)  Alert When Statements Are Done 
C)  Bill Remaining Insurances Now 
D)  Write Off Balance Now

Question 6

What is the maximum fee a Medicare participating provider can collect for services?

Accepted Answer

A)  half of the charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule 
A)  half of the charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule

Question 7

Which of the following statements is a reason why an insurance carrier might deny a claim?

Accepted Answer

A)  A diagnosis may be coded incorrectly. 
B)  A procedure code may not be covered by a patient's plan. 
C)  A procedure may be coded incorrectly. 
D)  All of these are correct. 
A)  A diagnosis may be coded incorrectly. 
B)  A procedure code may not be covered by a patient's plan. 
C)  A procedure may be coded incorrectly. 
D)  All of these are correct.

Question 8

What is the name of the payment schedule used by Medicare?

Accepted Answer

A)  Medicare Usual Fee Schedule (MUFS) 
B)  Medicare Allowed Charge Schedule (MACS) 
C)  Medicare Physician Fee Schedule (MPFS) 
D)  Medicare Billed Charge Schedule (MBCS) 
A)  Medicare Usual Fee Schedule (MUFS) 
B)  Medicare Allowed Charge Schedule (MACS) 
C)  Medicare Physician Fee Schedule (MPFS) 
D)  Medicare Billed Charge Schedule (MBCS)

Question 9

Which of the following are included on a remittance advice?

Accepted Answer

A)  dates of service 
B)  charges 
C)  patients 
D)  All of these are correct. 
A)  dates of service 
B)  charges 
C)  patients 
D)  All of these are correct.

Question 10

What type of patient statements are printed and mailed by the practice?

Accepted Answer

A)  electronic 
B)  paper 
C)  fax 
D)  guarantor 
A)  electronic 
B)  paper 
C)  fax 
D)  guarantor

Question 11

Information about ____________ is contained in the top section of the Apply Payment/Adjustments to Charges dialog box.

Accepted Answer

A)  the patient 
B)  the payer 
C)  the amount of the payment that is unapplied 
D)  All of these are correct. 
A)  the patient 
B)  the payer 
C)  the amount of the payment that is unapplied 
D)  All of these are correct.

Question 12

Which of the following documents specifies the amount a provider bills for provided services?

Accepted Answer

A)  managed care allowed charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule 
A)  managed care allowed charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule

Question 13

Which of the following documents specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement?

Accepted Answer

A)  managed care allowed charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule 
A)  managed care allowed charge 
B)  fee schedule 
C)  medicare allowed charge 
D)  payment schedule

Question 14

Which of the following is a likely result if a claim is missing or lost in a payer's system?

Accepted Answer

A)  Reimbursement is denied. 
B)  Reimbursement is made at a reduced rate. 
C)  Payment is not received. 
D)  Multiple procedures were not paid. 
A)  Reimbursement is denied. 
B)  Reimbursement is made at a reduced rate. 
C)  Payment is not received. 
D)  Multiple procedures were not paid.

Question 15

Only ____________ amounts are contained in the Take Back field in the Apply Payment/Adjustments to Charges dialog box.

Accepted Answer

A)  positive 
B)  negative 
C)  even dollar 
D)  None of these is correct. 
A)  positive 
B)  negative 
C)  even dollar 
D)  None of these is correct.

Question 16

What are the Status buttons in the General tab of the Statement dialog box used to indicate?

Accepted Answer

A)  the current status of the statement 
B)  the current status of the patient 
C)  the current status of the payment 
D)  All of these are correct. 
A)  the current status of the statement 
B)  the current status of the patient 
C)  the current status of the payment 
D)  All of these are correct.

Question 17

Which of the following is a common claim error?

Accepted Answer

A)  insufficient documentation provided to establish medical necessity 
B)  clerical errors 
C)  failure to follow preapproval guidelines 
D)  All of these are correct. 
A)  insufficient documentation provided to establish medical necessity 
B)  clerical errors 
C)  failure to follow preapproval guidelines 
D)  All of these are correct.

Question 18

A patient in an indemnity plan receives services valued at $240 according to a provider's usual fee and the allowed charge. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

Accepted Answer

A)  $0 
B)  $48 
C)  $192 
D)  $240 
A)  $0 
B)  $48 
C)  $192 
D)  $240

Question 19

What type of statement would a practice use to attempt to collect on an overdue balance from a patient?

Accepted Answer

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

Question 20

What are the buttons at the bottom of the Transactions tab used to do?

Accepted Answer

A)  split transactions 
B)  remove transactions from the statement 
C)  add transactions to the statement 
D)  split and remove transactions. 
A)  split transactions 
B)  remove transactions from the statement 
C)  add transactions to the statement 
D)  split and remove transactions.

Where are insurance payments entered in Medisoft?

What can happen if an error occurs during claims processing by the third-party payer?

What button in the Deposit List dialog box is used to apply payments to specific charge transactions?

Which tab in the Statement dialog box includes information about the status, billing method, and type of a statement?

Claims for any secondary or tertiary payer associated with a claim are created when the current insurance payment is saved, if the ____________ box is checked in the Apply Payments/Adjustments to Charges window.

What is the maximum fee a Medicare participating provider can collect for services?

Which of the following statements is a reason why an insurance carrier might deny a claim?

What is the name of the payment schedule used by Medicare?

Which of the following are included on a remittance advice?

What type of patient statements are printed and mailed by the practice?

Information about ____________ is contained in the top section of the Apply Payment/Adjustments to Charges dialog box.

Which of the following documents specifies the amount a provider bills for provided services?

Which of the following documents specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement?

Which of the following is a likely result if a claim is missing or lost in a payer's system?

Only ____________ amounts are contained in the Take Back field in the Apply Payment/Adjustments to Charges dialog box.

What are the Status buttons in the General tab of the Statement dialog box used to indicate?

Which of the following is a common claim error?

A patient in an indemnity plan receives services valued at $240 according to a provider's usual fee and the allowed charge. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

What type of statement would a practice use to attempt to collect on an overdue balance from a patient?

What are the buttons at the bottom of the Transactions tab used to do?

Introduction to Health Information Technology and Medical Billing

Introduction to Medisoft

Entering Patient Information

Working With Cases

Entering Charge Transactions and Patient Payments

Creating Claims

Creating Reports

Collections in the Medical Office

Filters

Exam 7: Posting Payments and Creating Patient Statements

Where are insurance payments entered in Medisoft?

What can happen if an error occurs during claims processing by the third-party payer?

What button in the Deposit List dialog box is used to apply payments to specific charge transactions?

Which tab in the Statement dialog box includes information about the status, billing method, and type of a statement?

Claims for any secondary or tertiary payer associated with a claim are created when the current insurance payment is saved, if the ____________ box is checked in the Apply Payments/Adjustments to Charges window.

What is the maximum fee a Medicare participating provider can collect for services?

Which of the following statements is a reason why an insurance carrier might deny a claim?

What is the name of the payment schedule used by Medicare?

Which of the following are included on a remittance advice?

What type of patient statements are printed and mailed by the practice?

Information about ____________ is contained in the top section of the Apply Payment/Adjustments to Charges dialog box.

Which of the following documents specifies the amount a provider bills for provided services?

Which of the following documents specifies the amount the payer agrees to pay the provider for a service, based on a contracted rate of reimbursement?

Which of the following is a likely result if a claim is missing or lost in a payer's system?

Only ____________ amounts are contained in the Take Back field in the Apply Payment/Adjustments to Charges dialog box.

What are the Status buttons in the General tab of the Statement dialog box used to indicate?

Which of the following is a common claim error?

A patient in an indemnity plan receives services valued at $240 according to a provider's usual fee and the allowed charge. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

What type of statement would a practice use to attempt to collect on an overdue balance from a patient?

What are the buttons at the bottom of the Transactions tab used to do?

Introduction to Health Information Technology and Medical Billing

Introduction to Medisoft

Entering Patient Information

Working With Cases

Entering Charge Transactions and Patient Payments

Creating Claims

Creating Reports

Collections in the Medical Office

Filters