Question 1

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has not been billed?

Accepted Answer

A)  Ready to Send 
B)  Sent 
C)  Done 
D)  Completed 
A)  Ready to Send 
B)  Sent 
C)  Done 
D)  Completed

Question 2

Which of the following is a likely result if a clerical error is made on a claim?

Accepted Answer

A)  Reimbursement is denied. 
B)  Reimbursement is made at a reduced rate. 
C)  Payment is not received. 
D)  Reimbursement is denied or made at a reduced rate. 
A)  Reimbursement is denied. 
B)  Reimbursement is made at a reduced rate. 
C)  Payment is not received. 
D)  Reimbursement is denied or made at a reduced rate.

Question 3

What may a remittance advice contain?

Accepted Answer

A)  multiple claims 
B)  claims for a number of different patients 
C)  a limit of one claim per patient 
D)  multiple claims and claims for a number of different patients 
A)  multiple claims 
B)  claims for a number of different patients 
C)  a limit of one claim per patient 
D)  multiple claims and claims for a number of different patients

Question 4

When will a patient statement be created if a check mark appears in the Print Statement Now box?

Accepted Answer

A)  immediately when the box is checked 
B)  when the insurance payment is applied 
C)  when the current insurance payment is saved 
D)  when the Medisoft program is closed 
A)  immediately when the box is checked 
B)  when the insurance payment is applied 
C)  when the current insurance payment is saved 
D)  when the Medisoft program is closed

Question 5

A patient in an indemnity plan receives services valued at $430 according to a provider's usual fee, but the allowed charge is only $380. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

Accepted Answer

A)  $76 
B)  $86 
C)  $304 
D)  $344 
A)  $76 
B)  $86 
C)  $304 
D)  $344

Question 6

What step in reviewing a remittance advice comes after comparing the RA to the original insurance claim?

Accepted Answer

A)  compare the RA to the original insurance claim 
B)  identify the reasons for denials or payment reductions 
C)  bill the patient's secondary health care plan if appropriate 
D)  review the payment amount against the expected amount 
A)  compare the RA to the original insurance claim 
B)  identify the reasons for denials or payment reductions 
C)  bill the patient's secondary health care plan if appropriate 
D)  review the payment amount against the expected amount

Question 7

What type of patient statements are sent electronically to a processing center, which then prints and mails them?

Accepted Answer

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

Question 8

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

Accepted Answer

A)  compare the RA to the original insurance claim 
B)  identify the reasons for denials or payment reductions 
C)  bill the patient's secondary health care plan if appropriate 
D)  review the payment amount against the expected amount 
A)  compare the RA to the original insurance claim 
B)  identify the reasons for denials or payment reductions 
C)  bill the patient's secondary health care plan if appropriate 
D)  review the payment amount against the expected amount

Question 9

Take backs should be applied ____________ most of the time.

Accepted Answer

A)  to the patient's first charge 
B)  to the patient's next charge 
C)  to the same charge that had the overpayment 
D)  evenly between all the patient's charges 
A)  to the patient's first charge 
B)  to the patient's next charge 
C)  to the same charge that had the overpayment 
D)  evenly between all the patient's charges

Question 10

What type(s) of statement may be indicated by the Type field in the General tab of the Statement dialog box?

Accepted Answer

A)  standard 
B)  remainder 
C)  patient 
D)  standard and remainder 
A)  standard 
B)  remainder 
C)  patient 
D)  standard and remainder

Question 11

The amount the provider bills and the rate specified in the contract with the payer usually

Accepted Answer

A)  are the same. 
B)  differ. 
C)  are negotiable. 
D)  change daily. 
A)  are the same. 
B)  differ. 
C)  are negotiable. 
D)  change daily.

Question 12

You are entering payment details in the Deposit dialog box and need to enter some specific details about the payment. What box would be used to enter this information?

Accepted Answer

A)  the Payment Method box 
B)  the Description/Bank No. box 
C)  the Deposit Code box 
D)  the Insurance box 
A)  the Payment Method box 
B)  the Description/Bank No. box 
C)  the Deposit Code box 
D)  the Insurance box

Question 13

The Medicare limiting charge limits a nonparticipating provider to be able to charge what percent of the fee listed in the Medicare nonparticipating fee schedule?

Accepted Answer

A)  5 percent 
B)  20 percent 
C)  115 percent 
D)  None of these are correct. they are paid the same. 
A)  5 percent 
B)  20 percent 
C)  115 percent 
D)  None of these are correct. they are paid the same.

Question 14

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has been billed but not fully paid?

Accepted Answer

A)  Ready to Send 
B)  Sent 
C)  Done 
D)  Completed 
A)  Ready to Send 
B)  Sent 
C)  Done 
D)  Completed

Question 15

In what dialog box must patient accounts be adjusted to a zero balance?

Accepted Answer

A)  the Open Report dialog box 
B)  the Deposit List dialog box 
C)  the Apply Payment/Adjustments to Charges dialog box 
D)  the Transaction Entry dialog box 
A)  the Open Report dialog box 
B)  the Deposit List dialog box 
C)  the Apply Payment/Adjustments to Charges dialog box 
D)  the Transaction Entry dialog box

Question 16

Which tab in the Statement dialog box provides a place to include notes about the 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 17

An RA that is sent in ____________ is an electronic remittance advice (ERA).

Accepted Answer

A)  paper format 
B)  electronic format 
C)  fax format 
D)  All of these are correct. 
A)  paper format 
B)  electronic format 
C)  fax format 
D)  All of these are correct.

Question 18

A second deposit is entered with a ____________ in order to adjust the patient accounts of those covered by a capitated plan.

Accepted Answer

A)  matching amount 
B)  negative amount 
C)  zero amount 
D)  capitation amount 
A)  matching amount 
B)  negative amount 
C)  zero amount 
D)  capitation amount

Question 19

What column of the Statement Management dialog box is used to indicate the format for a statement?

Accepted Answer

A)  Stmt # 
B)  Status 
C)  Type 
D)  Media 
A)  Stmt # 
B)  Status 
C)  Type 
D)  Media

Question 20

In the Apply Payment/Adjustments to Charges dialog box, $320.00 is entered in the Charge field and $295.00 is entered in the Allowed field. What amount will automatically be entered in the Adjustment field?

Accepted Answer

A)  $0 
B)  $25.00 
C)  $295.00 
D)  $320.00 
A)  $0 
B)  $25.00 
C)  $295.00 
D)  $320.00

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has not been billed?

Which of the following is a likely result if a clerical error is made on a claim?

What may a remittance advice contain?

When will a patient statement be created if a check mark appears in the Print Statement Now box?

A patient in an indemnity plan receives services valued at $430 according to a provider's usual fee, but the allowed charge is only $380. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

What step in reviewing a remittance advice comes after comparing the RA to the original insurance claim?

What type of patient statements are sent electronically to a processing center, which then prints and mails them?

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

Take backs should be applied ____________ most of the time.

What type(s) of statement may be indicated by the Type field in the General tab of the Statement dialog box?

The amount the provider bills and the rate specified in the contract with the payer usually

You are entering payment details in the Deposit dialog box and need to enter some specific details about the payment. What box would be used to enter this information?

The Medicare limiting charge limits a nonparticipating provider to be able to charge what percent of the fee listed in the Medicare nonparticipating fee schedule?

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has been billed but not fully paid?

In what dialog box must patient accounts be adjusted to a zero balance?

Which tab in the Statement dialog box provides a place to include notes about the statement?

An RA that is sent in ____________ is an electronic remittance advice (ERA).

A second deposit is entered with a ____________ in order to adjust the patient accounts of those covered by a capitated plan.

What column of the Statement Management dialog box is used to indicate the format for a statement?

In the Apply Payment/Adjustments to Charges dialog box, $320.00 is entered in the Charge field and $295.00 is entered in the Allowed field. What amount will automatically be entered in the Adjustment field?

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

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has not been billed?

Which of the following is a likely result if a clerical error is made on a claim?

What may a remittance advice contain?

When will a patient statement be created if a check mark appears in the Print Statement Now box?

A patient in an indemnity plan receives services valued at $430 according to a provider's usual fee, but the allowed charge is only $380. How much does the patient pay for coinsurance if the insurer reimburses 80 percent of the allowed charges?

What step in reviewing a remittance advice comes after comparing the RA to the original insurance claim?

What type of patient statements are sent electronically to a processing center, which then prints and mails them?

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

Take backs should be applied ____________ most of the time.

What type(s) of statement may be indicated by the Type field in the General tab of the Statement dialog box?

The amount the provider bills and the rate specified in the contract with the payer usually

You are entering payment details in the Deposit dialog box and need to enter some specific details about the payment. What box would be used to enter this information?

The Medicare limiting charge limits a nonparticipating provider to be able to charge what percent of the fee listed in the Medicare nonparticipating fee schedule?

What phrase in the Status column of the Statement Management dialog box is used to indicate that the transaction has been billed but not fully paid?

In what dialog box must patient accounts be adjusted to a zero balance?

Which tab in the Statement dialog box provides a place to include notes about the statement?

An RA that is sent in ____________ is an electronic remittance advice (ERA).

A second deposit is entered with a ____________ in order to adjust the patient accounts of those covered by a capitated plan.

What column of the Statement Management dialog box is used to indicate the format for a statement?

In the Apply Payment/Adjustments to Charges dialog box, $320.00 is entered in the Charge field and $295.00 is entered in the Allowed field. What amount will automatically be entered in the Adjustment field?

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