Exam 13: Claim Processing, Payments, and Collections

A determination by a payer comes _______ the claim review process.

Improper or excessive payment resulting from billing errors is called ____.

An insurance aging report shows the ages of ______.

After patient bills are sent, what process is used to follow up on late payments?

Adjudication is made up of five steps designed to see how the benefits will be paid. Which of the following is not one of the steps?

An account that is written off from the expected revenues is a (n) _____.

Software feature enabling automatic entry of payments on a remittance advice is called ___.

An electronic deposit is called a (n) _______.

What may be sent when a carrier rejects a claim because preauthorization was not obtained?

What is the request for reconsideration of a claim adjudication called?

What should a physician do if he/she considers the carrier's reimbursement for services to be inadequate or incorrect?

An amount entered in a patient's account balance because of a credit or debit is called a (n) _____.

______ is a payer's decision about paying a health care claim.