Exam 6: Payment Methods and Checkout Procedures

Which of the following is not taken into account when determining resource-based fee structures?

If a practice has not accepted assignment, and collects payment from the patient at the time of service and then sends a claim to the plan on behalf of the patient, what should the patient expect as the next course of action?

The Centers for Medicare and Medicaid Services (CMS) Resource-Based Relative Value Scale (RBRVS) builds on the RVS method by adding factors for

What is the goal of an effective patient checkout procedure?

After checkout, what is a next step in the billing cycle?

For which type of insurance plan would the medical assistant verify the patient's deductible, the coverage benefits and the coinsurance or other financial information?

What must be met before benefits from a payer begin?

A preauthorization form is typically used with which type of transactions?

What should explain what is required of the patient financially when payment is due?

Numerical values are assigned to medical services, based on nationwide research, in a(n)

Which of the following is not a usually accepted form of payment?

The comparison of the usual fee and individual physician charges for a service, the customary fee charged by most physicians in the community, and the reasonable fee for service is known as what approach?

What does it mean when a provider accepts assignment?

All of the following procedures are completed at the end of a patient visit, except:

Which type of payment is made during checkout based on an estimate?

Under a point-of-service (POS) plan, an HMO patient who does not want to be limited to network providers might have to make

What might a health plan require if the patient has more than one covered service in a single day?

In some plans, a primary care physician (PCP) is assigned to

The first step in calculating RBRVS is to determine the ____________.

An option in an HMO that allows patients to use non-HMO providers is called