Deck 13: Modifiers a Practical Understanding

Question 1

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

A) Continuous statement
B) Preprinted statement
C) Self-mailer
D) Dot matrix

Answer 1

Self-mailer

Question 2

Patient fees are based on three commodities the physician provides: time, services, and ____.

A) expertise
B) judgment
C) counseling
D) diagnosis

Answer 2

counseling

Question 3

Monthly billing means ____________.

A) billing a patient once a month on the date of the service originally provided
B) dividing patients by alphabet and billing them monthly
C) billing all patients at a designated time of the month
D) billing patients at the time of birth date each month

Answer 3

billing all patients at a designated time of the month

Question 4

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

Question 5

The collection ratio measures the amount owed versus the amount collected.

Question 6

In an effort to get the patient's attention, it is recommended to put "Past Due" on the mailing envelope of a statement.

Question 7

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

A) judgment
B) geographical location
C) experience
D) degree

Question 8

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

Question 9

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

Question 10

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

Question 11

The Fair Debt Collection Practice Act is meant to assist the physician in collecting outstanding debt from patients.

Question 12

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

Question 13

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

A) RBRVS
B) APC
C) DRG
D) RVU

Question 14

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

A) home health services
B) radiology services
C) blood bank services
D) inpatient speech therapy

Question 15

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

Question 16

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

A) collections
B) billing
C) registration
D) payment

Question 17

When to mail out statements to patients is determined by the size of the medical practice and _______.

A) type of computer system
B) economic status of community
C) number of zip codes to mail
D) day of the week

Question 18

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

Question 19

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

A) 90
B) 60
C) 30
D) 14

Question 20

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

Question 21

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

Question 22

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

Question 23

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.

Question 24

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

Question 25

Data entry errors on the front end, such as wrong birth date or insurance carrier, will result in insurance filing ____________________.

Question 26

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

Question 27

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