Question 1

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Accepted Answer

A)   File claims for the patient and receive payments directly from the payer.
B)   Provide treatment for a self-pay patient only.
C)   Receive payments directly from the payer only.
D)   Receive payments directly from the payer and provide treatment for a self-pay patient.

Question 2

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

Accepted Answer

A)   providing a copy of their insurance card
B)   signing and dating an assignment of benefits statement
C)   completing the patient information form
D)   providing a copy of their driver's license

Question 3

In recording a patient's name when sending it to a payer, what version of their name should be used?

Accepted Answer

A)   the name or nickname that they go by
B)   their name as it is shown on the assignment of benefits form
C)   their name as it appears on the patient information form
D)   their name as it is shown on the insurance card

Question 4

What type of information is not found on an insurance card?

Accepted Answer

A)   member name
B)   member identification number
C)   group identification number
D)   the date the policyholder first paid a premium

Question 5

Where is an assignment of benefits statement filed?

Accepted Answer

A)   patient medical records and patient billing records
B)   patient billing records only
C)   patient medical records only
D)   sent to the insurance company

Question 6

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Accepted Answer

A)   Coordination of Benefits
B)   Eligibility for a Health Plan
C)   Claim Status
D)   Health Care Payment

Question 7

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

Accepted Answer

A)   payment
B)   treatment
C)   health care operations
D)   patient information form

Question 8

What does a provider complete during or just after a patient's visit to summarize their billing information?

Accepted Answer

A)   progress report
B)   information sheet
C)   encounter form
D)   referral

Question 9

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

Accepted Answer

A)   If the health plan permits multiple copayments, one is collected at the time of service, and the other is collected the next time the patient visits the practice for an encounter.
B)   If the health plan permits multiple copayments, both should be collected.
C)   More than one copayment can never be collected; the patient need only pay one.
D)   None of these are correct.

Question 10

What process is used to quickly generate the amount a patient owes?

Accepted Answer

A)   real-time adjudication
B)   estimating what a patient owes
C)   making financial arrangements
D)   both real-time adjudication and making financial arrangements

Exam 3: Patient Encounters and Billing Information

What process is used to quickly generate the amount a patient owes?

Correct Answer
verified

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

Correct Answer
verified

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

Correct Answer
verified

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Correct Answer
verified

Where is an assignment of benefits statement filed?

Correct Answer
verified

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Correct Answer
verified

What does a provider complete during or just after a patient's visit to summarize their billing information?

Correct Answer
verified

What type of information is not found on an insurance card?

Correct Answer
verified

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

Correct Answer
verified

In recording a patient's name when sending it to a payer, what version of their name should be used?

Correct Answer
verified

Exam 3: Patient Encounters and Billing Information

What process is used to quickly generate the amount a patient owes?

Correct AnswerverifiedShow Answer

A patient has just seen the physician and received two different covered services that normally require copayments. Determine how the payment should be handled.

Correct AnswerverifiedShow Answer

Determine how a policyholder can authorize physicians to submit claims on their behalf and receive payments directly from payers.

Correct AnswerverifiedShow Answer

Which HIPAA transaction is used to send information from a primary payer to a secondary payer?

Correct AnswerverifiedShow Answer

Where is an assignment of benefits statement filed?

Correct AnswerverifiedShow Answer

If a patient authorizes a provider to accept assignment, what can the provider now do on their behalf?

Correct AnswerverifiedShow Answer

What does a provider complete during or just after a patient's visit to summarize their billing information?

Correct AnswerverifiedShow Answer

What type of information is not found on an insurance card?

Correct AnswerverifiedShow Answer

Pick the type of use of PHI that a practice would employ to submit claims on behalf of a patient.

Correct AnswerverifiedShow Answer

In recording a patient's name when sending it to a payer, what version of their name should be used?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
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