Question 1

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 patientsE) A) and D)
F) None of the above

Question 2

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 amountE) B) and C)
F) None of the above

Question 3

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 tabE) A) and C)
F) C) and D)

Question 4

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)   $344E) A) and B)
F) A) and C)

Question 5

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 chargesE) A) and B)
F) C) and D)

Question 6

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)   guarantorE) B) and C)
F) None of the above

Question 7

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 boxE) A) and B)
F) A) and C)

Question 8

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.E) A) and B)
F) C) and D)

Question 9

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)   $320.00E) C) and D)
F) B) and D)

Question 10

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 boxE) A) and B)
F) C) and D)

Question 11

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)   MediaE) B) and D)
F) A) and B)

Question 12

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 amountE) B) and C)
F) A) and B)

Question 13

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 amountE) All of the above
F) B) and D)

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)   CompletedE) B) and C)
F) C) and D)

Question 15

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.E) None of the above
F) A) and D)

Question 16

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)   CompletedE) A) and D)
F) B) and C)

Question 17

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 closedE) None of the above
F) C) and D)

Question 18

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.E) A) and C)
F) A) and B)

Question 19

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.E) All of the above
F) B) and C)

Question 20

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 remainderE) A) and B)
F) A) and C)

Exam 7: Posting Payments and Creating Patient Statements

Take backs should be applied ____________ most of the time.

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

What may a remittance advice contain?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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