What is an important part of the administration of a medical office that affects billing, claims, and the practice’s cash flow?

Claims Reimbursement

Quiz
•
Specialty
•
11th Grade
•
Medium
Jennelle Winn
Used 2+ times
FREE Resource
23 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Patient registration
Insurance reimbursement
Appointment scheduling
Medical record keeping
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Why is it important to submit clean claims for reimbursement?
To avoid legal issues
To ensure timely reimbursement
To maintain medical records
To provide proof of medical necessity
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What does the diagnosis provide in the reimbursement process?
Proof of the patient's identity
Proof of medical necessity and appropriateness of the coded procedure
A detailed description of the patient's condition
The cost of the medical service provided
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following is NOT one of the four main methods of reimbursement mentioned?
Fee-for-service
Capitation
Prospective payment system
Direct patient billing
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
According to the fee-for-service method, what does the insurance carrier pay the provider for?
The full amount the physician charges
The allowed charge for each covered service
A standard fee for all services
The cost of medical supplies used
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
If Dr. O’Reilly charges $200 for a comprehensive examination but the insurance's allowed charge is only $165, what can the physician do for the remaining amount? (Assuming Dr. O'Reilly is NOT a preferred provider.)
Write off the remaining amount
Request additional payment from the insurance
Balance bill the patient for the remainder of the fee
Provide a discount to the patient
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What does UCR stand for in medical billing?
Uniform Cost Rate
Usual, Customary, and Reasonable
Unified Clinical Reimbursement
Ultimate Care Requirement
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