ReimbursementPregunta 78 de 100
When posting an insurance payment from a remittance advice, the biller should:
a.Ignore the adjustment codes
b.Post the billed charge as the payment
c.Bill the contractual adjustment to the patient
d.Record the payment, any contractual adjustment, and the remaining patient responsibility accurately
Explicación
Accurate payment posting records the amount paid, applies contractual adjustments per the payer agreement, and moves the correct remaining balance to patient responsibility or secondary insurance. Errors in posting distort the accounts receivable and can cause improper patient billing. The remittance advice reason codes guide how each amount is applied.
Practica las 100 preguntas gratis — sin registro.
Preguntas relacionadas de este tema
- A patient's total 'out-of-pocket maximum' represents:
- A provider bills $2,000 for a service. The payer's allowed amount is $1,200, and the provider is a participating (in-network) provider. What is the contractual adjustment (write-off)?
- Balance billing occurs when a provider bills the patient for:
- The 'aging' of accounts receivable in a medical practice refers to:
- A patient statement sent for collections should clearly show:
- A patient owes a $40 copay and has 20% coinsurance on an allowed amount of $250 after the copay does not apply to coinsurance. If the deductible is already met, what does the payer pay on the $250 allowed amount (coinsurance portion only)?
Última revisión: · proceso editorial
Equipo Editorial de PrepPass · Verificado con NHA Certified Billing & Coding Specialist (CBCS) Exam · Cómo revisamos