Processing Insurance Payments Final Course Assessment

Now, it’s time to assess what you’ve learned in this course and test your knowledge. This gives you a chance to systematically examine the concepts learned in this course and assess how you’ll apply the knowledge to your practice.

- Answer each multiple-choice question with the best answer, based on your study of this course.
- You can view your results in your account.
- Need help? Reach out to your coach or the helpdesk.
- Need to refresh? Go back and review the course material to enhance your understanding.

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Optional Final Course Survey

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Question 1 of 18

1. Question
1. The KMCU tool that allows you to break actual duties into categories that you can organize for time management is called:
- Scheduling Software
- Task Identification Sheet
- Task Checklist
- Tickler File
Correct

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Question 2 of 18

2. Question
2. Considering the Time Management Toolkit, tasks that should be completed daily include:
- Form completion
- Payment Posting
- Chart audits
- Collection actions
Correct

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Question 3 of 18

3. Question
3. Once you have identified your tasks on the time management toolkit, and when they should be done, the next step is to:
- Have your CA get started on the list
- Create a draft working schedule
- Put together a calendar
- File the tasks in your tickler file
Correct

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Question 4 of 18

4. Question
4. Leaving mail unattended on the front desk could cause a breach of what policy?
- Stark’s Law
- Freedom of Information Act
- HIPAA
- Mail Fraud
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Question 5 of 18

5. Question
5. In what order should the reactive calls and actions be transferred into the working folders?
- Newest first/oldest last
- Oldest first/newest last
- Highest value/lowest value
- Alphabetical order
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Question 6 of 18

6. Question
6. Which pile of mail would accounts payable invoices go in?
- Doctor’s mail
- Payments to post and process
- Reactive items that will require a call to follow up
- Reactive items that will require an action to follow up
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Question 7 of 18

7. Question
7. Where should mail be stored when not being worked on?
- It can be left at your desk when you are gone because the doctor can see it from his/her office
- In a designated locked or secure area
- Out of the patients’ sight under the desk
- In a paper tray on the front desk marked “Today’s Mail”
Correct

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Question 8 of 18

8. Question
8. Which of the following is NOT one of the 4 categories for the mail sorting process?
- Doctor’s mail
- Items to post and process
- Bills from vendors
- Reactive items that require a follow-up call
Correct

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Question 9 of 18

9. Question
9. What is the online version of the Medicare payment statement called?
- Explanation of Review
- Statement of Accounts Payable
- Electronic Remittance Advice (ERA)
- Virtual Payment Notification
Correct

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Question 10 of 18

10. Question
10. How is the amount that is paid to the provider by a third-party determined?
- Allowed amount minus the patient’s deductible, co-pay, and/or coinsurance
- Patient’s deductible plus the amount billed
- Co-insurance percentage multiplied by the amount billed
- Allowed amount minus provider discount
Correct

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Question 11 of 18

11. Question
11. What type of EOB often lists the automatic crossovers to secondary and/or supplemental insurance?
- Commercial insurance
- Workers Compensation
- Personal Injury
- Medicare
Correct

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Question 12 of 18

12. Question
12. What Place of Service code is most often seen on chiropractic EOBs performed in the office?
- CR-15
- 21
- 11
- IPF
Correct

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Question 13 of 18

13. Question
13. Looking at an EOB, which amount cannot be charged to the patient?
- The allowed amount
- Provider Discount
- Deductible/Co-pay
- Patient Responsibility
Correct

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Question 14 of 18

14. Question
14. What is the most accurate way to transfer payment information from the Explanation of Benefits (EOB) to your billing system?
- Lump sum averaging
- Line item posting
- Claim reconciliation reporting
- Unapplied payment posting
Correct

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Question 15 of 18

15. Question
15. After an EOB has been completely posted in your billing system, what steps should be taken next?
- Put the EOB in the office recycling bin
- Place your initials on the EOB and place the EOB in your tickler file for later follow up
- EOBs that have been completely posted do not require any additional actions
- Place your initials on the EOB and file it in the designated location for EOBs in Office Policy
Correct

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Question 16 of 18

16. Question
16. Why would interest be paid on a claim?
- Because of state prompt payment rules for “clean claims”
- It is a bonus for excellent patient outcomes
- It is used to offset the write off for contractual discounts
- Interest is not paid on insurance claims
Correct

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Question 17 of 18

17. Question
17. Posting a payment on a line item basis means looking at each service provided on a specific date and:
- Determining the write off amount
- Identifying the insurance company
- Closing the claim
- Figuring out your profit
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Question 18 of 18

18. Question
18. When posting payments, which of the following is considered an unusual circumstance?
- When the carrier fails to pay on time and interest is paid on the claim
- When there is a recoupment or an overpayment recovery
- When there are unapplied payments
- All of the above
Correct

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