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What is the role of accounts receivable department

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Analyzing Aging Reports

1. What is the role of the accounts receivable department?

2. What are two kinds of information the CDM stores?

3. An aging report refers to which of the following?

a. The length of time the report has been in the CDM

b. The ages of all patients in a provider's practice?c. The claims that are outstanding

D. The amount of money the provider's office has received in the last 6 months

Interpreting Remittance Advice

4. True or False: An RA is sent to policyholders.

5. The allowable charge is which of the following?

a. Amount the provider charges for a service

b. Amount the patient agrees to pay?c. Amount the health insurance company will pay providers

d. Amount set by hospitals

Posting Payments

6. Which of the following is NOT a charge the patient is expected to pay?

a. Coinsurance

b. Deductible

c. Difference between a provider's charges and what the insurance company will pay

d. Copayment

7. The term reconciliation means which of the following?

a. Resolving difference with the insurance company

b. Working with Medicare on a problem?c.

c. Getting more information about a patient from a physician

d. Determining how much the provider has been reimbursed and how much patients owe

Determining Reasons for Insurance Company Denial

8. What are the four types of nonmedical codes used by Medicare to explain claims?

9. Who benefits from the new appeals process, and why?

10. When can a patient request an external independent review?

Reference no: EM133438809

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