HP Sp Week 2

22 Questions | Total Attempts: 20

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Payment Quizzes & Trivia

Questions and Answers
  • 1. 
    We can release the DOS to guarantor’s spouse because they know the balance without consent on file.
    • A. 

      True

    • B. 

      False

  • 2. 
    What is the appropriate smart phrase to use when leaving a message?
    • A. 

      .PLSM

    • B. 

      .PSLM

    • C. 

      .LMPS

    • D. 

      .LMSP

  • 3. 
    When making an outbound call, you should use activity 147. True or False?
    • A. 

      True

    • B. 

      False

  • 4. 
    An EFT is established when a patient makes a one-time payment towards their outstanding balance. True or False?
    • A. 

      True

    • B. 

      False

  • 5. 
    If a patient commits to monthly auto payments, you need to fill out an EFT form and place it in the EFT folder. True or False?
    • A. 

      True

    • B. 

      False

  • 6. 
    What options listed below can we offer a patient who is dealing with a financial hardship and is unable to make guideline payments? Check all that apply.
    • A. 

      Apply for Medical Assistance

    • B. 

      Go to Collections

    • C. 

      Apply for Medicare

    • D. 

      Temporary Payment Plan

    • E. 

      Financial Assistance

    • F. 

      Apply for Charity Care

  • 7. 
    WQ 608 can be used for the following listed below. Check all that apply.
    • A. 

      MVA Review

    • B. 

      Medical Record Verification

    • C. 

      Coding Review

    • D. 

      Patient Dispute

    • E. 

      Supervisor Review

    • F. 

      WC Review

  • 8. 
    Please select the option below that outlines all of the information needed to bill a Workers Compensation (W/C) insurance.
    • A. 

      Name of WC insurance, Name & phone number of adjuster, date of injury, nature of injury

    • B. 

      Claim Number, Name & phone number of adjuster, date of injury, nature of injury

    • C. 

      Claim Number, Name of WC insurance, Name & phone number of adjuster, date of injury, nature of injury

    • D. 

      Claim Number, Name of WC insurance, Name & phone number of adjuster, date of injury

  • 9. 
    Please check below the option with the correct aging buckets listed.
    • A. 

      0-31, 31-61, 61-91, 91-121

    • B. 

      0-30, 31-60, 61-90, 91-120, 121+

    • C. 

      0-30, 31-60, 61-90, 91+

    • D. 

      0-30, 31-60, 61-90, 91-120, Bad Debt

  • 10. 
    When first discussing a guarantor's balance, you should always ask for 2 payments. This will set the tone and help with negotiating. True or False?
    • A. 

      True

    • B. 

      False

  • 11. 
    When tickling accounts, how long should you allow when leaving a message?
    • A. 

      One Day

    • B. 

      One Week

    • C. 

      Four Days

    • D. 

      Four Weeks

  • 12. 
    What options listed below are acceptable reasons to remove a guarantor's block or secure an account from going to collections? Check all that apply.
    • A. 

      Resolving the balance

    • B. 

      Taking a secure payment

    • C. 

      Patient request

    • D. 

      Promised payment

    • E. 

      Financial hardship

    • F. 

      Co-worker request

  • 13. 
    You would check the box for continuing the payment plan if new charges occur when setting up a guideline payment plan. True or False?
    • A. 

      True

    • B. 

      False

  • 14. 
    We do not send any letters on accounts aged 61-90 days old. True or False
    • A. 

      True

    • B. 

      False

  • 15. 
    When Health Partners refers to an FAP...what does it stand for?
    • A. 

      Federal Assistance Program

    • B. 

      Federal Assessment Process

    • C. 

      Financial Application Process

    • D. 

      Financial Assistance Program

  • 16. 
    Which of the following are types of appeal forms? Check all that apply.
    • A. 

      Financial Assistance

    • B. 

      Cost of Care

    • C. 

      Split Billing

    • D. 

      Coding

    • E. 

      Patient Request

    • F. 

      Insurance Reprocessing

    • G. 

      Supervisor Review

  • 17. 
    When a patient would like to escalate an issue, they need to complete an online complaint form. True or False?
    • A. 

      True

    • B. 

      False

  • 18. 
    When a W/C or TPL charge has been paid by P/F insurance, but it needs to be billed to the WC or TPL insurance, this is an event specific issue that needs to be sent to your supervisor. True or False?
    • A. 

      True

    • B. 

      False

  • 19. 
    If consent is needed for someone other than the guarantor to discuss the account, what would you send?
    • A. 

      Patient Authorization for Release of Protected Information

    • B. 

      Prior Authorization for Release of Protected Information

    • C. 

      Protection of Authorized Release of Personal Information

    • D. 

      Personal Authorization for Release of Protected Information

  • 20. 
    If you are not comfortable releasing the diagnosis over the phone due to the nature of the visit being personal, you should transfer this to your supervisor. True or False?
    • A. 

      True

    • B. 

      False

  • 21. 
    Please check below all of the acceptable reasons to access a patient's chart.
    • A. 

      To review medical records

    • B. 

      To identify the reason for the visit

    • C. 

      Curiosity

    • D. 

      To verify if there is a PARPI on file

    • E. 

      To review the discharge orders

    • F. 

      To verify insurance

  • 22. 
    Which tracking spreadsheets should be used daily?
    • A. 

      Clinic Calls, Daily Workflow, Payment Plan

    • B. 

      Insurance Billed, Payment Plan, Clinic Calls

    • C. 

      Payment Plan, Insurance Billed, Daily Workflow

    • D. 

      Clinic Calls, Insurance Billed, Post-dated Payments