Payments

Question 1

Defines the distribution method for the payment (which HARs get money first)

Answer 1

Post Type

Question 2

MC: If a guarantor sends a payment for more than the self-pay balance due, where should the excess funds be posted?
A. A new HB HAR
B. A new PB Visit
C. The default HB HAR
D. The clearing account

Answer 2

c. The default HB HAR. When you can identify the guarantor, it will be posted to the default HB HAR for the guarantor.

Question 3

True/False: All payments must be posted manually through Epic’s payment posting module.

Answer 3

False

Question 4

True/False: A guarantor can manually choose which visit’s balances to apply his payment toward.

Answer 4

True

Question 5

Where can details about guarantor accounts be found?

Answer 5

(Enterprise) Guarantor Summary

Question 6

MC: In what order are payments posted?
A. Active AR, Write-Offs, Payment Plans, Undistributed
B. Payment Plans, Write-Offs, Active AR, Undistributed
C. Payment Plans, Active AR, Write-Offs, Undistributed

Answer 6

C

Question 7

True/False: In SBO, Guarantors can have 2 payment plans, one for HB HARs and one for PB Visits.

Answer 7

False

Question 8

Where are other users able to view the history of actions and activities performed on a HAR or its associated guarantor account?

Answer 8

History Tab

Question 9

True/False: Guarantors can setup payment plans through MyChart.

Answer 9

True

Question 10

What is the status of an HB HAR once a payment plan is activated?

Answer 10

Billed [Pmt Plan]

Question 11

True/False: When a payment plan is activated, the self-pay level is set to base level.

Answer 11

True

Question 12

The ______ from the payer will contain information explaining their payment and the reasons why they are not paying for portions of the balance of the claim.

Answer 12

Remittance File

Question 13

The amount passed on to the patient, Next Responsible Party, to self-pay or secondary coverage:
A. Billed Amount
B. Not Allowed Amount
C. Allowed Amount
D. Patient Responsibility
E. Paid Amount

Answer 13

D

Question 14

The difference between billed and allowed amounts. Written off as contractual adjustment.
A. Billed Amount
B. Not Allowed Amount
C. Allowed Amount
D. Patient Responsibility
E. Paid Amount

Answer 14

B

Question 15

The total of all charges on the claim, sent on the claim to the payer.
A. Billed Amount
B. Not Allowed Amount
C. Allowed Amount
D. Patient Responsibility
E. Paid Amount

Answer 15

A

Question 16

The maximum reimbursement calculated. comes from the payer's remittance and your contract.
A. Billed Amount
B. Not Allowed Amount
C. Allowed Amount
D. Patient Responsibility
E. Paid Amount

Answer 16

C

Question 17

The total amount paid by the payer for the claim.
A. Billed Amount
B. Not Allowed Amount
C. Allowed Amount
D. Patient Responsibility
E. Paid Amount

Answer 17

E