BC Advantage Audio Event 2013

Title: Collections

Presenter: Steve Verno, CMBSI, CMSCS, CEMCS, CPM-MCS

Question and Answers:

1: When you have an uninsured patient come into your office what is the most important thing to discuss with them?

a) The practice’s compliance plan

b) The practice’s financial plan

c) The patient’s health

d) The patient’s financial plan

2: How does Steve suggest you should handle an uninsured patient’s medical bills when payment is affected by the scope of divorce?

a) Get the person’s name who will be responsible for payment and send them the bills

b) Give the bills to the patient to pass them onto the “responsible party”

c) Tell the patient that the divorce issues are between them and the other person and that payment is required at time of service and it will be their responsibility to be reimbursed by the “responsible party”

d) Ask for copies of the divorce paperwork so that you can be sure that what the patient is saying is the truth

3: True or false. It is acceptable to write off a balance when it costs more to collect the amount than what is owed.

a) True

b) False

4: Which of the following is an incorrect statement regarding submitting a claim on behalf of a non-participating provider?

a) You can follow state laws regarding timely filing when submitting a claim

b) A non-participating provider is not subject to the terms of an insurance companies agreement

c) You are submitting a claim to the insurance company as a courtesy to the patient

d) You are subject to a timely filing limit of 30 days once correct insurance information is received regardless of participating or non-participating status of the physician

5: What is the time limit for Medicare and Medicaid claims?

a) 60 days

b) 120 days

c) Six months

d) One year

6: What is the number of the federal regulation that refers to prompt payment under ERISA?

a) 29 CFR 2560-503.1

b) 29 FS 627.6131

c) FS 627.6131

d) FS 641.3155

7: What time frame does Steve like to get all of his claims paid by?

a) 30 days

b) 60 days

c) 90 days

d) 6 months

8: What is the suggested time frame for running an Insurance Aging report?

a) Daily

b) Weekly

c) Monthly

d) Quarterly

9: At what stage should you bring in a debt collection agency?

a) After 60 days

b) Only as a last resort to get any monies owed

c) Only when the patient refuses point blank to pay

d) When the state statute timeframe outlines it

10: Which of the following is not an example of something that you should do in regards to working with a debt collection agency?

a) Have the debt collection agency pay you directly within 30 days after receiving the monies themselves

b) Monitor all patient complaints

c) Be able to terminate the agreement on your terms not theirs

d) Make sure that they’re licensed to collect in your state