Patient Registration and Financial Responsibilities Flashcards
6 cards from real CBCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Patient Registration and Financial Responsibilities flashcards as text
What is a deductible in health insurance?
Answer: The annual amount a patient pays out-of-pocket before insurance begins covering costs
A deductible is the amount a patient must pay annually before the insurance company begins paying for covered services.
What does 'coinsurance' mean in health insurance billing?
Answer: The percentage of costs a patient pays after the deductible is met
Coinsurance is the percentage of covered costs the patient is responsible for after meeting their deductible (e.g., 20% after a 80/20 plan).
Which registration form obtains the patient's permission for treatment and acknowledges their financial responsibility?
Answer: Patient consent and financial responsibility form
The patient consent and financial responsibility form obtains consent for treatment and informs the patient they are responsible for any unpaid balances.
A patient presents without an insurance card. What is the BEST first step for the billing staff?
Answer: Ask the patient for their insurance name, ID, and group number to verify eligibility by phone or portal
Staff should collect the patient's insurance information verbally or via a portal to verify eligibility in real time, ensuring the claim can be submitted correctly.
What is a guarantor in the context of patient accounts?
Answer: The person financially responsible for the patient's account
The guarantor is the individual (often the patient or a parent/guardian) who is legally responsible for paying the medical bill.
What does 'out-of-pocket maximum' mean on a health insurance plan?
Answer: The cap on total costs a patient pays in a year, after which the insurer covers 100%
The out-of-pocket maximum is the annual cap on a patient's cost-sharing; once reached, the insurer pays 100% of covered services for the rest of the year.