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
During patient registration, which document authorizes the provider to bill the patient's insurance on their behalf?
Answer: Assignment of benefits form
The assignment of benefits form authorizes the insurance company to pay the provider directly rather than reimbursing the patient.
What is a co-payment in health insurance?
Answer: A fixed dollar amount paid by the patient at the time of service
A co-payment (copay) is a fixed amount (e.g., $25) the patient pays at the time of each service visit, separate from the deductible.
Which form must be provided to Medicare patients when a service may not be covered?
Answer: Advance Beneficiary Notice (ABN)
The Advance Beneficiary Notice (ABN) must be given to Medicare patients before rendering a service that may not be covered, informing them they may be responsible for the cost.
What is the purpose of collecting a patient's demographic information at registration?
Answer: To ensure accurate claim submission and correct patient identification
Accurate demographic information (name, DOB, address, insurance ID) is critical for submitting error-free claims and preventing claim rejections.
A patient's insurance card shows a group number and member ID. What is the group number used for?
Answer: Identifying the employer-sponsored plan
The group number identifies the employer or group plan sponsor under which the patient's coverage is provided, while the member ID identifies the individual.
When a patient has two insurance plans, the patient's own insurance is typically considered:
Answer: Primary payer
Coordination of Benefits (COB) rules generally designate the patient's own insurance as primary, with a spouse's or parent's plan as secondary.