CBCS Patient Registration and Financial Responsibilities 2

Question 1

What is a deductible in health insurance?

Accepted Answer

The annual amount a patient pays out-of-pocket before insurance begins covering costs

Answer

A deductible is the amount a patient must pay annually before the insurance company begins paying for covered services.

Question 2

What does 'coinsurance' mean in health insurance billing?

Accepted Answer

The percentage of costs a patient pays after the deductible is met

Answer

Coinsurance is the percentage of covered costs the patient is responsible for after meeting their deductible (e.g., 20% after a 80/20 plan).

Question 3

Which registration form obtains the patient's permission for treatment and acknowledges their financial responsibility?

Accepted Answer

Patient consent and financial responsibility form

Answer

The patient consent and financial responsibility form obtains consent for treatment and informs the patient they are responsible for any unpaid balances.

Question 4

A patient presents without an insurance card. What is the BEST first step for the billing staff?

Accepted Answer

Ask the patient for their insurance name, ID, and group number to verify eligibility by phone or portal

Answer

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.

Question 5

What is a guarantor in the context of patient accounts?

Accepted Answer

The person financially responsible for the patient's account

Answer

The guarantor is the individual (often the patient or a parent/guardian) who is legally responsible for paying the medical bill.

(CBCS) Certified Billing and Coding Specialist Practice Test

(CBCS) Certified Billing and Coding Specialist Practice Test

CBCS Patient Registration and Financial Responsibilities 2