CMAA Financial Management and Accounts Receivable 2

Question 1

What is an 'Explanation of Benefits' (EOB)?

Accepted Answer

A document from an insurer detailing how a claim was processed

Answer

An EOB is a document sent by an insurance company explaining how a claim was adjudicated, including amounts paid and patient responsibility.

Question 2

Which collection method is typically the first step when a patient's account becomes overdue?

Accepted Answer

Sending a friendly reminder statement

Answer

The first step in collections is typically sending a friendly reminder statement to notify the patient of the outstanding balance.

Question 3

What is the primary purpose of a 'superbill' in a medical office?

Accepted Answer

To document and charge services provided during a visit

Answer

A superbill is an itemized form that documents services provided during a visit, including CPT and diagnosis codes used for billing.

Question 4

What does 'balance billing' mean in medical billing?

Accepted Answer

Billing the patient for the difference between the provider's charge and the insurer's allowed amount

Answer

Balance billing occurs when a provider bills a patient for the difference between their charged amount and the insurer's allowed amount.

Question 5

A medical office's 'aging report' organizes outstanding balances by which criterion?

Accepted Answer

How long the balance has been outstanding

Answer

An aging report categorizes outstanding accounts receivable by how long they have been unpaid, typically in 30-day increments.

CMAA - Certified Medical Administrative Assistant Practice Test