CRCR - Certified Revenue Cycle Representative Program Payment Posting and Reconciliation Questions and Answers Flashcards

A payment is received with an EOB indicating a 'contractual adjustment' of $200 on a $500 charge. What amount should be posted as the contractual adjustment?

Answer: $200

The contractual adjustment should equal the exact amount specified on the EOB, which is $200.

Which of the following best describes a 'credit balance' on a patient account?

Answer: The provider owes the patient or payer a refund

A credit balance means the provider has been overpaid and owes a refund to the patient or payer.

When performing a daily payment batch reconciliation, the total payments posted should match which document?

Answer: The remittance advice or bank deposit total

Daily batch totals must reconcile to the remittance advice or bank deposit to confirm accurate posting.

A payer issues a recoupment for a claim paid 18 months ago. What is the provider's most appropriate first step?

Answer: Review the payer contract for timely recoupment provisions

Payer contracts often include time limits for recoupment, so reviewing contractual terms is the first step before taking action.

An ERA is received but the payment does not appear in the bank account. What should the payment poster do?

Answer: Contact the payer to confirm EFT deposit status before posting

Payment should never be posted until funds are confirmed in the bank account to prevent posting fictitious payments.

What does 'unapplied cash' refer to in payment posting?

Answer: Funds received but not yet matched to a specific claim or account

Unapplied cash represents received funds that cannot yet be allocated to a specific patient account or claim.

Which process ensures that the amount listed on the remittance advice matches the actual check or EFT deposit received?

Answer: Payment reconciliation

Payment reconciliation is the process of confirming that remittance advice amounts equal actual funds deposited.