Front Desk Receptionist Billing and Payment Processing 4

Question 1

What does 'PCI compliance' primarily protect in payment processing?

Accepted Answer

Cardholder data security during transactions

Answer

PCI compliance sets standards to keep credit card data secure.

Question 2

A claim is denied for 'coverage terminated.' What likely happened?

Accepted Answer

The patient's insurance was no longer active on the service date

Answer

A terminated-coverage denial means the plan was inactive when service occurred.

Question 3

Which is the correct way to store a patient's credit card information for a payment plan?

Accepted Answer

Use a secure, PCI-compliant system with authorization

Answer

Card data must be kept only in secure, authorized, PCI-compliant systems.

Question 4

A patient overpaid by $50. What is the proper action?

Accepted Answer

Document the credit and process a refund per office policy

Answer

Overpayments should be documented and refunded or credited per policy.

Question 5

What is 'prior authorization' in the billing process?

Accepted Answer

Insurer approval required before certain services are performed

Answer

Prior authorization is insurer pre-approval needed for coverage of specific services.

Front Desk Receptionist Practice Test