CBCS Patient Registration and Financial Responsibilities

Question 1

During patient registration, which document authorizes the provider to bill the patient's insurance on their behalf?

Accepted Answer

Assignment of benefits form

Answer

The assignment of benefits form authorizes the insurance company to pay the provider directly rather than reimbursing the patient.

Question 2

What is a co-payment in health insurance?

Accepted Answer

A fixed dollar amount paid by the patient at the time of service

Answer

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.

Question 3

Which form must be provided to Medicare patients when a service may not be covered?

Accepted Answer

Advance Beneficiary Notice (ABN)

Answer

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.

Question 4

What is the purpose of collecting a patient's demographic information at registration?

Accepted Answer

To ensure accurate claim submission and correct patient identification

Answer

Accurate demographic information (name, DOB, address, insurance ID) is critical for submitting error-free claims and preventing claim rejections.

Question 5

A patient's insurance card shows a group number and member ID. What is the group number used for?

Accepted Answer

Identifying the employer-sponsored plan

Answer

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.

(CBCS) Certified Billing and Coding Specialist Practice Test

(CBCS) Certified Billing and Coding Specialist Practice Test

CBCS Patient Registration and Financial Responsibilities