Chapter

Review Questions

Mc

Graw

USING TERMINOLOGY

Match the term or phrase on the left with the correct answer on the right.

$[$LO $8\mathrm{.}2]$ Electronic claim

a$.$ An accounting of patient services, charges,

$[$LO $8\mathrm{.}2]$ CMS$-1500$ form payments$/$adjustments$,$ and balance

$[$LO $8\mathrm{.}3]$ Cycle billing

b$.$ Payment determination report sent by

$[$LO $8\mathrm{.}4]$ Collection agency insurance carrier

$[$LO $8\mathrm{.}1]$ Fee schedule

c$.$ Percentage that shows the effectiveness

$[$LO $8\mathrm{.}4]$ Collection ratio of collection methods

$[$LO $8\mathrm{.}3]$ Write$-$off

d$.$ Insurance claim prepared on and transmitted by computer

$[$LO $8\mathrm{.}2]$ Clearinghouse

e$.$ Service used to pursue payment for services

$[$LO $8\mathrm{.}2]$ ERA

f$.$ Listing of medical procedures$/$services and

$[$LO $8\mathrm{.}1]$ Patient statement usual charges

g$.$ Universal claim form

h$.$ Billing method used to provide consistent cash flow

i$.$ Service that collects, corrects, and transmits insurance claims

j$.$ Financial adjustment for PAR providers of the difference between submitted and allowable charges