Your creimbursement ccontract cbuild ccalculates cyou cwill cbe cable cto creceive c$64.00 cfrom cthe cpayer cand cpatient. cThis cis cthe
c________________. cChoose conly cONE canswer.
A. cAllowed cAmount
B. cExpected cReimbursement cAmount
C. cBilled cAmount
D. cNot cAllowed cAmount c- cCORRECT cANS✔✔B. cExpected cReimbursement cAmount
A ccharge cpost cwith ca cprice cof c$77.00. cThis cis cthe c_________. cChoose conly cONE canswer.
A. cAllowed cAmount
B. cExpected cReimbursement cAmount
C. cBilled cAmount
D. cNot cAllowed cAmount c- cCORRECT cANS✔✔C. cBilled cAmount
The cpayer's ccalculation cmatches cyour ccontract cand cthe cpayer cagrees cthat cyou cshould cbe cable cto
collect c$64. cThis cis cthe c________________. cChoose conly cONE canswer.
A. cAllowed cAmount
B. cExpected cReimbursement cAmount
C. cBilled cAmount
D. cNot cAllowed cAmount c- cCORRECT cANS✔✔A. cAllowed cAmount
The cdifference cbetween cthe cprice cof cthe ccharge cand cwhat cthe cpayer cagrees cthat cyou cshould cbe cable
to ccollect cis c$13.00. cThis cis cthe c________________. cChoose conly cONE canswer.
A. cAllowed cAmount
B. cExpected cReimbursement cAmount
C. cBilled cAmount
D. cNot cAllowed cAmount c- cCORRECT cANS✔✔D. cNot cAllowed cAmount
(T/F) cWhen cimporting cFee cSchedules, cyou cmust ccreate ca ctext cfile cbefore cloading cthe cdata cinto cEpic. c- cCORRECT
cANS✔✔True
Professional cBilling cunderpayments care cworked cfrom cwhich ctype cof cworkqueues: c
A. cFollow-up cworkqueues
B. cAccount cWorkqueues
C. cRetro cReview cWorkqueues. c
D. cClaim cEdit cWorkqueues c- cCORRECT cANS✔✔A. cFollow-up cworkqueues
60432‐ cMult cPx c‐ cNo cAutomation c‐ cReimbursement cContract: c- cCORRECT cANS✔✔The csystem cdoesn't cautomatically
apply cmodifiers cor cadjust cexpected creimbursement cbased con cmultiple cprocedure clogic, cbut
expected creimbursement cis cadjusted cif ca cuser cmanually centers ca cmodifier.
Your cpayer cwill creimburse cyou c85% cof cthe cMedicare cFee cSchedule cfor cservices cperformed cin cthe cFamily cMedicine
cDepartment. cWhich cpayment cmechanism cshould cbe cused con cthe cservice ccomponents ctab?
A. cPercent cof cBilled
B. cFee cSchedule
C. cPercent cof cFee cSchedule c- cCORRECT cANS✔✔C. cPercent cof cFee cSchedule
What ctype cof crecord cis cused cto ccalculate cthe cexpected creimbursement camount cfor ccase crate ccontract cterms?
A. cComponent cGroup
B. cFee cSchedule
C. cExtension
D. cComponent c- cCORRECT cANS✔✔C. cExtension
(T/F) cThe cApplies cto ctab cof ca creimbursement ccontract cis ccontact-specific. c- cCORRECT cANS✔✔False
Which cenvironment cis cused cto ctest cout cyour creimbursement ccontracts cafter cbeing cmoved cfrom cPOC?
A. cTST
B. cPOC
C. cSUP
D. cPRD c- cCORRECT cANS✔✔A. cTST