ASSESSMENT SCRIPT ANSWERS
◉ What is a deductible?
A. A fixed amount the patient is responsible to pay at time of visit
B. Amount of expenses that must be paid before any payment is
made by the insurance company
C. A percentage the patient is responsible to pay at the time of visit
D. The amount paid by the insurance company
Answer: B. Amount of expenses that must be paid before any
payment is made by the insurance company
A deductible is an amount that is paid by the patient before any
payment is made by the insurance company. This amount varies by
each patient policy.
◉ What process would NOT be performed at the check-out process?
A. Follow-up appointments
B. Collection of co-pays or deductibles
C. Review of charge ticket or encounter form
,D. Patient registration process
Answer: D. Patient registration process
◉ Information about deductibles, co-pays, eligibility dates, and
benefit plans is what procedure?
A. Patient registration
B. Verification of Benefits
C. Patient check-in
D. Consent for payment
Answer: B. Verification of Benefits
Verification of benefits provides information concerning the
patient's coverage. This step verifies eligibility effective dates;
patient coinsurance, copay and deductible amounts; and plan
benefits as they pertain to specialty and place of service. Benefit
information allows staff to be informed and ready to collect the
appropriate copay, deductible, coinsurance or full balance due at the
patient's visit.
◉ The group number on the insurance card is used to identify:
A. The insured
B. The covered employer group
, C. The insurance company
D. The policy number
Answer: B. The covered employer group
The group number identifies the employer group that covers the
patient with health coverage. The verification information should be
retained for future use.
◉ A charge ticket (encounter form) is not completed. What
procedure would NOT be acceptable?
A. Complete the form based on medical record documentation
B. Query the provider for the charges and diagnosis
C. Post the service as a no charge
D. Return the form to the provider for completion
Answer: B. Query the provider for the charges and diagnosis
The encounter form is used for the provider to relay to the charge
entry staff what services or procedures were performed during that
visit and why they were performed. If nothing is complete, the
provider should be queried or the encounter coded from the medical
record. Posting a no charge could result in the loss of revenue for the
practice. Return the charge ticket to the provider or inquire what