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Kinn’s The Administrative Medical Assistant, 13th Edition
Chapter 16: Patient Accounts, Collections, and Practice Management
VOCABULARY REVIEW
Fill in the blank with the correct vocabulary terms from this chapter.
1. Dr. Martin is reviewing his ___________, which lists the amounts charged by the provider for services rendered.
2. The Peete family was considered ___________ ____________ because they could not afford medical care even though they were able to pay basic living expenses.
3. Julie works with ___________ ____________ which is the money that is owed to the physicians.
4. Brigitte works with ___________ ____________ which is debt that has been incurred or owed by the provider to others.
5. ___________ ____________ ___________ is used as a last resort option to collect payment from patients.
6. When a patient files for bankruptcy under Chapter 13, he or she will be paying a fixed dollar amount to a(n) ___________ who will then pass the payment on to the creditors.
7. A(n) ___________ will make financial decisions about the estate of a deceased patient.
8. A(n) ___________ is the person who accepts financial responsibility for the patient.
9. Recording the charges a patient has incurred and the payments made on their account is ___________.
10. When a provider's fee exceeds the allowed amount stated on the explanation of benefits from the insurance company a(n) ___________ is posted to the patient account record for that difference.
11. When preparing to pay the monthly bills, Brigitte reviews the ___________ from ABC Medical Supply Company, which lists the products that were provided to the medical office.
12. When using small claims court to collect a past due amount from a patient, Dr. Walden would be considered the ___________.
13. When a patient writes a check to the medical office and does not have enough money in his or her checking account to cover it, the check will be returned to the medical office as ___________ ____________.
SKILLS AND CONCEPTS
1. What items should appear on the financia1 records of any business at all times?
2. Name two common accounting systems used in medical offices.
3. Examine the fee schedule and answer the following questions:
| FEE SCHEDULE | |||
| BLACKBURN PRIMARY CARE ASSOCIATES, PC 1990 Turquoise Drive Blackburn, WI 54937 608-459-8857 | |||
| Federal Tax ID Number: | 00-0000000 | BCBS Group Number: Medicare Group Number: | 14982 14982 |
| OFFICE VISIT, NEW PATIENT | OFFICE VISIT, ESTABLISHED PATIENT | ||
| Focused, 99201 | $45.00 | Minimal, 99211 | $40.00 |
| Expanded, 99202 | $55.00 | Focused, 99212 | $48.00 |
| Intermediate, 99203 | $60.00 | Intermediate, 99213 | $55.00 |
| Extended, 99204 | $95.00 | Extended, 99214 | $65.00 |
| Comprehensive, 99205 | $195.00 | Comprehensive, 99215 | $195.00 |
| Consultation, 99245 | $250.00 | ||
| OFFICE PROCEDURES | COMMON DIAGNOSTIC CODES | ||
| EKG, 12 lead, 93000 | $55.00 | Ischemic Heart Disease | 414.9 |
| Stress EKG, Treadmill, 93015 | $295.00 | w/o myocardial infarction | 411.89 |
| Sigmoidoscopy, Flex; 45330 | $145.00 | w/coronary occlusion | 411.81 |
| Spirometry, 94010 | $50.00 | Hypertension, Malignant | 401.0 |
| Cerumen Removal, 69210 | $40.00 | Benign | 401.1 |
| Unspecified | 401.9 | ||
| Collection & Handling | w/congest. heart failure | 402.91 | |
| Lab Specimen, 99000 | $9.00 | Asthma, Bronchial | 493.9 |
| Venipuncture, 35415 | $9.00 | w/COPD | 493.2 |
| Urinalysis, 81000 | $20.00 | Allergic, w/S.A. | 493.91 |
| Urinalysis, 81002 (Dip Only) | $12.00 | Allergic, w/o S.A. | 493.90 |
| Kyphosis | 737.10 | ||
| Influenza Injections, 90724 | $20.00 | w/osteoporosis | 733.0 |
| Pneumococcal Injection, 90732 | $20.00 | Osteoporosis | 733.00 |
| Oral Polio, 90712 | $15.00 | Otitis Media, Acute | 382.9 |
| DTaP, 90700 | $20.00 | Chronic | 382.9 |
| Tetanus Toxoid, 90703 | $15.00 | ||
| MMR, 90707 | $25.00 | ||
| HIB, 90737 | $20.00 | ||
| Hepatitis B, newborn to age 11 years 90744 | $20.00 | ||
| Hepatitis B, 11-19 years, 90745 | $60.00 | ||
| Hepatitis B, 20 years and above, 90746 | $60.00 | ||
| Intramuscular Injection, 90788 | |||
| Penicillin | $30.00 | ||
| Cephtriaxone | $25.00 | ||
| Solu-Medrol | $23.00 | ||
| Vitamin B-12 | $13.00 | ||
| Subcutaneous Injection 90782 | |||
| Ephinephrine | $18.00 | ||
| Susphrine | $25.00 | ||
| Insulin, U-100 | $15.00 | ||
a. What is the charge for a consultation?
b. What is the charge for CPT cede 99203?
c. What is the most ex pensive procedure on the list?
d. Which injection is more expensive, insulin or vitamin B12?
4. What arc the pitfalls of fee adjustments?
5. What is professional courtesy and why is it less common now than in years past?
6. Briefly explain how "skips" can be traced.
7. Match the following terms with the correct definition:
| Terms | Definitions |
| 1. Accounts payable | A. Money that is expected but has not yet been received |
| 2. Accounts receivable | B. Fees applied to the patient account when services arc rendered |
| 3. Adjustments | C. The management of debt incurred and not yet paid |
| 4. Charges | D. Money given to the provider in exchange for services |
| 5. Payments | E. Credits posted to the patient account when the provider's fee exceeds the amount allowed staled on the EOB |
8. When a patient account is turned over to a collection agency, what adjustment is posted to the account?
9. When a patient has a credit balance on his or her account, what adjustment is posted to the account?
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