Questions: MINDTAP ent: Billing Unit Test ce1mo01hmodule4.25m What must happen if an insurance check indicates that a payment of "zero" was made? a. The administrative medical assistant must call the patient and request payment in full. b. The provider must call the insurance company directly for payment. c. The amount still needs to be posted to the account, and the reason. d. The account must be turned over to a collection agency.

MINDTAP
ent: Billing Unit Test
ce1mo01hmodule4.25m

What must happen if an insurance check indicates that a payment of "zero" was made?
a. The administrative medical assistant must call the patient and request payment in full.
b. The provider must call the insurance company directly for payment.
c. The amount still needs to be posted to the account, and the reason.
d. The account must be turned over to a collection agency.
Transcript text: MINDTAP ent: Billing Unit Test ce1mo01h_module4.25m What must happen if an insurance check indicates that a payment of "zero" was made? a. The administrative medical assistant must call the patient and request payment in full. b. The provider must call the insurance company directly for payment. c. The amount still needs to be posted to the account, and the reason. d. The account must be turned over to a collection agency.
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Solution

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The answer is the third one (or C): The amount still needs to be posted to the account, and the reason.

Explanation for each option:

a. The administrative medical assistant must call the patient and request payment in full.

  • This option is incorrect because the issue at hand is with the insurance payment, not the patient's direct payment. The administrative medical assistant should first understand why the insurance payment was zero before contacting the patient.

b. The provider must call the insurance company directly for payment.

  • This option is not necessarily incorrect, but it is not the immediate step. The first step is to post the amount and the reason for the zero payment to the account. If further clarification is needed, then contacting the insurance company might be appropriate.

c. The amount still needs to be posted to the account, and the reason.

  • This option is correct. Even if the payment is zero, it is important to document the transaction and the reason for the zero payment in the account. This ensures accurate record-keeping and helps in understanding the insurance company's decision.

d. The account must be turned over to a collection agency.

  • This option is incorrect because turning the account over to a collection agency is a last resort and typically only happens after all other avenues for payment have been exhausted. The zero payment from the insurance company needs to be investigated and documented first.

Summary: When an insurance check indicates that a payment of "zero" was made, the correct procedure is to post the amount and the reason to the account. This ensures proper documentation and helps in understanding the insurance company's decision.

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