Contractual Adjustment Knowledge Check

According to the EOB, $28.81 is applied as……...?

• CO – 97

• CO – 45

• PI – 253

• None of the above.

PI-253 stands for _________?

• PI-253 is used to report the sequestration reduction, which is part of the contractual adjustment.

• PI-253 is used to report the sequestration reduction, which is part of the patient's responsibility.

• None of the above.

Review the EOB and Financial information and choose the right follow-up.

• Follow-up on $28.81 with the insurance company.

• Move the remaining balance of $28.81 to the Patient bucket and close the account.

• Adjust $28.81 as it is a part of the contractual adjustment which is in the insurance bucket.

• Non-workable account.

Review the EOB and Financial information and choose the right follow-up.

• Adjust $716.03 as it is a part of the contractual adjustment which is in the insurance bucket.

• Move the remaining balance of $716.03 to the Patient bucket and close the account as the patient does not have any secondary insurance.

• Follow-up on $716.03 with the Meridian insurance company.

• Non-workable account.

According to the EOB insurance left $716.03 as _______?

• Deductible.

• Coinsurance

• Copay

Review the EOB and Financial information and choose the right follow-up.

• Adjust $4934.00 as it is a part of the contractual adjustment which is in the insurance bucket.

• Move the remaining balance of $4934.00 to the Patient bucket and close the account.

• Follow-up on $4934.00 with the insurance company.

• Non-workable account.

As per the EOB, what is the total contractual adjustment posted by the insurance?

• $305.84.

• $453.75.

• $109.17.

• 1. None of the above.

Review the EOB and Financial information and choose the right follow-up.

• Follow-up on $147.91 with the insurance company.

• Move the remaining balance of $147.91 to the Patient bucket and close the account.

• Adjust $147.91 as it is a part of the contractual adjustment which is in the insurance bucket.

• Write-off $147.91 as it is a part of sequestration reduction and complete the follow-up.

Review the EOB and Financial information and choose the right follow-up.

• Move the remaining balance of $23.58 to the Patient bucket and close the account.

• Adjust $23.58 as it is a part of the contractual adjustment which is in the insurance bucket.

• Follow-up on $23.58 with the Tricare insurance company.

• Non-workable account.

Review the EOB and Financial information, choose the total contractual amount & follow up on the given account.

• A. Contractual Adjustment is $5708.61 & we need to move $147.00 to the patient bucket and complete the follow-up.

• Contractual Adjustment is $5855.61 & we need to adjust $147.00 and complete the follow-up.

• Contractual Adjustment is $5708.61 & we need to take a follow-up from insurance on $147.00.

• Contractual Adjustment is $5855.61 & we need to take follow up from insurance on $147.00.