Contractual Adjustment Knowledge Check

CO – 97

CO – 45

PI – 253

None of the above.

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.

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.

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.

Deductible.

Coinsurance

Copay

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.

$305.84.

$453.75.

$109.17.

1. None of the above.

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.

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.

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.