Title: Explain patient’s financial obligations for services rendered.
Course: Medical Assistant I (14151-I) > Section: Managing Financial Transactions

Explanation should include

- a description of itemized and monthly statements (e.g., explanation of benefits [EOB])
- billing forms (e.g., CMS1500, Healthcare Common Procedure Coding System [HCPCS])
- the procedure for the collection of delinquent accounts
- types of payment accepted
- preplanned payment options and credit arrangements.

Teacher Resources:

- Healthcare Common Procedure Coding System (HCPCS), Centers for Medicare and Medicaid Service
- CMS1500, Centers for Medicare and Medicaid Services

Process/Skill Questions:

- What factors determine patient fees?
- What is a co-pay and/or co-insurance?
- What is a deductible?
- What is the legal requirement for collecting the co-pay?
- How do Medicare payments affect doctors' and other medical fees?
- How is an EOB different from a billing statement?
- What is an Advance Beneficiary Notice (ABN) form?