Remittance advices are documents detailing payments and adjustments?

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Multiple Choice

Remittance advices are documents detailing payments and adjustments?

Explanation:
Remittance advice is the payer’s detailed explanation of how a claim was paid. It shows the amount paid, the allowed amount, any adjustments or write-offs, and the reason codes for denials or reductions. It may also indicate patient responsibility and reference the specific claim or service. Because it comes from insurance payers and provides the breakdown of payments and adjustments for each claim, it clearly describes payments and adjustments. It isn’t an audit notice, which would alert you to a review or finding; it isn’t a patient billing statement sent to the patient, which summarizes charges and balances due; and it isn’t an appointment reminder, which deals with scheduling.

Remittance advice is the payer’s detailed explanation of how a claim was paid. It shows the amount paid, the allowed amount, any adjustments or write-offs, and the reason codes for denials or reductions. It may also indicate patient responsibility and reference the specific claim or service. Because it comes from insurance payers and provides the breakdown of payments and adjustments for each claim, it clearly describes payments and adjustments.

It isn’t an audit notice, which would alert you to a review or finding; it isn’t a patient billing statement sent to the patient, which summarizes charges and balances due; and it isn’t an appointment reminder, which deals with scheduling.

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