When no further payment on a claim is expected, the medical biller calculates and posts the _________.
amount the patient pays.
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To determine the answer to the question, we need to understand the process of medical billing. Medical billers are responsible for calculating and posting charges for medical services provided to patients. When no further payment on a claim is expected, it usually means that the claim has been fully processed and reimbursed by the insurance company or the patient has paid the full amount out-of-pocket.
In such cases, the medical biller calculates and posts what is known as an adjustment. An adjustment is a term used in medical billing to describe any changes made to the original charge or payment, usually due to contractual agreements with insurance companies or adjustments for discounts or write-offs.
Adjustments can be categorized into different types, such as contractual adjustments, which are predetermined reductions in charges based on agreements with insurance companies, or patient adjustments, which are reductions made for specific patient-related reasons, such as financial hardship or courtesy discounts.
So, to answer your question, when no further payment on a claim is expected, the medical biller calculates and posts adjustments to reflect any changes or discounts applied to the original charge of the medical service provided.