An MAA creates an invoice for the remaining percentage on an encounter fee after receiving a copayment. This portion is considered to be?

Prepare for the NHA Medical Administrative Assistant Certification Exam. Use flashcards and multiple choice questions, each with hints and explanations. Get exam-ready today!

The portion of the encounter fee that is invoiced after receiving a copayment is classified as coinsurance. Coinsurance is the percentage of costs that a patient is responsible for after meeting any deductible. It represents the shared responsibility between the patient and the insurance provider, where the patient pays a specific percentage of the total bill, while the insurance covers the rest.

In the scenario presented, after the patient has already made a copayment, the remaining balance that the MAA invoices is typically the portion that falls under coinsurance, which the patient must pay based on their insurance policy. Understanding this concept is crucial for medical administrative assistants, as it plays a significant role in billing and payment processing in healthcare settings.

The other options, such as capitation payment, which involves a fixed amount paid per patient regardless of services rendered, or deductible, which is the amount the patient must pay before insurance kicks in, do not apply in this scenario as the question focuses specifically on the percentage owed after the copayment. Coordination of benefits relates to the management of benefits across multiple insurance plans and is not pertinent to invoicing for remaining fees after a copayment.

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