Certified Revenue Cycle Representative (CRCR) Practice Exam

What should John do after receiving an electronic Level 2 ERA for Sue Smith?

1. Manually match the ERA to the patient account.

2. Nothing unless there is an error.

3. Transfer the funds to Sue Smith’s account.

4. Notify the insurance company of the transaction.

The correct answer is: Manually match the ERA to the patient account.

After receiving an electronic Level 2 ERA (Electronic Remittance Advice) for Sue Smith, manually matching the ERA to the patient account is a crucial step in ensuring the accurate posting of payments and adjustments. This process involves verifying that the payment information from the ERA aligns with the services billed for Sue Smith. By manually matching the ERA, John can check for any discrepancies such as payment amounts, patient identifiers, and billing codes. This ensures that the patient's account reflects accurate financial information, enabling proper tracking of payments and outstanding balances. It also serves to identify any potential errors that may need to be addressed with the insurance company or resolved before further action is taken. Additionally, this step is essential for maintaining compliance with internal revenue cycle policies and ensuring transparency in the financial reporting of the practice. By confirming the accuracy of the remittance, John helps to uphold the integrity of the revenue cycle process, which relies on precise data management and accounting practices.