The payment and billing form covers each of the following items, except:

• A. Payment terms
• B. Billing codes
• C. Financing options
• D. Refund policy

Answer: (D)

A payment and billing form is meant to outline how charges are collected and how they are documented for billing. It should cover payment terms (when payment is due, accepted methods, any late fees), billing codes (the codes used to describe services for invoicing or insurance), and financing options (payment plans or third-party financing available to the patient). A refund policy, on the other hand, relates to returns and refunds of products or services after purchase and belongs in the practice’s returns or customer service policies, not in the billing terms. Including a refund policy in the payment and billing form can create confusion about how refunds affect accounts and billing, so it isn’t part of this form.