What is post-payment posting in medical billing?

• A. Post payments in the patients account using the EOB/RA to identify line items paid, reduced, or denied.
• B. Post notes to the patient chart only.
• C. Reconcile patient payments with the bank statement.
• D. Generate patient billing statements.

Answer: (A)

Post-payment posting is applying payments to the patient’s account using the payer’s Explanation of Benefits or Remittance Advice to identify exactly which charges were paid, which were reduced through allowances, and which were denied. This step updates the patient ledger so the balance reflects the true amounts due from the payer and the patient. You go through the EOB/RA line by line, apply the payment to the corresponding charges, record any contractual adjustments or write-offs, and adjust the remaining patient responsibility accordingly. It’s distinct from simply adding notes to the chart, reconciling with a bank statement, or generating statements, which are different tasks in the billing process.