CMS1500 Form
Medical Records
The Ear
The Eye
Musculoskeletal System
100

What is Field 1a? 

Member ID Number

100

What is the acronym for EHR? 

Electronic Health Record 

100

What are the Three Parts of the Ear?

Outer, Middle, Inner 

100

What is it Called when Someone gets Calcium Build Up of the Eye? 

Cataracts 

100

What Bone connects the arm to the trunk, forming part of the shoulder girdle and enabling upper limb movement?

The clavicle

200

What is the Difference Between Reimbursement with E-Claims and Paper Claims? 

E-Claims can be Reimbursed within days and Paper Claims take Week or Months

200

What Electronic Records Allows Doctors to Access Medical Records From different States? 

EHR

200

How hairs are in the Cochlea?

16,000

200

What Part of the Eye Gives an Eye Color?

The Iris

200

What is the Part of the Body with No Head, Legs, or Arms Called?

The Trunk

300

What Goes into Field 33?

The Billing Address

300

What Electronic Record has Access if only in that Healthcare Origination? 

EMR (Electronic Medical Record)

300

What is Cerumen? 

Ear Wax

300

What is the clear membrane that protects your eye. It covers the inside of your eyelid and the white of your eye.

Conjunctiva

300

What is the Terminology for oste/o, oss/i, osse/o? 

The Bones

400

What is a Diagnosis Pointer? 

Tells the Payer what Procedure goes with What Diagnosis? or What CPT Code goes with ICD-10

400

If you Make an Error on a Paper Form, How CanYou Correct It? 

Single Line through it and your initial. 

400

How Does Vibrations travel to the brain in the Inner Ear? 

The Cochlea 

400

What are the Four Modifiers for the Eyelid? 

E1—upper left eyelid • E2—lower left eyelid • E3—upper right eyelid • E4—lower right eyelid

400

What Chapter would you find Fibromyalgia?

Chapter 13 or M Codes

500

What was the Name of the CMS1500 Form Before 2001?

HCFA-1500 Form

500

If you Make an Error in a Electonic Record, How Do You Correct It?

Make a new Note that states Correction with Date

500

What are the Three Bones Called in the Ossicular Chain? 

Malleus, Incus, Stapes (Hammer, Anvil, Stirrup)

500

What is the Medical Terminology for Drainage of an Abscess of the Eye Lid? 

Blepharotomy  

500

What are the Five Set of Bones of the Vertebra? 

Cervical (C1-C7) ... Thoracic (T1-T12) ... Lumbar (L1-L5) ... Sacral (SI) ... –Coccyx (tailbone)

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