Claims
Boxes on a Claim
Which of the following?
Etc..
Etc..2
100
Claim that is submitted and then optically scanned by the insurance carrier and converted into electronic form.
What is paper?
100
You would indicate that the service is a result of an auto accident HERE.
What is block 10, patient's condition related to?
100
Is not an appropriate type of date for Block 14?A. Date of birth, B. Date of first symptom of illness, C. Accident date, D. Last menstrual period.
What is A. Date of birth?
100
The official name of the health insurance claim form, including version number.
What is CMS-1500 (02-12)?
100
The insurance with the first responsibility for payment of a bill for medical services.
What is primary payer?
200
Type of claim that needs manual processing because of errors or to solve a problem.
What is dirty?
200
In THIS block you would report the total charge.
What is block 28?
200
Is the most important function of a practice management system? A. Electronic Health Records, B. Rescheduling, C. Accounts Receivable, D. Word processing
What is C. Accounts Receivable?
200
Exchange of data in a standardized format through computer systems.
What is EDI? (Electronic Data Interchange)
200
Payment to the provider of service of an electronically submitted insurance claim may be received in approximately THIS long.
What is 2 weeks or less?
300
Type of claim that contains necessary information but is illogical or incorrect.
What is invalid?
300
THIS specific data is recorded in Block 24D of the claim form.
What is CPT or HCPCS codes?
300
Is a computer printout that is used to look for errors before an insurance claim is transmitted electronically? A. A front-end audit, B. An online error check, C. A verification worksheet, D. An insurance billing worksheet
What is B. an online error check?
300
An automatic logoff that prevents unauthorized users from accessing a computer is an example of THIS kind of safeguard.
What is technical?
300
EFT
What is electronic funds transfer?
400
Most claims are submitted by means of THIS.
What is EDI? (Electronic data interchange)
400
If the provider does not have a federal tax ID number (EIN), THIS number can be used as a replacement in Block 25.
What is social security number?
400
Is a paperless transaction that allows payments to be transferred automatically to a physician's bank account? A. Electronic savings account (ESA), B. Electronic remittance advice (ERA), C. Electronic funds transfer (EFT), D. Electronic data interchange (EDI)
What is C. electronic funds transfer (EFT)?
400
The patient has transferred his right to receive payment from his insurance company to the provider.
What is accepts assignment?
400
Dr. Morgan has 10 or more full-time employees and submits insurance claims for his Medicare patients. Is his medical practice subject to HIPAA transaction rules?
What is yes?
500
A group of insurance claims sent at the same time from one practice to the clearinghouse.
What is a batch?
500
The maximum number of diagnosis that may be reported on the paper claim.
What is 12?
500
Is back-and-forth communication between computers that occurs as real-time communication? A. Electronic remittance notice, B. Interactive transaction, C. Electronic communication, D. Electronic data interchange
What is B. interactive transaction?
500
Under HIPAA, data elements that are used uniformly to document why patients are seen (diagnosis) and what is done to them during the encounter (services/procedures) are known as THIS.
What are medical code sets?
500
The employer identification number is assigned by...
What is the Internal Revenue Service?
M
e
n
u