claim management
Posting payments and creating Statements
Financial and Clinical Reports
Accounts Receivable Follow-up and Collections
100
What is the paper claim called?
What is CMS 1500
100
A document that describes a payment resulting from a claim adjudication is called?
What is a remittance advice or RA
100
What is a report that provides information on practice activities for a twenty-four-hour period?
What is Day Sheet
100
What tool is used for tracking activities that need to be completed as part of the collection process?
What is a collection list
200
What is the electronic form called?
What is HIPAA 837
200
What is a unique number assigned to a claim by the sender called?
What is a claim control number.
200
What is a report that analyzes the revenue of a practice for a specified period of time?
What is Practice analysis Report
200
What is the name of the law that regulates collection practices?
What is the Fair Debt Collection Practices Act
300
what organiztion is responsible for claim content?
What is National Uniform Claim Committee (NUCC)
300
What is used on an RA to explain why a payment does not match the billed amount?
What is Claim adjustment reason code
300
What is a report that lists the amount of money owed to the practice?
What is an aging report
300
What tool helps you keep track of collection letters that were sent?
What is the collection tracer report
400
What is the smallest unit of information in a HIPAA transaction?
What is data element
400
Payments made to physicians on a regular basis for providing services to patients in a managed care plan is called?
What is capitation payments
400
What is a method of reporting clinical data to payers using an online service rather than claims-based reporting?
What is a patient registry
400
What law prohibits credit discrimination?
What is the Equal Credit Opportunity Act (ECOA)
500
A claim billed to Medicare and then submitted to Medicaid is called?
What is a crossover claim
500
A balance that a provider owes a payer following a postpayment audit is?
What is a takeback
500
What is preservation of information on patient's medical conditions for continuity of care?
What is retention
500
What is the process of fairly determining a patients ability to pay is called?
What is a means test.
M
e
n
u