Show:
CMS-1500
Medicare
Medicaid
TRICARE
Mystery
100
This is the organization that determines the content on this form.
What is the National Uniform Claim Committee.
100
The type of program that Medicare is (federal/state).
What is a Federal insurance program.
100
This is the type of program that Medicaid is (federal/state).
What is a state-run program with matching funds from federal government.
100
This is what TRICARE used to be called.
What is CHAMPUS.
100
Providers are not payed for this due to the Affordable Care Act.
What are misadventures.
200
This is what you must do when filling out the form by hand.
What is write in all capital letters, use no punctuation, and no abbreviations.
200
These are the groups that Medicare covers.
What is people over 65, disabled adults, people disabled before 18, spouses of entitled individuals, retired federal employees enrolled in CSRS, individuals with end-stage renal disease.
200
How often patients with Medicaid should be checked for coverage.
What is before seeing a physician and when making an appointment.
200
These are the three main types of TRICARE programs.
What is TRICARE Standard, TRICARE Prime, and TRICARE Extra.
200
Definition of NEC and NOS.
What is Not Elsewhere Classified and Not Otherwise Specified.
300
The block you MUST fill out concerning secondary insurance.
What is Block 11D.
300
The form used to inform patient that procedure isn't covered by Medicare.
What is an Advance Beneficiary Notice of Noncoverage (ABN).
300
This is the what Medicaid is considered since it pays last.
What is payer of last resort.
300
People eligible for TRICARE.
Who are members of the Army, Navy, Air Force, Marine Corps, Coast Guard, Public Health Services, National Oceanic and Atmospheric Administration and their families.
300
Care plan that emphasizes communication between physicians and coordinating patient care.
What is the Medical Home Model.
400
This is used to connect the procedure to the diagnosis.
What is the diagnosis pointer (Block 24E).
400
These are the types of plans available under Medicare Advantage.
What are Coordinated Care Plans, private fee-for-service plans, and Medical Saving's Accounts.
400
The difference between being medically needy and categorically needy.
What is having high medical expenses and low financial resources (medically), and having low income and few resources (categorically).
400
Person who verifies eligibility on the Defense Enrollment Eligibility Reporting System (DEERS).
Who is the sponsor.
400
Definition of emergency.
What is a situation in which a delay in patient treatment would lead to a significant increase in the threat to life or a body part.
500
These are the conditions under which you would fill out Block 14 (Date of Current Illness or Injury)
What is pregnancy, or visit is related to Block 10.
500
Area offering bonuses to physicians.
What is the Health Professional Shortage Area (HPSA).
500
Name of patients covered by Medicare and Medicaid, and which is primary for those patients.
What is Medi-Medi, Medicare is primary.
500
The difference between providers who are Participating Providers and those who aren't with TRICARE.
What is accept the allowable charge as full payment, file claims on behalf of patients, and can appeal a decision (PAR), may not charge more than 115% of the allowable charge, may not appeal a decision (NonPAR).
500
The 10 steps of the Revenue Cycle.
What is Preregister Patients, Establish Financial Responsibility, Check In Patients, Review Coding Compliance, Review Billing Compliance, Check Out Patients, Prepare and Transmit Claims, Monitor Payer Adjudication, Generate Patient Statements, Follow Up Payments and Collections