Exam 5: Claim Submission Methods

What information can the health insurance professional typically find on a patient's insurance ID card?

Examples of technological advancements in enrollee verification include all,except the following:

The new HIPAA Standards version addresses many of the deficiencies in the former version and accommodates the reporting of:

What is the most important task the health insurance professional is responsible for?

The two basic methods to submit claims electronically are:

Covered entities were required by law to conform to Version 5010,which replaced the HIPAA ASC X12 4010/4010A1 EDI transaction standard,as of

The federal government mandates the use of a "universal" encounter form for all providers.

One way to track submitted claims is through the use of an insurance claims tracking form or "log."

A claim that has no errors or omissions and can be processed without delays is called a _____ claim.

The AMA developed the first CMS-1500 claim form for military use.

After January 2012,a new version of the HIPAA Standards was implemented called:

The two basic methods for submitting claims electronically are _____________ and ___________________.

Supplemental documents that provide additional information to the claims processor that normally cannot be included within the electronic claim format are called:

Explain how claim attachments can be sent electronically using such software as FastAttach™.

Failure to confirm a patient's insurance coverage can create a delay in payment or result in no payment at all.

Submitting insurance claims straight to a third-party payer is called:

Practice management software allows users to enter patient demographic information,schedule appointments,maintain lists of insurance payers,perform billing tasks,and generate reports.

The primary objective of a health insurance professional is to:

List five common reasons why claims are rejected.

Guidelines for claim attachments are the same if the medical facility uses electronic claim submission.