Question 1

What is meant by "assigning benefits"?

Accepted Answer

Patient authorizes t

Question 2

One of the recent technological advances that makes verification of patient insurance eligibility easier and faster is the:

Accepted Answer

A)  digital systems locater (DSL). 
B)  interactive voice response (IVR). 
C)  optical character recognition (OCR) scanner. 
D)  American Standard Code for Information Interchange (ASCII). 
A)  digital systems locater (DSL). 
B)  interactive voice response (IVR). 
C)  optical character recognition (OCR) scanner. 
D)  American Standard Code for Information Interchange (ASCII).

Question 3

If the decision is made to go direct to the carrier,there will be multiple _______ that occur when a computer is programmed to automatically connect to another computer.

Accepted Answer

The answer of If the decision is made to go...

Question 4

The intent of HIPAA's Administrative Simplification legislation was to provide consumers with lower healthcare costs.

Accepted Answer

A) True 
 B)False

Question 5

The paper claim form approved by the AMA Council on Medical Services,which was subsequently adopted by all government healthcare programs.

Accepted Answer

A)  UB-04 
B)  Version 5010 
C)  HCFA-1500 
D)  AMA-1040 
A)  UB-04 
B)  Version 5010 
C)  HCFA-1500 
D)  AMA-1040

Question 6

Small providers that are not computerized can use the paper version of the CMS-1500.

Accepted Answer

A) True 
 B)False

Question 7

HIPAA Standards Version ____ addresses many of the limitations in the former version and supports the reporting of national provider identifiers (NPIs)and the new ICD-10 codes.

Accepted Answer

A)  4010 
B)  5010 
C)  ASCII X19 
D)  4010A1 
A)  4010 
B)  5010 
C)  ASCII X19 
D)  4010A1

Question 8

The HIPAA Administrative Simplification Compliance Act (ASCA)prohibits Medicare from paying claims that are not submitted electronically,with certain exceptions.

Accepted Answer

A) True 
 B)False

Question 9

A business entity that specializes in consolidating claims received from providers and transmitting them in batches to each respective third-party payer.

Accepted Answer

A)  Clearinghouse 
B)  Third-party administrator 
C)  Small provider 
D)  Fiscal intermediary 
A)  Clearinghouse 
B)  Third-party administrator 
C)  Small provider 
D)  Fiscal intermediary

Question 10

The _________ may grant a waiver from the mandatory electronic claims submission rule.

Accepted Answer

Secretary

Question 11

The two main sections of the CMS-1500 are ____________ and ____________.

Accepted Answer

patient/insured information,ph

Question 12

After the paper form has been completed according to the applicable payer guidelines,it should be ____________ to check for errors.

Accepted Answer

A)  photocopied 
B)  coded 
C)  proofread 
D)  faxed to a clearinghouse 
A)  photocopied 
B)  coded 
C)  proofread 
D)  faxed to a clearinghouse

Question 13

According to HIPAA,which of the following code sets is acceptable for the electronic transmission of healthcare data?

Accepted Answer

A)  CPT-4 procedure codes 
B)  ICD-10 diagnosis codes 
C)  OCR codes 
D)  both a and b 
A)  CPT-4 procedure codes 
B)  ICD-10 diagnosis codes 
C)  OCR codes 
D)  both a and b

Question 14

Complete this statement: "A complete medical record should _______."

Accepted Answer

Outline the reason for the patient's vis

Question 15

Documents needed to generate an insurance claim include all of the following,except a:

Accepted Answer

A)  patient information form. 
B)  patient insurance ID card. 
C)  patient's driver's license. 
D)  patient's health record. 
A)  patient information form. 
B)  patient insurance ID card. 
C)  patient's driver's license. 
D)  patient's health record.

Question 16

Additional software may be required to send claims directly to a third-party payer.

Accepted Answer

A) True 
 B)False

Question 17

List the five documents needed for filing an insurance claim.

Accepted Answer

Patient information

Question 18

HIPAA's new 5010 transaction standards only impact __________ claim submissions.

Accepted Answer

The answer of HIPAA's new 5010 transaction standards only impact...

Question 19

If a medical facility has only one employee but is utilizing some type of electronic software,the office must be in compliance with HIPAA's privacy rules and regulations.This is referred to as the ___________ rule.

Accepted Answer

The answer of If a medical facility has only one...

Question 20

Direct claim submission is considered the best method if most claims are being sent to a single carrier.

Accepted Answer

A) True 
 B)False

What is meant by "assigning benefits"?

One of the recent technological advances that makes verification of patient insurance eligibility easier and faster is the:

If the decision is made to go direct to the carrier,there will be multiple _______ that occur when a computer is programmed to automatically connect to another computer.

The intent of HIPAA's Administrative Simplification legislation was to provide consumers with lower healthcare costs.

The paper claim form approved by the AMA Council on Medical Services,which was subsequently adopted by all government healthcare programs.

Small providers that are not computerized can use the paper version of the CMS-1500.

HIPAA Standards Version ____ addresses many of the limitations in the former version and supports the reporting of national provider identifiers (NPIs)and the new ICD-10 codes.

The HIPAA Administrative Simplification Compliance Act (ASCA)prohibits Medicare from paying claims that are not submitted electronically,with certain exceptions.

A business entity that specializes in consolidating claims received from providers and transmitting them in batches to each respective third-party payer.

The _________ may grant a waiver from the mandatory electronic claims submission rule.

The two main sections of the CMS-1500 are and .

After the paper form has been completed according to the applicable payer guidelines,it should be ____________ to check for errors.

According to HIPAA,which of the following code sets is acceptable for the electronic transmission of healthcare data?

Complete this statement: "A complete medical record should _______."

Documents needed to generate an insurance claim include all of the following,except a:

Additional software may be required to send claims directly to a third-party payer.

List the five documents needed for filing an insurance claim.

HIPAA's new 5010 transaction standards only impact __________ claim submissions.

If a medical facility has only one employee but is utilizing some type of electronic software,the office must be in compliance with HIPAA's privacy rules and regulations.This is referred to as the ___________ rule.

Direct claim submission is considered the best method if most claims are being sent to a single carrier.

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 5: Claim Submission Methods

What is meant by "assigning benefits"?

One of the recent technological advances that makes verification of patient insurance eligibility easier and faster is the:

If the decision is made to go direct to the carrier,there will be multiple _______ that occur when a computer is programmed to automatically connect to another computer.

The intent of HIPAA's Administrative Simplification legislation was to provide consumers with lower healthcare costs.

The paper claim form approved by the AMA Council on Medical Services,which was subsequently adopted by all government healthcare programs.

Small providers that are not computerized can use the paper version of the CMS-1500.

HIPAA Standards Version ____ addresses many of the limitations in the former version and supports the reporting of national provider identifiers (NPIs)and the new ICD-10 codes.

The HIPAA Administrative Simplification Compliance Act (ASCA)prohibits Medicare from paying claims that are not submitted electronically,with certain exceptions.

A business entity that specializes in consolidating claims received from providers and transmitting them in batches to each respective third-party payer.

The _________ may grant a waiver from the mandatory electronic claims submission rule.

The two main sections of the CMS-1500 are ____________ and ____________.

After the paper form has been completed according to the applicable payer guidelines,it should be ____________ to check for errors.

According to HIPAA,which of the following code sets is acceptable for the electronic transmission of healthcare data?

Complete this statement: "A complete medical record should _______."

Documents needed to generate an insurance claim include all of the following,except a:

Additional software may be required to send claims directly to a third-party payer.

List the five documents needed for filing an insurance claim.

HIPAA's new 5010 transaction standards only impact __________ claim submissions.

If a medical facility has only one employee but is utilizing some type of electronic software,the office must be in compliance with HIPAA's privacy rules and regulations.This is referred to as the ___________ rule.

Direct claim submission is considered the best method if most claims are being sent to a single carrier.

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

The two main sections of the CMS-1500 are and .