Exam 8: The Electronic Claim

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Note any problematic claims and resolve outstanding files.

The three-digit standard transaction for transmission of the electronic claim is referred to in the physician's office as ___.

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Audit claims batched and transmitted with confirmation reports.

An automatic logoff that prevents unauthorized users from accessing a computer is a/an __ safeguard.

A status report of claims is usually received ___.

What is an encoder?

To ensure that data has been effectively backed up on the practice management system, verification of original records to stored information should be performed

A clearinghouse is a/an

The establishment of standard unique patient identifiers is currently stalled due to protest that universal identifiers could be a ____ threat.

Back-and-forth communication between user and computer that occurs during online real time is called

For assignment of benefits, each patient's ___ must be obtained.

Confidential data should be stored only in the computer's hard drive.

List common electronic claim submission errors that have resulted from the upgrade to Version 5010 of the electronic claims submission standards.

A provider is not considered a covered entity under HIPAA under which of the following circumstances?

The most important function of a practice management system is

Insurance claims transmitted electronically are usually paid in

ASC X12 Version 5010 allows providers to submit claims

Supplemental documents that provide additional medical information to a claim are referred to as

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Post payments in practice management system.

What are the three kinds of information system safeguards and security measures?