insurance chapter 7 Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
who developed the standard form | health insurance association of america and american medical association |
state the name of the insurance for approved by the american medical association | health insurance claim form |
does medicare accept the CMS-1500 claim forms | yes |
what is dual coverage | the patient has 2 insurance policies, one of which is considered primary and the other secondary |
the insurance company with the first responsibility for payment of a bill for medical services is known as the | primary payer |
what important document must you have before an insurance company can photocopy a patients chart | release of information form signed by patient |
if the patient brings in a private insurance form that is not group insurance, where do you send the form after completion | to the insurance company |
an insurance claim is returned for the reason "diagnosis incomplete." state one or more solutions to this problem on how you would try to obtain reimbursement | verify and submit correct diagnostic codes by referring to an updated diagnostic code book and reviewing the patient record |
when preparing a claim that is to be optically scanned, birth dates are keyed in with how many digits | 8 digits |
define this abbreviation: MG/MCD | Medigap and medicaid coverage |
claim missing required information | incomplete claim |
phrase used when a claim is held back from payment | pending claim |
claim that is submitted and then optically scanned by the insurance carrier and converted to electronic form | paper claim |
claim that needs manual processing because of errors or to solve a problem | dirty claim |
claim that needs clarification and answers to some questions | rejected claim |
claim that is cancelled or voided if incorrect claim form is used or itemized charges are not provided | delete claim |
claim that is submited via telephone line or computer modem | electronic claim |
claim that is submited within the time limit and correctly completed | clean claim |
medicare claim that contains information that is complete and necessary but is illogical or incorrect | invalid claim |
a number issued by the federal government to each individual for personal use | social security number |
a medicare lifetime provider number | national provider identifier |
a number listed on a claim when submitting insurance claims to insurance companies under a group name | group national provider number |
a number that a physician must obtain to practice in a state | state license number |
a number used for billing for supplies and equipment | durable medical equipment number |
a number issued to a hospital | facility provider number |
an invididual physicians federal tax identification number issued by the revenue service | employer identification number |
a three part information form that is completed and signed by an insurance agent and an individual to obtain insurance coverage, and requires a medical examination by a physician is known as | life or health insurance application |
the insurance claim form required when submitting medicare claim is | CMS-1500 claim form |
the maximum number of diagnostic codes in the ANSI 837P claim format for transmitting electronic health insurance claim is | eight |
if a patients gender is not indicated in the CMS-1500 claim form, the gender block defaults to | female |
if a provide of medical services does not have an NPI number, the characters or digits that must be entered in block 24I is | IC |
a photocopy of a claim form may be optically scanned | false |
handwritting is permitted on optically scanned paper claims | false |
a CMS-assigned national provider identifier (NPI) number consists of 10 characters | true |
when listing a diagnostic code on an insurance claim, insert the decimal points | false |
a diagnosis reference pointer should be entered in block 24E and not an ICD-9-CM diagnostic code | true |
Created by:
Lea99