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Lesson 15

Physician Medical Billing

QuestionAnswer
Jane K. Doe is the patient and the insured. What should be entered in form locator 4 on the CMS-1500? Same
Which one of the following individuals would use a FECA number when completing a CMS-1500? Government employee
Which one of the following choices is the correct way that an address would be entered on the CMS-1500? 123 Maple Street Apartment A
Which one of the following items would you probably not find on a routing slip? Patient's insurer
What happens each time an updated claim is resubmitted to a carrier? An additional fee is assessed
Jane Doe has insurance through her work, but is also covered under her husband's insurance. Her husband's insurance may be referred to as the secondary insurance
Having a patient's billing information available almost immediately after treating a patient is an advantage of HITECH
A physician's office just saw a new patient but can't submit a claim to the patient's insurance. Which one of the following choices might be a reason for this? There is no signature on file
You noticed that a patient's first name is misspelled on the CMS-1500 form. What should you do? Wait until the patient presents an insurance card with the correct spelling for verification
Which one of the following organizations helps process paper records into an EHR? OCR
A patient was referred to Dr. Doe's office by several physicians-Dr. Brown, who was the referring physician, Dr. Jones, who was the supervising provider, and Dr. Smith, who was the ordering provider. In what order would the referring physicians be listed Brown, Smith, Jones
Which one of the following choices is an advantage of EMCs? It decreases the chance of errors
A patient is seen in a birthing center. Which place-of-service code may be noted on the CMS-1500? 25
Which one of the following choices requires that those who transmit and store information electronically use a process of scrambling the information? HIPPA
Patient Brown's birthdate is January 1, 1964. How would this birthdate be entered on the CMS-1500? 01011964
If a patient isn't being seen on an emergency basis, what should be entered in the EMG form locator? Nothing; leave t blank
You're training a new employee about the CMS-1500 form. The employee calls the information input areas "fields." You correct her by saying they're called form locators
On the CMS-1500, the insured person's signature may be indicated by which one of the following designations? SOF
A claim was rejected because the patient's insurance number on the CMS-1500 was entered incorrectly. Which one of the following choices could help to prevent this type of error? Photocopy the front and back of the insurance card
Which one of the following situations would require that an electronic claim be printed and submitted via paper? The claim is being questioned and an attachment needs to be sent to the insurance carrier
If the Medicaid resubmission number is missing on the CMS-1500, what should you do? Enter the correct information in form locator 22
Jimmy is a 12-year old boy who is seeing the doctor for a school check up. He's with his mom and his 18-year old brother. Who is most likely the guarantor? Jimmy's mom
Which of the following choices is ultimately for paying for the healthcare services? Guarantor
You're speaking with a patient's insurance carrier who refuses to pay the claim even though the physicians office provided all the correct information. Which form could you refer to in the patients record? VOB
You work for a company that provides claims processing for a physician offices. You may work for a(n) billing service
Created by: Echapm
 

 



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