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A Fordney ch 8
| Question | Answer |
|---|---|
| Even if a physician's office does not bill medicare and does not submit transactions electronically, directly, or through a third party, the practice is still subject to HIPAA transaction rules. | false |
| When submitting a claim to Medicare, the name of the insured is required, not situational. | false |
| Confidential data should be stored only in the computer's hard drive. | false |
| Clearinghouses always charge a flat fee for claim processing. | false |
| A group of insurance claims sent at the same time from one facility is known as a ___ | batch |
| A clearinghouse is a/an ____ | entity that receives transmission of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer. |
| Insurance claims transmitted electronically are usually paid in ___ | 2 weeks or less. |
| The most important function of a practice management system is ___ | accounts receivable. |
| The employer's identification number is assigned by___ | the Internal Revenue Service |
| A clearinghouse _____ | transmits claims to the insurance payer, performs software edits, separates claims by carrier |
| Insurance claims form data are gathered __ | before the service is rendered, during the time the service is rendered, or after the service is rendered |
| Back-up copies of office records should be stored ___ | away from the office |
| When a medical practice has its own computer and transmits claims electronically directly to the insurance carrier, this system is known as __ | carrier-direct |
| A computer printout that is used to look for errors before an insurance claim is transmitted electronically is called ___ | an insurance billing worksheet |
| Back-and-forth communication between user and computer that occurs during online realtime is called__ | interactive transaction |
| When keying data, it is wise to ___ frequently to save information. | backup |
| Employees who have access to patients' medical records must have a high degree of ___ and ___ | responsibility and accountability |
| For assignment of benefits, each patient's ___ must be obtained | signature |
| A screen prompt is a ___ | question |
Created by:
leemiller
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