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theory review 150
week 4
| Question | Answer |
|---|---|
| encrypted data often looks like geberish to unauthorized users | True |
| A medicare claim must include standard codes | True |
| all physcians offices billing electronically or directly or through a third party is still subject to HIPAA transaction rule | False |
| confidential data should be stored only in the computers hard drive | False |
| The exchange of data in standardized format through computer connections is known as electronic data interchange | False |
| an installed firewall and antivirus software hel[ maintain computer security | True |
| When submitting a claim to medicare the name of the insured is required not situational | False |
| Practice management systems can be rented from practice management systems on the internet | True |
| Clearing houses always charge a flat fee for claim processing | False |
| Insurance claims to be submitted electronically must have a signed agreement | True |
| Recieves the insurance claims submits them electronically to the correct insurance payer | Clearing house |
| Transmits claims to the insurance payer performs software edits seperates claims by carrier | what a clearing house does |
| Insurance claims transmitted electronically are usually paid in how much time | 3-4 weeks |
| The employers identication number is assigned by who | The IRS |
| Insurance claim form data is gathered when | Before during and after the service rendered |
| Back up copies of office record should be stored where? | Away from the office |
| The most important function of a practice management system is what? | Accounts Receviable |
| When a medical practice has its own computer and transmits claims electronically to the insurance carrier this system is known as what? | Carrier-Direct |
| What is the printout used to look for errors before insurance claim is transmitted electronically called? | An insurance billing worksheet |
| Review clearing house/payer transmission reports should be done how often | Daily |
| Posting payments in a practice management system should be done how often | Daily |
| Correct rejections and resubmit claims should be done how often | Daily |
| Batch, scrub edit and transmit claims | Daily or Weekly |
| Audit calims batched and transmitted with confirmations reports should be done | Daily |
| Back and forth communication between user and computer online real time is called | interactive transaction |
Created by:
nikki1126
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