study guide
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Patients can be billed for___________ but not _________. | show 🗑
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Guarantor | show 🗑
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show | When the providers office completes and submits the CMS-1500 form
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the check in procedure for a patient who is new to the providers office is __________ than a returning patient. | show 🗑
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Claims attachment | show 🗑
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it is necessary to submit a claims attachment when using an | show 🗑
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accept assignment | show 🗑
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CMS-1500 form requires responses to standard questions pertaining to: | show 🗑
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show | contains all required data elements needed to process and pay the claim
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show | Name and phone number of the third party payer and the name of the policy holder (among other things)
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show | signature on file can be submitted as patient signature as long as the signature is on file in the office.
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show | report professional and technical services
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If a payer marks a claim with "pending" status, | show 🗑
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show | a letter signed by the provider explaining why a claim should be reconsidered for payment
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PAR: Participating Provider | show 🗑
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show | the financial record source document used by healthcare providers to record treated diagnoses and services rendered to the patient during the encounter
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show | "flat" format
converted to a "standard" format
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show | a policy determination for covered children
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show | The birthday rule says the parents whose birthday month and day come first int he calender year holds the primary policy.
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Day sheet | show 🗑
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Before scheduling an appointment with a specialist, | show 🗑
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Gender Rule | show 🗑
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Primary insurance is the insurance plan... | show 🗑
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show | they are used in providers offices to document patients visits
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show | Have the patient complete a patient registration form
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Patient Account Record | show 🗑
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Generate a separate __________ and __________ for each patient to maintain each type of information. | show 🗑
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claim attachment | show 🗑
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The patient account record is also called the | show 🗑
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show | clearinghouse claims processing format
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show | superbill and encounter form
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chargemaster | show 🗑
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NonPAR is a physician who is..... | show 🗑
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Modifier | show 🗑
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VAN | show 🗑
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examples of covered entities | show 🗑
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_________ insurance pays first and ________________pays after that. | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
dd1025dl