study guide
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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show | unlisted CPT code
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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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clean claim | show 🗑
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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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show | the provider can respond by correcting errors and omissions on the claim and resubmit for reconsideration
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show | a letter signed by the provider explaining why a claim should be reconsidered for payment
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show | contracts with a health insurance plan and accepts whatever the plan pays for procedures and services performed.
The PAR is not allowed to bill the patients for the difference (called balance billing).
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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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Clearing houses process claims that are filed in a ____________ and _________. | show 🗑
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The birthday rule | show 🗑
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what happens when children are covered by the insurance policy of both parents? | show 🗑
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show | chronological summary of all transactions posted on a specific day
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Before scheduling an appointment with a specialist, | show 🗑
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show | states the father's plan is always primary when the child is covered by both parents
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show | responsible for paying health care insurance claims first
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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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show | computerized record of all financial transactions between patients and the pratice
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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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show | patient ledger
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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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show | NOT contracted with an insurance company
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show | reported on claims to provide clarification about procedures and services performed
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VAN | show 🗑
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examples of covered entities | show 🗑
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show | Primary
Secondary
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Created by:
dd1025dl