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Question
Answer
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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