Healthcare claim preparation and transmission
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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| The HIPAA mandated electronic transaction for claims is known as the HIPAA claim, the 837 claim, and the | show 🗑
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| show | NUCC
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| Where is the carrier block located on the CMS 1500 form? | show 🗑
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| The CMS 1500 form has what information included in the patient information section | show 🗑
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| A billing service that is sending a claim is likely to be the | show 🗑
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| A physician practice that uses a billing service to send its claims is | show 🗑
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| show | rendering provider
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| show | physician is the pay-to and the laboratory is the rendering.
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| The rendering provider is the | show 🗑
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| show | qualifier
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| show | procedures performed for the patient
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| show | required data element
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| show | situational data element
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| show | individual relationship code
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| An individual relationship code indicates what | show 🗑
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| show | the sender
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| Payers are identified by what? | show 🗑
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| show | valid at the time the service was provided
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| show | valid at the time the claim was prepared
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| show | additional data sent to support a claim
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| A claim that has been received with no errors and accepted for adjudications by the payer is a | show 🗑
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| show | three
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| show | direct transmission to the payer
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| show | National Provider Identifier
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| show | NPI
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| NUCC stands for | show 🗑
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| show | HIPAA
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| The HIPAA 837P or the CMS 1500 paper claim is in use for what | show 🗑
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| show | CMS
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| show | The National Uniform Claim Committee
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| show | A paper claim
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| show | the patient
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| show | eight
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| The referring provider is the physician who | show 🗑
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| show | Place of service
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| show | administrative codes set for identifying a physician's specialty
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| A taxonomy code consists of | show 🗑
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| the term outside lab means | show 🗑
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| A non-NPI ID number has 2 parts, these parts are | show 🗑
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| A diagnosis pointer indicates what | show 🗑
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| show | Professional
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| A responsible party is a person, other than the insured, who | show 🗑
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| show | the insured
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| show | 5
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| What are the 5 major sections of a HIPAA claim | show 🗑
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| A claim resaon submission code is also known as | show 🗑
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| The line item control number or the claim contraol number on a HIPAA claims is assigned by who | show 🗑
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| A software that checks claims for errors before they are sent is known as a | show 🗑
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| show | clearinghouse
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| the person or organization that will be paid for the services on a HIPAA claim | show 🗑
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| the person or organization sending a HIPAA claim | show 🗑
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Created by:
monicagunterman