Chap 8-10
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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show | True
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show | True
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show | True
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show | True
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In order to submit insurance claims electronically, a signed agreement by the physician with the carriers involved is necessary? | show ๐
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Clearinghouses always charge a flat fee for claim processing? | show ๐
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Insurance claims transmitted electonically are usually paid in ___________? | show ๐
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The most important function of a Practise Management System (PMS) is ____________? | show ๐
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show | The Internal Revenue Service.
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A clearinghouse performs what functions? | show ๐
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Insurance claims form data are gathered when? | show ๐
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A status report of claim is usually received_________? | show ๐
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show | Signature (SOF)
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A screen prompt is a _____________? | show ๐
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When should you post payments in the PMS? | show ๐
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When should you note any problamatic claims and resolve outstanding files? | show ๐
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When should yo batch, scrub, edit and transmit claims? | show ๐
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When should you review all claim rejection reports? | show ๐
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show | Daily
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show | Weekly
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When should you review clearinghouse/payer transmission reports? | show ๐
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show | Daily
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show | End of Month
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show | Weekly
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show | False
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show | False
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show | True
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Insurance companies are rated according to the number of complaints received about them. | show ๐
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show | Tickler File
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show | Ask if there is a backlog of claims at the insurance company.
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show | Provide the information (Remember TPO)
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When downcoding occurs, payment will? | show ๐
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show | Overpayment
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show | 30 days
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A large percentage of reimbursement in the physician's office is generated from third-party payers. | show ๐
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Information provided on the patient registration form will prove critical to any billing and collections efforts. | show ๐
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When no business or home telephone number is listed on the patient registration form, this may be an indication of a future nonpaying patient. | show ๐
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show | False.
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In trying to collect an unpaid balance, a telephone interview is preferred to a personal interview. | show ๐
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A personal check is a guarantee of payment. | show ๐
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show | True
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The patient is likely to be the most cooperative in furnishing details necessary for a complete registration process when? | show ๐
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show | Making no charge to anyone, patient or insurance company, for medical care.
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show | Outsourcing
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show | Debit card
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Whic group of accounts would a collector target when he/she begins making telephone calls? | show ๐
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show | Flex time
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The patient information sheet is also known as the? | show ๐
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In dealing with an estate claim, a call to the ________________ can be made periodically to check on the status of the estate. | show ๐
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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.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
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.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
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:
douelt
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