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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!  

Question
Answer
The exchange of data in a standardized format through computer connections is known as electronic data interchange?   show
🗑
A Medicare claim must include standard code sets, such as CPT and ICD-9-CM codes?   show
🗑
show True  
🗑
Insurance companies are rated according to the number of complaints received abouth them?   show
🗑
In order to submit insurance claims electronically, a signed agreement by the physician with the carriers involved is necessary?   show
🗑
Clearinghouses always charge a flat fee for claim processing?   show
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Insurance claims transmitted electonically are usually paid in ___________?   show
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show Accounts receivable  
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The employer's Identification number is assigned by whom?   show
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show Transmits claims to the insurance payer; Performs software edits; Separates claims by carrier.  
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Insurance claims form data are gathered when?   show
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A status report of claim is usually received_________?   show
🗑
show Signature (SOF)  
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show Question  
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show Daily  
🗑
When should you note any problamatic claims and resolve outstanding files?   show
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When should yo batch, scrub, edit and transmit claims?   show
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show End of month  
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show Daily  
🗑
show Weekly  
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When should you review clearinghouse/payer transmission reports?   show
🗑
When should you correct rejection and resubmit claims?   show
🗑
show End of Month  
🗑
When should you research unpaid claims?   show
🗑
show False  
🗑
show False  
🗑
show True  
🗑
show True  
🗑
Pending or resubmitted insurance claims may be tracked through a ___________?   show
🗑
show Ask if there is a backlog of claims at the insurance company.  
🗑
What should you do if an insurance carrier requests information about another insurance carrier?   show
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When downcoding occurs, payment will?   show
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If the medical practise receives payment from an insurance company that is more than the contract rate, it is called a/an _______?   show
🗑
show 30 days  
🗑
show True  
🗑
Information provided on the patient registration form will prove critical to any billing and collections efforts.   show
🗑
show True  
🗑
A collection rate of 80% to 85% should be the goal for the practise administrator in charge of collections in the physician's office.   show
🗑
show False  
🗑
A personal check is a guarantee of payment.   show
🗑
show True  
🗑
show BEFORE any services are provided.  
🗑
What does Professional courtsey mean?   show
🗑
show Outsourcing  
🗑
What is a card called that permits bank customers to make cashless purchases from funds on deposit without incurring revolving finance charges for credit?   show
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Whic group of accounts would a collector target when he/she begins making telephone calls?   show
🗑
show Flex time  
🗑
show Patient registration information form.  
🗑
show Executor  
🗑


   

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