[MO2] Preparing insurance Claims [Tier 01]
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | identifies limited situations where paper claim forms may be submitted for payment
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| carrier | show 🗑
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| Centers for Medicare and Medicaid Services (CMS) | show 🗑
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| show | a company that often serves as the middleman between physicians and payers for the transmission of electronic claims into the specific format required by payers
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| show | a standard claim form to submit physician services for third-party payment
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| electronic claims tracking (ECT) | show 🗑
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| show | refers to the exchange of routine business transactions from one computer to another in a standardized format
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| show | a flat file format used to transmit or transport claims
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| explanation of benefits (EOB) | show 🗑
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| show | the standard unique health identifier for health care providers
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| reimbursement | show 🗑
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| show | claim scrubbing ensures that claims are correctly coded before being sent to the insurance company which reduces denials and increases payment to the practice
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| show | exists when a patient is covered under more than one insurance plan
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Created by:
MaesterRay
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