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week 4

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
encrypted data often looks like geberish to unauthorized users   True  
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A medicare claim must include standard codes   True  
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all physcians offices billing electronically or directly or through a third party is still subject to HIPAA transaction rule   False  
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confidential data should be stored only in the computers hard drive   False  
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The exchange of data in standardized format through computer connections is known as electronic data interchange   False  
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an installed firewall and antivirus software hel[ maintain computer security   True  
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When submitting a claim to medicare the name of the insured is required not situational   False  
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Practice management systems can be rented from practice management systems on the internet   True  
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Clearing houses always charge a flat fee for claim processing   False  
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Insurance claims to be submitted electronically must have a signed agreement   True  
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Recieves the insurance claims submits them electronically to the correct insurance payer   Clearing house  
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Transmits claims to the insurance payer performs software edits seperates claims by carrier   what a clearing house does  
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Insurance claims transmitted electronically are usually paid in how much time   3-4 weeks  
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The employers identication number is assigned by who   The IRS  
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Insurance claim form data is gathered when   Before during and after the service rendered  
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Back up copies of office record should be stored where?   Away from the office  
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The most important function of a practice management system is what?   Accounts Receviable  
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When a medical practice has its own computer and transmits claims electronically to the insurance carrier this system is known as what?   Carrier-Direct  
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What is the printout used to look for errors before insurance claim is transmitted electronically called?   An insurance billing worksheet  
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Review clearing house/payer transmission reports should be done how often   Daily  
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Posting payments in a practice management system should be done how often   Daily  
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Correct rejections and resubmit claims should be done how often   Daily  
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Batch, scrub edit and transmit claims   Daily or Weekly  
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Audit calims batched and transmitted with confirmations reports should be done   Daily  
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Back and forth communication between user and computer online real time is called   interactive transaction  
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Created by: nikki1126
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