Electronic Data Interchange
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 | To convert to electronic transactions
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| show | HIPAA compliance
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| If a provider has less than 10 employees and submits claims to Medicare on paper can they continue to do so? | show 🗑
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| show | No
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| What are benefits of transaction code sets? | show 🗑
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| show | data elements
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| Taxonomy codes | show 🗑
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| What is the most important function of a Practice Management System (PMS)? | show 🗑
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| show | The format in which data is transmitted.
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| show | print an insurance billing worksheet or perform a front end edit
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| Encoder | show 🗑
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| Grouper | show 🗑
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| show | 1. Administrative safeguards
2. Technical safeguards
3. Physical safeguards
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| show | electronic data interchange (EDI)
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| The act of converting computerized data into a code so that unauthorized users are unable to read it is a security system know as what? | show 🗑
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| Payment to the provider of service of an electronically submitted insurance claim may be received in approximately what timeframe? | show 🗑
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| Dr. Morgan has 10 or more full-time employees and submits insurance claims for his Medicare patients. Is his medical practice subject to the HIPAA transaction rules? | show 🗑
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| show | no
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| What is the standard code set for physician services? | show 🗑
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| What is the standard code set for disease and injuries? | show 🗑
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| What is the standard code set for pharmaceuticals and biologics? | show 🗑
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| the industry standard electronic format for a clinic to submit claims electronically is what? | show 🗑
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| show | 837I
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| show | ASC X12N 835
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| industry standard electronic format to transmit an inquiry is what? | show 🗑
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| show | ASC 12N 270
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| show | B
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| Name the levels for data collected to construct and submit an electronic claim | show 🗑
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| show | accounts receivable
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| show | online error-edit process
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| show | medical code sets
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| The standard transaction that replaces the paper CMS-1500 claim form and more than 400 versions of the electronic National Standard Format (NSF) is called what? | show 🗑
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| show | electronic funds transfer (EFT)
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| an electronic Medicare remittance advice that takes the place of a paper EOB is referred to as what? | show 🗑
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| show | true
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| true or false: an organization may file a complaint online against someone whose actions impact the ability of a transaction to be accepted or efficiently processed by using the Administrative Simplification Enforcement Tool | show 🗑
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| show | true
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| true or false: deleting files or formatting the hard drive is sufficient to keep electronic protected health information from being accessed. | show 🗑
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| show | true
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| show | false
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Created by:
mpeoples