term
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Clean Claim | A complete insurance claim form submitted withinthe program time limit that contains all the necessary info with out deficiencies so that it can be processed and paid promptly
🗑
|
||||
| Deleted Claim | Insurance claim that has been canceled, deleted, or voided by a medicare fiscal intermediary
🗑
|
||||
| Dirty Claim | A claim submitted with errors or one that requires manual processing to resolve problems or is rejected for payment
🗑
|
||||
| Incomplete Claim | Any medicare claim missing necessary info; such are identified to the provider so that they may be resubmitted
🗑
|
||||
| Invalid Claim | Any claim that contains complete, necessary info but is illogical or incorrect
🗑
|
||||
| Other Claim | Medicare claims not considered "clean" claims that require investigating or development on a prepayment basis
🗑
|
||||
| Paper Claim | An insurance claim submitted on paper includes those optically scanned and converted to an electronic form by the insurance carrier
🗑
|
||||
| Pending Claim | An insurance claim held in suspense because of review or other reason by the third party payer
🗑
|
||||
| Physically Clean Claim | Insurance claims with no staples or highlighted areas & the bar code area has not been deformed
🗑
|
||||
| Rejected Claim | An insurance claim has not been processed or cannot be processed due to incorrect or missing information
🗑
|
||||
| Health Insurance Claim Form | Known as CMS-1500 a universal insurance claim form
🗑
|
||||
| Durable Medical Equipment | Any medical equipment used in the home to aid in a better quality of living. It is a benefit included in most insurances
🗑
|
||||
| Electronic Claim | An insurance claim submitted to insurance carrier via dial up modern direct data entry or over the internet by the way of digital subscriber line
🗑
|
||||
| National Provider Identifier | A Medicare 10 digit number issued to providers which is retained for a lifetime
🗑
|
||||
| Optical Character Recognition | A device that can read typed characters at very high speed and convert them to digitized files that can be saved on disk
🗑
|
||||
| Closed fracture | a fracture where the integrity of the over lining muscle and skin has not been breached
🗑
|
||||
| Myocardial Infarction | a sudden inadequate flow of blood to the heart
🗑
|
||||
| Open Fracture | a wound resulting in direct contact of the bone and tissue with the environment
🗑
|
||||
| Lacerations | an open wound produced by tearing of body tissue
🗑
|
||||
| Social Security Number | An individuals tax identification number issued by the federal government
🗑
|
||||
| FTP | File transfer protocol
🗑
|
||||
| EMC | Electronic Medical Claim
🗑
|
||||
| AIDS | Acquired Immunodeficiency Syndrome
🗑
|
||||
| OCR | Optical character recognition
🗑
|
||||
| MSP | Medicare secondary payer
🗑
|
||||
| MCD | Medicaid
🗑
|
||||
| MQMB | Medicaid qualified Medicare beneficiary
🗑
|
||||
| SCHIP | State Children's health insurance program
🗑
|
||||
| MCHP | Maternal and child health program
🗑
|
||||
| MN | Medically Needy
🗑
|
||||
| EPSDT | Early periodic screening diagnosis and treatment
🗑
|
||||
| AHCCCS | Arizona health cost containment system
🗑
|
||||
| DEFRA | Deficit reduction action
🗑
|
||||
| CHAP | Child health assurance program
🗑
|
||||
| QI | Qualifying individuals program
🗑
|
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.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
veronica.butler
Popular Medical sets