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CH 8, 9, & 10 Other Test

Enter the letter for the matching Answer
incorrect
1.
Data Situational
incorrect
2.
Standard Code Sets for Diseases and Injuries
incorrect
3.
Itemized Statement
incorrect
4.
Procedural code Modifier (R or S)
incorrect
5.
Dun Message
incorrect
6.
Debtor
incorrect
7.
Financial Account Record (Ledger)
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8.
Creditor
incorrect
9.
Dates of Service (R or S)
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10.
Discounts
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11.
The Level for the Administrative Law Judge (ALJ) Hearing
incorrect
12.
Data Required
incorrect
13.
Benefits of using HIPAA standard transactions and code sets on the 837P:
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14.
EOB STEPS (ESSAY-PART 1)
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15.
Lien
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16.
Standard Code Sets for Pharmaceuticals and Biologics
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17.
EOB STEPS (ESSAY-PART 2)
incorrect
18.
Collecting Money/Administration Part (All part of a Tickler)
A.
1. You read it and pull the claims. 2.You make sure that it is accounted for. 3.You then check to see if it is paid or not. If it is paid, it can be closed and filed. The check/voucher should be deposited
B.
A person to whom money is owed
C.
1.Education for the pt and payment policy2.Bill Form/Encounter Form (collect copay & veryify info)3.1st bill owed4.Wait 30 days for 2nd bill-past due & Dun Message5.Telephone follow up6.Collection Agency/Legal Action
D.
Detailed summary of all transactions of a creditors' account
E.
Nation Drug Codes for Retail Pharmacy
F.
Level 3
G.
An individual owing money
H.
A claim on the property of another as a security for a debt
I.
Means that the item depends on the data content or context
J.
Required
K.
A phrase to remind a patient about a delinquent account
L.
Situational
M.
Refers to the data element that must be used to be in compliance with HIPAA
N.
Improves accuracy, More efficient/Timely, Faster reinbursement back, Easy to use Reliable Tracks forms, Saves money
O.
ICD-9 Codes
P.
3.If it is not paid, you have to tell the patient and start a claim proccess. If it has been rejected/pending, you have to correct and resubmitt. 4.Have a tickler file for any info that is not on the EOB (Lost/Never Received)
Q.
Reductions of the normal fee based on a specific amount of money or percentage of the charge
R.
An Individual record indicating charges, payments, adjustments, balances owed for the service rendered
Type the Answer that corresponds to the displayed Question.
incorrect
19.
The level for a Redetermination (Telephone, letter, or form)
incorrect
20.
Provider's Signature (R or S)
incorrect
21.
The level for a Hearing Officer(reconsideration)
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22.
The level of the Departmental Appeal Board Review
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23.
The level for the Judicial Review in the US District Court
incorrect
24.
Standard Code Sets for Physician Services
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25.
Work Return Date (R or S)
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26.
Patient's Last Menstrual Period (R or S)
Type the Question that corresponds to the displayed Answer.
incorrect
27.
An item that permits bank customers to withdraw cash at any hour from an ATM
incorrect
28.
Listing of accepted charges or established allowances for specific medical procedures

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Created by: lorireid1980
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