chapter 7 Word Scramble

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Question	Answer
AN INSURANCE CLAIM FORM THAT CONTAINS NO STAPLES OR HIGHLIGHTED AREAS AND ON WHICH THE BAR CODE AREA HAS NOT BEEN DEFORMED IS CALLED	PHYSICALLY CLEAN CLAIM
AN INSURANCE CLAIM SUBMITTED WITH ERRORS IS REFERRED TO AS	DIRTY CLAIM
WHEN A PT HAS DUAL COVERAGE THE INSURANCE CONSIDERED THE PRIMARY INSURANCE IS	GENERALLY THE POLICY HELD BY THE PATIENT
OFFICE VISITS MAY BE GROUPED ON THE INSURANCE CLAIM FORM IF EACH VISIT	IS CONSECUTIVE USE THE SAME PROCEDURE CODE AND RESULTS IN THE SAME FEE
THE NUMBER ISSUED TO PHYSICIANS AS LIFETIME 10-DIGIT NUMBER THAT REPLACE ALL OTHER NUMBER ASSIGNED BY VARIOUS HEALTH PLANS	TIN
MEDICARE PROVIDER WHO CHARGE PT A FEE FOR SUPPLIES AND EQUIPMENT SUCH AS CRUTCHES, URINARY	A SPECIFIC DME FISCAL INTERMEDIARY
WHEN MEDICATIONS ARE CONSIDERED TO BE EXPERMENTAL THE CLAIM SHOULD BE SENT TO THE	INSURANCE CARRIER WITH A COPY OF THE INVOICE FROM THE SUPPLY HOUSE
OCR IS THE ACRONYM FOR	OPTICAL CHARACTER RECOGNITION
TO CONFORM TO CMS-1500 GUIDELINES	ALL OF THE ABOVE
THE DOCUMENT TOGETHER WITH THE PAYMENT VOUCHER THAT IS SENT TO A PHYSICIAN WHO HAD ACCEPTED	EOB
WHEN RECEIVING PAYMENT FROM A PRIVATE INSURANCE CARRIER CHECK THE AMOUNT OF PAYMENT ON THE EOB	PT FINANCIAL ACCOUNTING RECORD
AN INSURANCE CLAIMS REGISTER PROVIDER A	FILE CONTAINING THE NAME AND ADDRESS OF ALL INSURANCE COMPANIES
PENDING OR RESUBMITTED INSURANCE CLAIMS MAY BE TRACKED THROUGH A FILE	TICKLER
THERE ARE SEVERAL WAYS TO FILE PENDING INSURANCE CLAIMS WHAT IS THE BEST WAY TO FILE SO THAT TIMELY	FILE BY PT LAST NAME
A FOLLOW UP EFFORT MADE TO AN INSURANCE COMPANY TO LOCATE THE STATUS OF AN INSURANCE CLAIM IS CALLED	BOTH A AND B ARE CORRECT
IF AN INSURANCE CLAIM HAS BEEN LOST BY THE INSURANCE CARRIER THE PROCEDURE TO FOLLOW	ASK IF THERE IS A BACKLOG OF CLAIMS AT THE INSURANCE OFFICE
AN EXAMPLE OF A TECHNICAL ERROR ON AN INSURANCE CLAIN	DUPLICATE DATES OF SERVICE
WHAT SHOULD YOU DO IF AN INSURANCE CARRIER REQUEST INFO ABOUT ANOTHER INSURANCE CARRIER	PROVIDE THE INFO
AN INSURANCE CLAIM FOR A SERVICE THAT BEEN BUNDLED WITH OTHER SERVICE WOULD BE	REJECTED
AN INSURANCE CLAIM FOR WHICH PRIOR APPROVAL WAS NOT OBTAINED WOULD BE	DENIED
WHAT SHOULD BE DONE IF AN INSURANCE CLAIM DENIAL IS RECEIVED BECAUSE A BILLED SERVICE WAS NOT A PROGRAM BENEFIT	REBILL WITH A LETTER OF EXPLANATION FROM THE PHYSICAIN
WHEN DOWNCODING OCCURS PAYMENT WILL	BE LESS
IF AN INSURANCE COMPANY ADMITS THAT A PT SIGNED AN ASSIGNMENT OF BENEFITS DOCUMENT AND THAT IT INADVERTENTLY PAID THE PT INSTEAD OF THE PHYSICIAN THE INSURANCE COMPANY SHOULD	PAY THE PHYSICIAN WITHIN 2 TO 3 WEEKS AND HONOR THE ASSIGNMENT EVEN BEFORE THE COMPANY RECOVERS ITS MONEY
THE FIRST LEVEL OF APPEAL IN THE MEDICARE PROGRAM	REDETERMINATION
CASH FLOW IS THE	ONGOING AVAILABILITY OF IN THE MEDICAL PRACTICE
WHEN INSURANCE CARRIERS DO NOT PAY CLAIMS IN A TIMELY MANNER WHAT EFFECT DOSE THIS HAVE ON THE MEDICAL PRACTICE	DECREASED CASH FLOW
WHAT DOES THE INSURANCE BILLING SPECIALIST NEED TO MONITOR TO BE ABLE TO EVALUATE THE EFFECTIVENESS OF THE COLLECTION PROCEES	ACCOUNT RECEVIABLE
THE AVERAGE AMOUNT OF ACCOUNTS RECEIVABLE SHOULD BE TIMES THE CHARGES FOR 1 MONTH OF	1.5 TO 2
ACCOUNT THAT ARE 90 DAYS OR OLDER SHOULD NOT EXCEED OF THE TOTAL ACCOUNT RECEIVABLE	10% TO 15%
WHAT SHOULD BE DONE TO INFORM A NEW PT OF OFFICE FEES PAYMENT POLICIES	ALL OF THE ABOVE ARE CORRECT
THE PT IS LIKELY TO BE MOST COOPERATIVE IN FURNISHING DETAILS NECESSARY FOR COMPLETE	BEFORE ANY SERVICE ARE PROVIED
THE REASON FOR A FEE REDUCTION MUST BE DOCUMENTED IN THE PT	MEDICAL RECORDS
PROFESSIONAL COURTESY MEAN	MAKING NO CHARGE TO ANYONE PT OR INSURANCE COMPANY FOR MEDICAL CARE
WHEN COLLECTING FEES YOUR GOAL SHOULD ALWAYS BE TO	COLLECT THE FULL AMOUNT
A MEDICAL PRACTICE HAS A POLICY OF BILLING ONLY FOR CHARGE IN EXCESS OF $50 WHEN THE MEDICAL ASSISTANT REQUEST A $45 PAYMENT FOR THE OFFICE VISIT THE PT STATES JUST BILL ME HOW SHOULD THE MEDICAL ASST RESPOND	STATE THE OFFICE POLICY AND ASK FOR THE FULL FEE
THE MOST COMMON METHOD OF PAYMENT IN THE MEDICAL OFFICE	PERSONAL CHECK
WHEN THE PHYSICIANS OFFICE RECEIVES NOTICE THAT A CHECK WAS NOT HONORED THE FIRST THING TO DO IS TO	CALL THE BANK OR THE PT
ACCOUNT RECEIVABLE ARE USUALLY AGED IN TIME PERIODS	30,60,90,AND 120 DAYS
MESSAGES INCLUDED ON STATEMENTS TO PROMOTE PAYMENT ARE CALLED	DUN MESSAGES
WHAT IS THE TYPE OF BILLING SYSTEM IN WHICH PRACTICE MANAGEMENT SOFTWARE IS USED	COMPUTER BILLING
EMPLOYMENT OF A BILLING SERVICE IS CALLED	OUTSOURCING
THE FIRST STATEMENT SHOULD BE OF SERVICE	PRESENTED AT THE TIME
THE FIRST TELEPHONE CALL TO PT TO TRY TO COLLECT ON AN ACCOUNT SHOULD BE MADE	AFTER THERE IS NO RESPONSE FROM THE THIRD STATEMENT
WHAT IS THE NAME OF THE ACT DESIGNED TO ADDRESS THE COLLECTION PRACTICES OF THIRD PARTY DEBT COLLECTORS AND ATTORNEY WHO REGULARLY COLLECT DEBTS FOR OTHERS	FAIR DEBT COLLECTION PRACTICES ACT
WHICH GROUP OF ACCOUNTS WOULD A COLLECTOR TARGET WHEN HE OR SHE BEGINS MAKING TELEPHONE CALLS	60-TO-90 DAYS ACCOUNT
IN MAKING COLLECTION TELEPHONE CALLS A GROUP OF ACCOUNTS HOW SHOULD THE ACCOUNTS BE ORGANIZED TO DETERMINE WHERE TO BEGIN	ORGANIZE THE ACCOUNTS ACCORDING TO AMOUNT OWED AND START WITH THE LARGEST AMOUNT
A PLAN IN WHICH EMPLOYEES CAN CHOOSE THEIR OWN WORKING HOURS FROM WITHIN A BROAD RANGE OF HOURS APPROVED BY MANAGEMENT IS CALLED	FLEX TIME
WHEN WRITING A COLLECTION LETTER	USE A FRIENDLY TONE AND WHY PAYMENT HAS NOT BEEN MADE
IF AN INSURANCE COMPANY SEEMS TO BE IGNORING ALL EFFORTS TO TRACE A CLAIM SEND A COPY OF THE	HISTORY OF THE ACCOUNT
NETBACK IS A TERM USED TO DESCRIBE	A COLLECTION AGENCYS PERFORMANCE
THE PART OF THE LEGAL SYSTEM THAT ALLOWS LAYPEOPLE TO SETTLE A LEGAL MATTER WITHOUT USE OF AN ATTORNEY	SMALL CLAIMS
IN A BANKRUPTCY CASE MOST MEDICAL BILLS ARE CONSIDERD	UNSECURED DEBT
WHICH TYPE OF BANKRUPTCY IS CONSIDERED WAGE EARNER BANKRUPTCY	CHAPTER 13
THE UNPAID BALANCE DUE FROM PT FOR SERVICE THAT HAVE BEEN RENDERED IS CALLED	ACCOUNT RECEIABLE
THE PT INFO SHEET IS ALSO KNOWN AS THE	PT RESGISTRATION INSURANCE FORM
ASSETS OR DEBT THAT HAVE BEEN DETERMINED TO BE UNCOLLECTIBLE AND ARE THEREFORE TAKEN OFF THE ACCOUNTING BOOKS AS LOSS ARE CALLED	WRITE OFF
DOCUMENTATION FROM PRIVATE INSURANCE CARRIERS SENT TO PARTICIPATING PROVIDERS THAT ACCOMPANIES PAYMENT AND DESCRIBES THE RESPONSE TO A CLAIM IS REFERRED BY THE ACRONYM	EOB
FTC STAND FOR	FEDERAL TRADE COMMISSION
ALL REQUESTS OF THE INSURANCE COMMISSIONER MUST BE SUBMITTED IN WRITING AND INCLUDE THE	PT
A DELINQUENT INSURANCE CLAIM MAY BE EASILY LOCATED BY REVIEWING THE	INSURANCE CLAIMS REGISTER
AN INSURANCE CLAIM THAT IS PENDING BECAUSE OF THE NEED FOR ADDITIONAL INFO IS ALSO REFEERED TO CONSIDERED	REJECTED CLAIM
THE OBJECTIVE OF THE ADMINISTRATIVE SIMPLIFICATION COMPLIANCE ACT WAS TO IMPROVE THE ADMINISTRATION OF THE MEDICAL PROGRAM BY INCREASED EFFICIENCIES RESULTING FROM	ELECTRONIC CLAIM SUBMISSION
THE PAPER CLAIM FORM WAS REVISED IN 2005 TO ALLOW REPORTING OF _ FOR PHYSICANS	NPI
A CLAIM THAT IS SUBMITTED TO THE INSURANCE CARRIER VIA INTERNET CONNECTION IS REFERRED TO AS	ELECTRONIC CLAIM

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