Exam 26: Billing and Reimbursement

To settle or determine judicially is the definition of

The date in block 14 is the date

The billing provider's NPI number is placed in block

The assignment of benefits is located in block

Which of the following is a common reason why insurance claims are rejected?

Electronic data interchange is

A(n) __________ claim has been completed accurately and completely.

Services and/or supplies used to treat the patient's diagnosis meet the accepted standard of medical practice is the definition of

After the deductible has been met the policyholder is responsible for a certain percentage of the bill is the definition of

Patients sign an __________ of benefits form so that the physician will receive payment for services directly.

Electronic claims are submitted via the internet.

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.

A PAR provider can bill the patient for the difference between their fee and insurance companies allowed amount.

Procedures performed on the patient are found in what block?

Claims submitted to a(n) __________ are forwarded to individual insurance carriers.

The process of determining if a procedure or service is covered by the insurance plan and what the reimbursement is for that procedure is the definition of

Which of the following steps to medical billing should be performed prior to rendering medical services?

Which of the following is a fixed amount per visit and is typically paid at the time of medical services?

Dirty claims cannot be resubmitted.

A secondary health plan is noted in which block?