Question 1

The document on which patients' record their demographic and insurance information is the:

Accepted Answer

A)  encounter form. 
B)  insurance log. 
C)  ledger card. 
D)  patient information form. 
A)  encounter form. 
B)  insurance log. 
C)  ledger card. 
D)  patient information form.

Question 2

One category that may be exempt from mandatory electronic claim submission is a/an:

Accepted Answer

A)  chiropractor. 
B)  oral surgeon. 
C)  small provider. 
D)  veterinarian. 
A)  chiropractor. 
B)  oral surgeon. 
C)  small provider. 
D)  veterinarian.

Question 3

Names,addresses,Social Security numbers,and employment information are referred to as demographics.

Accepted Answer

A) True 
 B)False

Question 4

A claims clearinghouse is a company that receives claims from healthcare providers and consolidates them so that they can send one transmission containing batches of claims to each third-party payer.

Accepted Answer

A) True 
 B)False

Question 5

Identify which of the following is considered a HIPAA-covered entity.

Accepted Answer

A)  Healthcare plans 
B)  Healthcare providers 
C)  Healthcare clearinghouses 
D)  All of the above 
A)  Healthcare plans 
B)  Healthcare providers 
C)  Healthcare clearinghouses 
D)  All of the above

Question 6

A very significant piece of legislation passed by Congress in 1996 that impacted healthcare and medical billing was the:

Accepted Answer

A)  HIPAA. 
B)  HCFA. 
C)  COBRA. 
D)  OCR. 
A)  HIPAA. 
B)  HCFA. 
C)  COBRA. 
D)  OCR.

Question 7

CMS has published its rules for making electronic claims attachments in the:

Accepted Answer

A)  NUBC instruction manual. 
B)  Federal Register. 
C)  GAO annual publication. 
D)  none of these; CMS does not publish such rules. 
A)  NUBC instruction manual. 
B)  Federal Register. 
C)  GAO annual publication. 
D)  none of these; CMS does not publish such rules.

Question 8

Documents that are sometimes necessary to support the services and procedures reported on the claim are called ________________.

Accepted Answer

The answer of Documents that are sometimes necessary to support...

Question 9

Every insurance company has a unique identification card that it issues to its subscribers.

Accepted Answer

A) True 
 B)False

Question 10

What types of information are typically found on an encounter form?

Accepted Answer

Demographic
Accounting
Profess

The document on which patients' record their demographic and insurance information is the:

One category that may be exempt from mandatory electronic claim submission is a/an:

Names,addresses,Social Security numbers,and employment information are referred to as demographics.

A claims clearinghouse is a company that receives claims from healthcare providers and consolidates them so that they can send one transmission containing batches of claims to each third-party payer.

Identify which of the following is considered a HIPAA-covered entity.

A very significant piece of legislation passed by Congress in 1996 that impacted healthcare and medical billing was the:

CMS has published its rules for making electronic claims attachments in the:

Documents that are sometimes necessary to support the services and procedures reported on the claim are called ________________.

Every insurance company has a unique identification card that it issues to its subscribers.

What types of information are typically found on an encounter form?

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 5: Claim Submission Methods

The document on which patients' record their demographic and insurance information is the:

One category that may be exempt from mandatory electronic claim submission is a/an:

Names,addresses,Social Security numbers,and employment information are referred to as demographics.

A claims clearinghouse is a company that receives claims from healthcare providers and consolidates them so that they can send one transmission containing batches of claims to each third-party payer.

Identify which of the following is considered a HIPAA-covered entity.

A very significant piece of legislation passed by Congress in 1996 that impacted healthcare and medical billing was the:

CMS has published its rules for making electronic claims attachments in the:

Documents that are sometimes necessary to support the services and procedures reported on the claim are called ________________.

Every insurance company has a unique identification card that it issues to its subscribers.

What types of information are typically found on an encounter form?

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Military Carriers

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters