Question 1

Three methods of submitting claims electronically are ____________,________________,and ____________.

Accepted Answer

direct data entry,clearinghous

Question 2

A physician,practitioner,facility,or supplier with fewer than 10 full-time equivalent (FTE)employees is called a/an _______________.

Accepted Answer

The answer of A physician,practitioner,facility,or supplier with fewer than 10...

Question 3

The use of standard transaction formats and code sets is required by CMS (formerly HCFA)for electronically transmitted health information from providers,health plans,and healthcare clearinghouses.

Accepted Answer

A) True 
 B)False

Question 4

_____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of privacy standards in your own words.

Accepted Answer

Privacy standards are intended

Question 5

One of the major obstacles in getting a medical practice set up for electronic claims submission is the time it takes to acquire approval from various state and federal agencies.

Accepted Answer

A) True 
 B)False

Question 6

In order to qualify for Medicare/Medicaid's monetary incentives to put EMRs into operation,providers must demonstrate _________________ EMRs.

Accepted Answer

A)  a significant need for 
B)  meaningful use of 
C)  adequate patient load for 
D)  they can afford 
A)  a significant need for 
B)  meaningful use of 
C)  adequate patient load for 
D)  they can afford

Question 7

(EDI)is an administrative simplification addressed by HIPAA.Briefly explain EDI in your own words.

Accepted Answer

EDI is the electronic transfer of inform

Question 8

With certain exceptions,ASCA requires that all claims sent to the Medicare program on or after October 2003 be submitted:

Accepted Answer

A)  in duplicate. 
B)  on CMS-1500 paper forms. 
C)  within 60 days. 
D)  electronically. 
A)  in duplicate. 
B)  on CMS-1500 paper forms. 
C)  within 60 days. 
D)  electronically.

Question 9

____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of code sets in your own words.

Accepted Answer

Code sets are data elements us

Question 10

Patient accounting systems can be set up to receive automatic ERA payments.

Accepted Answer

A) True 
 B)False

Question 11

Advantages to filing claims electronically include all of the following,except:

Accepted Answer

A)  faster processing. 
B)  reduced denials. 
C)  increased payments. 
D)  immediate error notification. 
A)  faster processing. 
B)  reduced denials. 
C)  increased payments. 
D)  immediate error notification.

Question 12

A service interruption in the mode of submitting the electronic claims that is outside of the control of the submitting facility is considered a/an _____________________________ under ASCA.

Accepted Answer

unusual ci

Question 13

The record keeping method where some documents are stored electronically and some are kept in paper form is referred to as:

Accepted Answer

A)  combination records. 
B)  blended registers. 
C)  sequenced accounts. 
D)  digital imaging hybrids. 
A)  combination records. 
B)  blended registers. 
C)  sequenced accounts. 
D)  digital imaging hybrids.

Question 14

One of the chief concerns of electronic medical records (EMRs)is:

Accepted Answer

A)  cost. 
B)  training capable staff. 
C)  keeping hardware/software up to date. 
D)  keeping patient information confidential. 
A)  cost. 
B)  training capable staff. 
C)  keeping hardware/software up to date. 
D)  keeping patient information confidential.

Question 15

According to ASCA,no other transactions (changes,adjustments,or appeals)to the initial claim are required to be submitted electronically.

Accepted Answer

A) True 
 B)False

Question 16

A standard format used to transfer information electronically between two entities is known as:

Accepted Answer

A)  PHI. 
B)  EDI. 
C)  ICD. 
D)  DHS. 
A)  PHI. 
B)  EDI. 
C)  ICD. 
D)  DHS.

Question 17

____ and ____are two methods of submitting claims electronically.Briefly explain both.

Accepted Answer

.Direct data entry is usually done by cr

Question 18

HIPAA regulations do not apply to the Medicare program because it is not considered a "health plan."

Accepted Answer

A) True 
 B)False

Question 19

According to ASCA,no claim payment will be made under either Parts A or B of the Medicare program unless the claim is submitted electronically with a few exceptions.

Accepted Answer

A) True 
 B)False

Question 20

The name of the system that electronically transfers data representing money between accounts or organizations is:

Accepted Answer

A)  direct data entry (DD
E) . 
B)  electronic funds transfer (EFT). 
C)  electronic medical record (EMR). 
D)  electronic remittance advice (ER
A) . 
A)  direct data entry (DD
E) . 
B)  electronic funds transfer (EFT). 
C)  electronic medical record (EMR). 
D)  electronic remittance advice (ER
A) .

Three methods of submitting claims electronically are ,,and .

A physician,practitioner,facility,or supplier with fewer than 10 full-time equivalent (FTE)employees is called a/an _______________.

The use of standard transaction formats and code sets is required by CMS (formerly HCFA)for electronically transmitted health information from providers,health plans,and healthcare clearinghouses.

_____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of privacy standards in your own words.

One of the major obstacles in getting a medical practice set up for electronic claims submission is the time it takes to acquire approval from various state and federal agencies.

In order to qualify for Medicare/Medicaid's monetary incentives to put EMRs into operation,providers must demonstrate _________________ EMRs.

(EDI)is an administrative simplification addressed by HIPAA.Briefly explain EDI in your own words.

With certain exceptions,ASCA requires that all claims sent to the Medicare program on or after October 2003 be submitted:

____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of code sets in your own words.

Patient accounting systems can be set up to receive automatic ERA payments.

Advantages to filing claims electronically include all of the following,except:

A service interruption in the mode of submitting the electronic claims that is outside of the control of the submitting facility is considered a/an _____________________________ under ASCA.

The record keeping method where some documents are stored electronically and some are kept in paper form is referred to as:

One of the chief concerns of electronic medical records (EMRs)is:

According to ASCA,no other transactions (changes,adjustments,or appeals)to the initial claim are required to be submitted electronically.

A standard format used to transfer information electronically between two entities is known as:

and are two methods of submitting claims electronically.Briefly explain both.

HIPAA regulations do not apply to the Medicare program because it is not considered a "health plan."

According to ASCA,no claim payment will be made under either Parts A or B of the Medicare program unless the claim is submitted electronically with a few exceptions.

The name of the system that electronically transfers data representing money between accounts or organizations is:

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

Claim Submission Methods

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

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 16: The Role of Computers in Health Insurance

Three methods of submitting claims electronically are ____________,________________,and ____________.

A physician,practitioner,facility,or supplier with fewer than 10 full-time equivalent (FTE)employees is called a/an _______________.

The use of standard transaction formats and code sets is required by CMS (formerly HCFA)for electronically transmitted health information from providers,health plans,and healthcare clearinghouses.

_____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of privacy standards in your own words.

One of the major obstacles in getting a medical practice set up for electronic claims submission is the time it takes to acquire approval from various state and federal agencies.

In order to qualify for Medicare/Medicaid's monetary incentives to put EMRs into operation,providers must demonstrate _________________ EMRs.

(EDI)is an administrative simplification addressed by HIPAA.Briefly explain EDI in your own words.

With certain exceptions,ASCA requires that all claims sent to the Medicare program on or after October 2003 be submitted:

____are among the administrative simplifications addressed by HIPAA.Briefly explain the purpose of code sets in your own words.

Patient accounting systems can be set up to receive automatic ERA payments.

Advantages to filing claims electronically include all of the following,except:

A service interruption in the mode of submitting the electronic claims that is outside of the control of the submitting facility is considered a/an _____________________________ under ASCA.

The record keeping method where some documents are stored electronically and some are kept in paper form is referred to as:

One of the chief concerns of electronic medical records (EMRs)is:

According to ASCA,no other transactions (changes,adjustments,or appeals)to the initial claim are required to be submitted electronically.

A standard format used to transfer information electronically between two entities is known as:

____ and ____are two methods of submitting claims electronically.Briefly explain both.

HIPAA regulations do not apply to the Medicare program because it is not considered a "health plan."

According to ASCA,no claim payment will be made under either Parts A or B of the Medicare program unless the claim is submitted electronically with a few exceptions.

The name of the system that electronically transfers data representing money between accounts or organizations is:

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

Claim Submission Methods

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

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Three methods of submitting claims electronically are ,,and .

and are two methods of submitting claims electronically.Briefly explain both.