Exam 3: Transactions and Code Sets

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Identify the choice that best completes the statement or answers the question. -What is the name of the organization that developed the standard language that the DHHS adopted when they developed standard claims transactions?

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Identify the choice that best completes the statement or answers the question. -The data string for a standard transaction may be compared to

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In order to send accurate standard transmissions, everyone in a covered entity must be trained to know the standard transmission (or EDI) format.

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Match the correct reference book to the appropriate types of codes. -Hospital procedures

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Identify the choice that best completes the statement or answers the question. -The phrase "adjudicate a claim" means to

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Use of the ASC X12N standards for standard transactions makes the administration of claims submission easier.

(True/False)
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Identify the choice that best completes the statement or answers the question. -If the HIPAA Office finds that a trading partner has changed the formatting of a standard transaction, the office may report the partner to

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Identify the code with the name of the source document. -29125

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Match the name of the transaction standard with the ID number assigned. -Health Care Claim Payment/Advice

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Crossover claims encourage an automatic rejection from the secondary payer for any claim the primary payer has rejected.

(True/False)
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One Trading Partner agreement is all that is necessary for the HIPAA Officer to write.It would be acceptable for any business partner that trades protected health information with them.

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Regulating standard ASC X12N transactions, the DHHS has eliminated all paper claims without exception.

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Match the name of the transaction standard with the ID number assigned. -Health Care Claim, Professional

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The World Health Organization developed a tenth revision of the ICD codes.

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Identify the code with the name of the source document. -S52.501A

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Identify the choice that best completes the statement or answers the question. -For a health care provider to comply with the Transaction and Code Set Rule, they must

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Match the name of the transaction standard with the ID number assigned. -Health Care Services Review

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Match the correct reference book to the appropriate types of codes. -Non-physician procedures

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Identify the code with the name of the source document. -E78.5

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Trading Partner agreements are only for electronic standard transactions.

(True/False)
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