Exam 14: Billing and Collections

Match each item with the correct statement below. -Provider identification number assigned to provider by an insurance company used on all claims filed by the provider

The ____ authorization allows the insurance company to pay the physician directly for services.

Medicare patients typically have secondary (supplemental) coverage with ______________________________.

A copy of ____ must be sent with a secondary claim in order to process the claim.

Medicare Part A covers ambulatory encounters in physician offices, physical therapy, ambulance services, etc.

Match each item with the correct statement below. -Also referred to as Tax ID Number

Match each item with the correct statement below. -Assigned by CMS to a physician as an ID on Medicare claim forms

Families of active duty military are required to seek care at a military facility. In the event that a service cannot be provided there and the recipient must go to a private facility, a ______________________________ is required.

Match each item with the correct statement below. -The 8-digit identifier number for Medicare claim forms with a 2-digit location identifier

Match each item with the correct statement below. -Assigned to identify all third-party payers on claim forms

Medicare is a secondary payer when the patient is also covered by a working spouse's insurance.

Claims are classified as to their status upon submission to an insurance carrier as clean, dirty, incomplete, rejected, or _______.

Match each item with the correct statement below. -Used for Medicare providers who supply and charge for items such as catheters, crutches, etc.

The total amount the patient must pay for covered services before insurance benefits are payable is called a ____________________.

Match each item with the correct statement below. -Assigned by the IRS to each physician for income tax purposes

Which of the following providers do not have to accept assignment from Medicare?

An incentive to physicians to participate with Medicare is faster claims payment.

______________________________ is a ruling in an insurance policy when a patient has two or more insurance polices where benefits combined will not exceed 100% of the covered benefit

A patient whose Medicare claim number ends with "A" will have the same social security number and claim number.

A medical condition under active treatment at the time application is made for an insurance policy which may not be a covered service under the insurance policy is called a ______________________________.