Question 1

What happens when an EDI receiver is selected in the process of transmitting electronic claims?

Accepted Answer

A)  The Revenue Management window opens. 
B)  A list of claims ready to be sent is displayed. 
C)  Medisoft creates a claims file and displays a preview report. 
D)  Medisoft checks the claims for ANSI errors. 
A)  The Revenue Management window opens. 
B)  A list of claims ready to be sent is displayed. 
C)  Medisoft creates a claims file and displays a preview report. 
D)  Medisoft checks the claims for ANSI errors.

Question 2

Which button in the Claim Management dialog box makes the last claim in the list active?

Accepted Answer

A)  First Claim button 
B)  Previous Claim button 
C)  Next Claim button 
D)  Last Claim button 
A)  First Claim button 
B)  Previous Claim button 
C)  Next Claim button 
D)  Last Claim button

Question 3

Which of the following source claims are created in Medisoft?

Accepted Answer

A)  from insurance carrier information in medisoft 
B)  from transactions previously entered in medisoft 
C)  from paper claims filed in the office 
D)  None of these are correct. 
A)  from insurance carrier information in medisoft 
B)  from transactions previously entered in medisoft 
C)  from paper claims filed in the office 
D)  None of these are correct.

Question 4

Insurance claims may be ____________ within the Claim Management area of Medisoft.

Accepted Answer

A)  edited 
B)  submitted for payment 
C)  created 
D)  All of these are correct. 
A)  edited 
B)  submitted for payment 
C)  created 
D)  All of these are correct.

Question 5

By what characteristic can claims in the List Only Claims That Match not be sorted?

Accepted Answer

A)  electronic claim (EDI) receiver 
B)  batch number 
C)  procedure code 
D)  chart number 
A)  electronic claim (EDI) receiver 
B)  batch number 
C)  procedure code 
D)  chart number

Question 6

What chart numbers will be included if the Chart Numbers boxes are left blank in the Create Claims dialog box?

Accepted Answer

A)  all chart numbers 
B)  no chart numbers 
C)  the chart numbers from the previous search 
D)  None of these are correct; the fields must be completed. 
A)  all chart numbers 
B)  no chart numbers 
C)  the chart numbers from the previous search 
D)  None of these are correct; the fields must be completed.

Question 7

Which of the boxes in the List Only Claims That Match dialog box utilizes the MMDDCCYY format?

Accepted Answer

A)  Claim Created 
B)  Chart Number 
C)  Batch Number 
D)  EDI Receiver 
A)  Claim Created 
B)  Chart Number 
C)  Batch Number 
D)  EDI Receiver

Question 8

Which method is used to restore the List Only Claims That Match dialog box to its original settings once it has been reopened?

Accepted Answer

A)  click the Defaults button, then click the Apply button 
B)  click the Apply button, then the Defaults button 
C)  click the Cancel button, then the Defaults button 
D)  click the Cancel button, then the Apply button 
A)  click the Defaults button, then click the Apply button 
B)  click the Apply button, then the Defaults button 
C)  click the Cancel button, then the Defaults button 
D)  click the Cancel button, then the Apply button

Question 9

Which button in the Claim Management dialog box begins the process of sending electronic claims or printing paper claims?

Accepted Answer

A)  Reprint Claim 
B)  Print/Send 
C)  Create Claims 
D)  Edit 
A)  Reprint Claim 
B)  Print/Send 
C)  Create Claims 
D)  Edit

Question 10

More than one insurance carrier code can be entered in the Primary Insurance box if claims are being sent to a _______________.

Accepted Answer

A)  clearinghouse 
B)  attending provider 
C)  assigned provider 
D)  carrier 
A)  clearinghouse 
B)  attending provider 
C)  assigned provider 
D)  carrier

Question 11

What box in the List Only Claims That Match dialog box is clicked to exclude claims that have been billed and accepted from a search?

Accepted Answer

A)  Hold 
B)  Challenge 
C)  Alert 
D)  Exclude Done 
A)  Hold 
B)  Challenge 
C)  Alert 
D)  Exclude Done

Question 12

Which button in the Claim Management dialog box reactivates the claim that was most recently active?

Accepted Answer

A)  First Claim button 
B)  Previous Claim button 
C)  Next Claim button 
D)  Last Claim button 
A)  First Claim button 
B)  Previous Claim button 
C)  Next Claim button 
D)  Last Claim button

Question 13

Which of the following is a type of health insurance in which organizations control both the financing and the delivery of healthcare to policyholders?

Accepted Answer

A)  medicare 
B)  managed care 
C)  preferred provider organization 
D)  high-deductible health plans 
A)  medicare 
B)  managed care 
C)  preferred provider organization 
D)  high-deductible health plans

Question 14

How would you indicate that a secondary insurance carrier is responsible for a claim in the Transactions tab of the Claim dialog box?

Accepted Answer

A)  check the Ins 1 Resp box. 
B)  check the Ins 2 Resp box. 
C)  check the Ins 3 Resp box. 
D)  check the Amount box. 
A)  check the Ins 1 Resp box. 
B)  check the Ins 2 Resp box. 
C)  check the Ins 3 Resp box. 
D)  check the Amount box.

Question 15

Payments made to the health plan by the policyholder for insurance coverage are called

Accepted Answer

A)  copayments. 
B)  coinsurance. 
C)  premiums. 
D)  deductible. 
A)  copayments. 
B)  coinsurance. 
C)  premiums. 
D)  deductible.

Question 16

You have been asked to create claims for all the cases for patients who are covered by Blue Cross Blue Shield. What filter would you use from the Create Claims dialog box to accomplish this task?

Accepted Answer

A)  Billing Codes 
B)  Enter Amount 
C)  Case Indicator 
D)  Primary Insurance 
A)  Billing Codes 
B)  Enter Amount 
C)  Case Indicator 
D)  Primary Insurance

Question 17

What is entered in the Amount box in the Transactions tab of the Claim dialog box?

Accepted Answer

A)  the dollar cost of a service 
B)  the amount of a patient's payment 
C)  the amount of an insurance carrier's payment 
D)  the dollar cost of the copayment 
A)  the dollar cost of a service 
B)  the amount of a patient's payment 
C)  the amount of an insurance carrier's payment 
D)  the dollar cost of the copayment

Question 18

Which of the following is a field located in the EDI section of the Diagnosis tab that is used to indicate that a report is being transmitted via the mail?

Accepted Answer

A)  Report Type Code 
B)  Attachment Control Number 
C)  Report Transmission Code 
D)  EDI Report 
A)  Report Type Code 
B)  Attachment Control Number 
C)  Report Transmission Code 
D)  EDI Report

Question 19

What radio button choice exists in the Billing Method box of the List Only Claims That Match dialog box?

Accepted Answer

A)  Paper 
B)  Electronic 
C)  All 
D)  All of these are correct. 
A)  Paper 
B)  Electronic 
C)  All 
D)  All of these are correct.

Question 20

What information from a claim file is included in a claim summary report?

Accepted Answer

A)  the patient control number 
B)  the total charges 
C)  the dates of services 
D)  All of these are correct. 
A)  the patient control number 
B)  the total charges 
C)  the dates of services 
D)  All of these are correct.

What happens when an EDI receiver is selected in the process of transmitting electronic claims?

Which button in the Claim Management dialog box makes the last claim in the list active?

Which of the following source claims are created in Medisoft?

Insurance claims may be ____________ within the Claim Management area of Medisoft.

By what characteristic can claims in the List Only Claims That Match not be sorted?

What chart numbers will be included if the Chart Numbers boxes are left blank in the Create Claims dialog box?

Which of the boxes in the List Only Claims That Match dialog box utilizes the MMDDCCYY format?

Which method is used to restore the List Only Claims That Match dialog box to its original settings once it has been reopened?

Which button in the Claim Management dialog box begins the process of sending electronic claims or printing paper claims?

More than one insurance carrier code can be entered in the Primary Insurance box if claims are being sent to a _______________.

What box in the List Only Claims That Match dialog box is clicked to exclude claims that have been billed and accepted from a search?

Which button in the Claim Management dialog box reactivates the claim that was most recently active?

Which of the following is a type of health insurance in which organizations control both the financing and the delivery of healthcare to policyholders?

How would you indicate that a secondary insurance carrier is responsible for a claim in the Transactions tab of the Claim dialog box?

Payments made to the health plan by the policyholder for insurance coverage are called

You have been asked to create claims for all the cases for patients who are covered by Blue Cross Blue Shield. What filter would you use from the Create Claims dialog box to accomplish this task?

What is entered in the Amount box in the Transactions tab of the Claim dialog box?

Which of the following is a field located in the EDI section of the Diagnosis tab that is used to indicate that a report is being transmitted via the mail?

What radio button choice exists in the Billing Method box of the List Only Claims That Match dialog box?

What information from a claim file is included in a claim summary report?

Introduction to Health Information Technology and Medical Billing

Introduction to Medisoft

Entering Patient Information

Working With Cases

Entering Charge Transactions and Patient Payments

Posting Payments and Creating Patient Statements

Creating Reports

Collections in the Medical Office

Filters

Exam 6: Creating Claims

What happens when an EDI receiver is selected in the process of transmitting electronic claims?

Which button in the Claim Management dialog box makes the last claim in the list active?

Which of the following source claims are created in Medisoft?

Insurance claims may be ____________ within the Claim Management area of Medisoft.

By what characteristic can claims in the List Only Claims That Match not be sorted?

What chart numbers will be included if the Chart Numbers boxes are left blank in the Create Claims dialog box?

Which of the boxes in the List Only Claims That Match dialog box utilizes the MMDDCCYY format?

Which method is used to restore the List Only Claims That Match dialog box to its original settings once it has been reopened?

Which button in the Claim Management dialog box begins the process of sending electronic claims or printing paper claims?

More than one insurance carrier code can be entered in the Primary Insurance box if claims are being sent to a _______________.

What box in the List Only Claims That Match dialog box is clicked to exclude claims that have been billed and accepted from a search?

Which button in the Claim Management dialog box reactivates the claim that was most recently active?

Which of the following is a type of health insurance in which organizations control both the financing and the delivery of healthcare to policyholders?

How would you indicate that a secondary insurance carrier is responsible for a claim in the Transactions tab of the Claim dialog box?

Payments made to the health plan by the policyholder for insurance coverage are called

You have been asked to create claims for all the cases for patients who are covered by Blue Cross Blue Shield. What filter would you use from the Create Claims dialog box to accomplish this task?

What is entered in the Amount box in the Transactions tab of the Claim dialog box?

Which of the following is a field located in the EDI section of the Diagnosis tab that is used to indicate that a report is being transmitted via the mail?

What radio button choice exists in the Billing Method box of the List Only Claims That Match dialog box?

What information from a claim file is included in a claim summary report?

Introduction to Health Information Technology and Medical Billing

Introduction to Medisoft

Entering Patient Information

Working With Cases

Entering Charge Transactions and Patient Payments

Posting Payments and Creating Patient Statements

Creating Reports

Collections in the Medical Office

Filters