Exam 7: The Paper Claim: Cms-1500 02-12

The objective of the Administrative Simplification Compliance Act was to improve the administration of the Medicare program by increased efficiencies resulting from ________.

According to OCR guidelines, dollar signs ($) should not be used in the money columns.

For the following questions, refer to the CMS-1500 claim form illustrated in Figure 7-3 of the text. -Who is the policyholder of the insurance contract?

Match the type of insurance claim with the correct description. -An insurance claim held in suspense due to review or other reason.

The paper claim form was revised in 1990 and printed in red ink to allow ______ of claims.

Match the type of insurance claim with the correct description. -A Medicare claim that is missing required information.

Match the type of insurance claim with the correct description. -An insurance claim that is submitted on paper, including optically scanned claims.

When submitting a letter to an insurance company to explain unusual circumstances that should be considered when processing the claim, it should be sent to the attention of the ______.

OCR is the acronym for

For the following questions, refer to the CMS-1500 claim form illustrated in Figure 7-3 of the text. -Does the patient have another health insurance plan that would provide secondary coverage?

A claim that is submitted to the insurance carrier via Internet connection is referred to as ___.

All paper claims that are generated should be ___ for misspelling of patient names.

When a patient has dual coverage, the insurance that is considered the primary insurance is

The number issued to physicians by the Internal Revenue Service for income tax purposes is known as:

A clean claim has no ___ and passes all electronic edits.

Most insurance companies accept the CMS-1500 claim form except TRICARE and the Blue Plans.

Match the type of insurance claim with the correct description. -An insurance claim that is submitted via a dial-up modem or direct data entry.

The uniform claim form task force was replaced by

The CMS-1500 claim form is divided into which of the following major sections?

The paper claim form was revised in 2005 to allow reporting of ___ for physicians.