Question 1

What can be done with claims after they are created in Medisoft?

Accepted Answer

A)  They can be printed and mailed. 
B)  They can be transmitted electronically. 
C)  They can be printed and mailed or transmitted electronically. 
D)  They can be sent to the patient.

Question 2

Which of the following insurance claims can be prepared in the practice management program?

Accepted Answer

A)  CMS-1500 
B)  HIPAA Equivalent Encounter Information (837P) 
C)  HIPAA X12 837 Health Care Claim 
D)  All of these are correct.

Question 3

Which of the tabs in the Claim dialog box provides a place to include specific notes or comments about the claim?

Accepted Answer

A)  Carrier 1 tab 
B)  Transactions tab 
C)  Comment tab 
D)  Carrier 2 and Carrier 3 tabs

Question 4

What button is clicked to send claims files?

Accepted Answer

A)  Send 
B)  Apply 
C)  Save 
D)  OK

Question 5

What choice(s) is/are available in the Select Claims for Only section of the List Only Claims That Match dialog box?

Accepted Answer

A)  all 
B)  secondary 
C)  tertiary 
D)  All of these are correct.

Question 6

What happens to the List Only Claims That Match dialog box when it is restored to its original settings using the Apply button?

Accepted Answer

A)  All the boxes in the dialog box will become blank. 
B)  The full list of claims is again displayed in the Claim Management dialog box. 
C)  All the boxes in the dialog box will become blank and the full list of claims is again displayed in the Claim Management dialog box. 
D)  None of these are correct.

Question 7

What is the EDI Report area within the Diagnosis tab of the Case dialog box used to indicate to a payer?

Accepted Answer

A)  how an attachment will be transmitted 
B)  when an attachment will accompany the claim 
C)  the size of an attachment on a claim 
D)  how an attachment will be transmitted and when an attachment will accompany the claim

Question 8

Which of the tabs in the Claim dialog box lists information about the transactions included in a claim?

Accepted Answer

A)  Carrier 1 tab 
B)  Transactions tab 
C)  Comment tab 
D)  Carrier 2 and Carrier 3 tabs

Question 9

Which button in the Claim Management dialog box reprints a claim that has already been printed?

Accepted Answer

A)  Reprint Claim 
B)  Print/Send 
C)  Create Claims 
D)  None of these

Question 10

In what dialog box are claims created in Medisoft?

Accepted Answer

A)  Transaction Entry 
B)  Create Claims 
C)  Claim Management 
D)  Edit Claims

Question 11

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

Accepted Answer

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

Question 12

Which of the following claim forms allows for more data to be included?

Accepted Answer

A)  CMS-1500 
B)  paper claim 
C)  837P 
D)  CMS-1500 and paper claim

Question 13

What do the filters in the List Only Claims That Match dialog box do with the existing claims that meet the specified criteria?

Accepted Answer

A)  create them 
B)  list them 
C)  highlight them 
D)  delete them

Question 14

What must be placed in between insurance carrier codes in the Primary Insurance field of the Create Claims dialog box?

Accepted Answer

A)  hyphens 
B)  periods 
C)  commas 
D)  brackets

Question 15

About how many data elements are represented by the 837P?

Accepted Answer

A)  33 
B)  150 
C)  244 
D)  1,054

Question 16

Claims that are not paid in full can have a negative effect on ___________.

Accepted Answer

A)  the quality of healthcare provided 
B)  the practice's bottom line 
C)  the quality of healthcare provided and the practice's bottom line 
D)  the patient's bottom line

Question 17

Medical insurance represents an agreement between the ________________________ and a health plan.

Accepted Answer

A)  payer 
B)  policyholder 
C)  physician 
D)  nurse

Question 18

How is the Claim Management dialog box displayed in Medisoft?

Accepted Answer

A)  by clicking Claim Management on the Activities menu 
B)  by clicking the Claim Management shortcut button on the toolbar 
C)  by clicking Claim Management on the Lists menu 
D)  by clicking Claim Management on the Activities menu or by clicking the Claim Management shortcut button on the toolbar; both options would work

Question 19

Which of the boxes in the EDI Report section is used to indicate the type of report that is to be attached to a claim transmission?

Accepted Answer

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

Question 20

Which of the tabs in the Claim dialog box display information about claims being submitted to a patient's secondary and tertiary insurance carriers?

Accepted Answer

A)  Carrier 1 tab 
B)  Transactions tab 
C)  Comment tab 
D)  Carrier 2 and Carrier 3 tabs

Exam 6: Creating Claims

What can be done with claims after they are created in Medisoft?

Which of the following insurance claims can be prepared in the practice management program?

Which of the tabs in the Claim dialog box provides a place to include specific notes or comments about the claim?

What button is clicked to send claims files?

What choice(s) is/are available in the Select Claims for Only section of the List Only Claims That Match dialog box?

What happens to the List Only Claims That Match dialog box when it is restored to its original settings using the Apply button?

What is the EDI Report area within the Diagnosis tab of the Case dialog box used to indicate to a payer?

Which of the tabs in the Claim dialog box lists information about the transactions included in a claim?

Which button in the Claim Management dialog box reprints a claim that has already been printed?

In what dialog box are claims created in Medisoft?

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

Which of the following claim forms allows for more data to be included?

What do the filters in the List Only Claims That Match dialog box do with the existing claims that meet the specified criteria?

What must be placed in between insurance carrier codes in the Primary Insurance field of the Create Claims dialog box?

About how many data elements are represented by the 837P?

Claims that are not paid in full can have a negative effect on ___________.

Medical insurance represents an agreement between the ________________________ and a health plan.

How is the Claim Management dialog box displayed in Medisoft?

Which of the boxes in the EDI Report section is used to indicate the type of report that is to be attached to a claim transmission?

Which of the tabs in the Claim dialog box display information about claims being submitted to a patient's secondary and tertiary insurance carriers?