4 Written Questions
3 Multiple Choice Questions
- Companies that offer services to healthcare facilities that include billing processes and claims filing. Many billing services take on the responsibility of keeping up with rapidly changing Medicare and other healthcare-related laws.
- The transmission of claim information over phone lines using a computer and a modem. The most common form of electronic claim transmission.
- The electronic transfer of information in a standard format between two entities. Allows business entities to exchange information and trasact business in a rapid and cost-effective way.
3 True/False Questions
Electronic claims clearinghouse → A business entity that receives claims from serveral medical facilities and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier. Serves as an intermediary between medical practices and the insurance companies, facilitating the electronic exchange of information between the facilities.
Code sets → Date elements used to document uniformly the reasons why patients are seen and procedures or services or both are provided to them during their healthcare encounters.
Privacy standards → The numbers used in the administration of health care to distinguish individual healthcare providers, health plans, employers, and patients. They are intended to simplify the administrative processes such as referrals and billing, improve the accuracy of date and reduce costs.