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5 Written questions

5 Matching questions

  1. VALUE ADDED NETWORK (VAN)
  2. ASSIGNMENT OF BENEFITS
  3. ACCEPT ASSIGNMENT
  4. GENDER RULE
  5. ELECTRONIC DATA INTERCHANGE
  1. a The provider agrees to accept what the insurance company approves as payment in full for the claim.
  2. b THE FATHERS PLAN IS ALWAYS PRIMARY WHEN A CHILD IS COVERED BY BOTH PARENTS
  3. c EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  4. d An arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician or hospital is called a(n):
  5. e CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS

5 Multiple choice questions

  1. ESTABLISHED PATIENT
  2. SUBMITTING MULTIPLE CPT CODES WHEN ONE SHOULD BE SUBMITTED
  3. DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED
  4. SIGNATURE ON FILE
  5. FINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE

5 True/False questions

  1. CMS-1500SIGNATURE ON FILE

          

  2. CLEARINGHOUSEACCURATE CLAIM FORM

          

  3. CLAIMS ATTATCHMENTMEDICAL REPORT SUSTAINING A MEDICAL CONDITION

          

  4. PRIMARY INSURANCEThe health plan that pays benefits first when a patient is covered by more than one plan.

          

  5. BIRTHDAY RULETHE FATHERS PLAN IS ALWAYS PRIMARY WHEN A CHILD IS COVERED BY BOTH PARENTS

          

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