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EDI

Electronic Data Interchange

EHR

Electronic Health Record

EMC

Electronic Medical Claim

ERA

Electronic Remittance Advice

NSF

National Standard Format

Electronic Data Interchange

Exchange of data in a standardized format through computer systems is a technology known as______

____________________

The allowable set of codes that anyone could use to enter into a specific space on a form

Encoder

An ________ is an add-on software to practice management systems that can greatly reduce the time it takes to check claims

Superbill; Charge Slip

Two other names for an ENCOUNTER FORM

2 weeks or less

Payment to the provider of service of an electronically submitted insurance claim may be received in approx.____

TRUE

T/F Always back up files at the end of the day or several times a week

TRUE

T/F Employees who handle sensitive computer documents should sign an annual confidentiality statement

FALSE

T/F When an insurance billing specialist emails a collegue to ask a coding ?. it is permissible to refer to the case using it patients' name

FALSE

T/F A status report will contain the claims that were accepted only

TRUE

T/F Clearinghouses charge a flat monthly fee

TRUE

T/F An online transaction about the status of a claim is called an electronic remittance advice

TRUE

T/F The CMS requires all providers to have and use taxonomy codes.

TRUE

T/F When transmitting elecrtonic claims, inaccuracies that violate the HIPAA standard transaction format are known as syntax errors

TRUE

T/F An organization may file a complaint online against someone whose actions impact the ability of a transaction to be accepted or efficiently processed by using the Administration Simplification Enforcement Tool (ASET)

TRUE

T/FIncidental uses and disclosures of protected helath info (PHI) are permissible under HIPAA when reasonable safeguards have been used to prevent inappropriate revelation of PHI

FALSE

T/F Deleting files or formatting the hard drive is sufficient to keep electronic PHI from being accessed

TRUE

T/F Employees who handle sensitive computer documents should sign an annual confidentiality statement

Accounts Receivable

The most important function of a practice management system is_____

Encoder

Add-on software to a practice management system that can reduce the time it takes to build or review a claim before batching is known as_________

Grouper

Software that is used in a networl that serves as a group of users working on a related project allowing access to the same data is called a ______

Medical Code Set

Under HIPAA, data elements that are used uniformly to document why patients are seen (diagnosis) and what is done to them during their encounter (Procedure) is known as________

Electronic Funds Transfer (EFT)

A paperless computerized system that enables payments automatically to be transferred to a physicians bank acct. by a 3rd party payer may be done via ______

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