False
Order by
43 terms
Terms | Definitions |
|---|---|
 false | The exchange of data in a standardized format through computer connections is known as electronic data interchange. |
| true | Encrypted data often look like gibberish to unauthorized users |
| False | Even if aphysician's office does not bill Medicare and does not submit transctions electronically directly or through a third party the practice is still subject to HIPAA transaction rules |
| FALSE | when submitting a claim to Medicare the name of the insured is required not situational |
| True | A Medicare claim must include standard code sets such as CPT and ICD_9-CM codes |
| FALSE | confidential data should be store only in the computer's hard drive. |
| True | An installed firewall and antivirus software help maintain computer security |
| TRUE | Practice management sysems can be rented from practice management systems over the internet |
| TRUE | For insurance claims to be submitted electronically a signed agreement by the physician with the carriers involved is necessary |
| TRUE | clearinghouse always charge a flat fee for claim processing |
| batch | A group of insurance claims sent at the same time from time from on facility is know as a |
| entity that receives transmission of insurance claims separate the claims and sends one electronically to the correct insurance payer | a clearinghouse is an |
| two weeks or less | insurance claim transmitted electronically are usually paid in |
| acounts receivable | The most important function of a practice management system is |
| the internal Revenue Serice | The employer's identification number is assigned by |
| transmits claims to the insurance payer performs software edits separates claim by carrier all the above | a clearinghouse |
| a before the service is rendered during the time the sevice is rendered after the sevice is rendered al the above | insurance claims form data are gathered |
| aways from the office | Back up copies of office records should be stored |
| carrier direct | when a medical practice has its own computer and transmits claims electronically directly to the insurance carrier this system is known as |
| an insurance billing worksheet | A computer printout that is used to look for errors before an insurance claim is transmitted electronically is called |
| interactive transaction | back and forth communication between used and computer that occur during oneline real time is called |
| resonsiblily accountabitity electronal signature question administrative technical physician | encrypted passwod backup electronic remittance adivice (ERA) |
| encrypted | assigning a code to represent data is known as |
| password | a combination of letter numbers or symbols that each individual is assighned to access the computer system is called a/an |
| backup | when keying data it is wise to ------x----- frequently to save information |
| electionic remittance adivice (ERA) | an online transaction concering the status of an insurance claim is called a/an |
| responsiblily and acountabitily | employees who have access to patients medical records must have a high degree of |
| electronal | a status report of claims is recived |
| signature | for assignment of benefits each patients |
| question | a screen promt is a |
| administrative safeguard or securirty mesasure | an internal audit that review who has access to PHI is /an |
| technical safeguard | an automatic lofoff that prevents unauthorized users from accessing a computer ia a/an |
| physician safeguard | how the physician office handles the retention removal and disposal of paper records is a /an |
| daily | Post payments is practice mangement system |
| weekly | note any problematic claim and resolve outstandind files |
| weekly | Batch scub edit and transmit claims |
| end month | review all claim rejection reports |
| daily | audit claims batched and transmitted withh confirmation reports |
| weekly | make follow up calls to resolve reasons for rejections |
| daliy | review clearing house payer transmission reports |
| daliy | correct rejections and resubmit claim |
| end of the month | update practice managent system with payer information |
| research upaid claims | weeking |
First Time Here?
Welcome to Quizlet, a fun, free place to study. Try these flashcards, find others to study, or make your own.