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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

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