A universal form
A major innovation that made the process of health insurance claims submission simpler was the development of:
All entires in uppercase, No punctuation, and MM/DD/YYYY birth date format
OCR formatting rules specify:
Once a year
The patient information form is considered a legal document and should be updated no less often than:
A patient's name, address, Social Security number, and employment data are commonly referred to as:
An insurance policy that covers an individual, his or her spouse, and eligible dependents is referred to as a(n):
Superbill, Encounter form, and Routing form
A multipurpose form used by most medical practices for billing is called a(n):
Insurance log and Insurance register
An example of a method for manual claims follow-up is using an:
A company that receives claims, consolidates them, and transmits them in batches to third-party payers is called a:
The American Medical Association
Responsible for creating the universal claim form known as the CMS-1500
The CMS-1500 form (Originally known as HCFA-1500) was developed for_________
The purpose of submitting Medicare claims.
The federal goverment has passed a law mandating that the Universal form be used by_________
All third party payers and medicare claims unless exempt.
The CMS-1500 is a univedrsal form, there are _______difference from one major payer to another
The health insurance professional's most important responsibilty is_________
To obtain the maximum amount of reimbursement in the minimal amount of time that the patients health record would support.
The HIPPA Administrative Simplication Compliance Act (ASCA) prohibits the Dept. of Health Services (HHS) from ______
paying all claims that are not submitted electronically with exceptions. (Small Provider or Health provider has no method to submit electronically)
The health insurance professional must obtain written permission from the patient to release healthcare information to whom.....
Any person, business and insurance carrier.
Patient Ledger Card
Used when offices do not use patient accounting software, It is an accounting form on which professional service descriptions, charges, payments, adjustments, and current balance are posted chronologically.