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5 Written questions

5 Matching questions

  1. ENCOUNTER FORM/SUPERBILL
  2. CLAIMS ATTATCHMENT
  3. CLEAN CLAIM
  4. REPEAT PATIENT
  5. LISTED ON CMS
  1. a ACCURATE CLAIM FORM
  2. b FINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE
  3. c PROFESSIONAL SVCS/TECHNICAL SVCS, MODIFIERS ADDED
  4. d MEDICAL REPORT SUSTAINING A MEDICAL CONDITION
  5. e ESTABLISHED PATIENT

5 Multiple choice questions

  1. EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  2. PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  3. The guideline that determines which of two parents with medical coverage has the primary insurance for a child; the parent whose day of birth is earlier in the calendar year is considered primary.
  4. HOSPITAL TERM FOR ENCOUNTER FORM
  5. Health Insurance Claim Form

5 True/False questions

  1. APPEALDOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED

          

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

          

  3. ACCEPT ASSIGNMENTThe provider agrees to accept what the insurance company approves as payment in full for the claim.

          

  4. GENDER RULETHE FATHERS PLAN IS ALWAYS PRIMARY WHEN A CHILD IS COVERED BY BOTH PARENTS

          

  5. DAY SHEETFINANCIAL RECORD FOR INDIVIDUAL PATIENT THAT DAY