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T/F- If a MD's office does not bill medicare and does not submit transactions electronically, directly, or through a third party, the practice is still subject to HIPPA transaction rule?
T/F- practice management systems can be rented from Practice management systems over the internet?
T/F- Insurance claims submitted electronically must have a signed agreement by the physicain with the carrier involved?
What is a clearinghouse?
An entity that receives the electronic transmission of claims from the health care provider's office and translates it into a standard format prescibed in HIPPA regulations
Know what a clearinghouse does?
* Separate claims by carrier
* Perform software edits on each claim to check errors
* Transmit claims electronically to the correct insurance payer
Know where insurance claim data is gathered from?
* Before Service Rendered
* During Service Rendered
* After Service Rendered
Where should backup copies of office records be stored?
Away from the office in case of fire, flood, or theft
Know what carrier-direct is?
Medical practice has own computer system to transmitted electronically directly into the payers system.
What is an insurance billing worksheet?
Computer print out used to look for errors before an insurance claim is transmitted
Back and forth communication between user an computer that occure during online real time is called?
Know the difference names for an encounter form?
Charge slip, Multipurpose billing form, Pt. service slip, routing form, super bill, transacton slip, EOB
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