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50 terms

study guide ins hand book chapter 7 mod 140-3

study ID; A
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False
Medicaid and workers compensation have adopted the use the CMS-1500in all states.
False
Most major insurance companies accept the CMS- 1500 claim from except TRICARE and the Blue plan
False
If the Patient will oblige let the patient direct his or her own insurance form to the insurance company.
False
If several service are being on the same insurance claim forn you may dittoo the dates on each line of service below the first line.
False
List all services on the insurance claim from including no charge services
what
is the prootocol to follow on receiving a request request for an attending for an attending physician's statement from an insurance company on a patient who has applied for health insurance?
(D) Request a fee from the insurance company before sending the attending physician statement
If you receive a request accompanied with the correct authorization asking to abstract medical information from a patient 's medical record.
...(B) send only the information requested
office visits may be grouped on the insurance claim form if each vist
(B) is consecutie used the same procedure code and results in the same fee
OCR guidelines for the CMS -1500 claim from is state
(C) it should not be photocopied because it cannot be scanned
The CMS 1500 claim form is divide into which of the following major sections?
(C) Patient and physican information
the Health Insurance Claim form also know as the universal claim from is often called or referred to as CMS 1500
CMS 1500
a claim that is submitted to the insurance carrier via a dail up modem is referred to as
Electronic media
When the patient is insured by two companies the coverage is sometimes referred to---------- as coverage
Dual
Ahusband and wife both have insurance through their employers and each has added the spouse to their insurance plans for coverage .If the wife is seen for treatment then her plan is considered----------------
primary care
(A) Clean claim
An insurance claim that is submitted within the program or policy time and correctly completed
(B) Dirty Claim
An insurance claim that is submitted with errors
(E) invalid claim
a Medicare claim that contains complete necessary information but is illogical or incorrect
(I) the insurance claim was submitted to the secondary instead of the primary insurer
Obtain date from patient during the first office visit on which company is the primary insurer
Operative report is missing from the insurance claim. (J)
Submit all attachment with patient's name and insurance identification number
Diagnostic code is missing (c)
Refer to an updated diagnostic codebook and review and patient record
What is the Patient's diagnosis?
38200 ACUTE SUPPURATIVE OTITIS MEDIA WITHOUT SPONTANEOUS RUPTURE OF EAR DRUM
What is the type of history and physical examination examination recorded for this patient?
detail 99203 OFICE VISIT WHICH REQUIRES THESE 3 KEY COMPONENT EXPANDED PROBLEM FOCUSED HISTORY EXAMINATION STRAIGHT FORWARD MEDICAL DECISION MAKING
Where was the professional service performed?
OFFICE
WHO IS THE REFERRING PHYSICIAN?
PERRY CARDI MD
wHO IS THE POLICYHOLDER OF THE INSURANCE CONTRACT?
FOREHAND HARRY N
some problems have natural natural periods of periods of time in time in which they normally resolve themselves these problems are called (B)
acute self-limiting
all lab orders have a ststus. Which of the followinng is not a ststus? which of the following is not a status? (D)
proposed
A computer program was developed to assist in obtaining the patient's history (A)
true
in an EHR you are able to keep a quick list of frequently used order.
true
spirometes perform
MVV VC FVC
ALL OF THE ABOVE
THERE ARE TWO ADDITITION BUTTONS ON THE TOOLBAR WHEN YOU ARE IN THE PATIENT MANAGEMENT TAB AND THEY ARE
(D) grids and details
TRIAGING PATIENTS IS A FORM OF
ORGANIZING PATIENTS IN ORDER OF SERIOUSNESS
The emergency room triage nurse helps the physician decide how long tratment can be delayed
TRUE
The frist responders in an emergency room are---------
(D) triage nurses
over------- % of a nurse's r cloinician time with patient is spent entering the patients
70 %
FVC is an acronym for
(A) Forced Vital Capacity
If you want to see encounter dates for a specific problem click on the
(D) care plan tab
When the cite mode is on the ellipsis button will not display the results instead it will allow you to-------
(A) modifty the data
To collapse a section click on the
(B ) minus sign
On a growth chart the age of the child is indicated on the ----------------
(C) top of the chart
THe FS Hx will ask about tobacco alchol or indicated on drug use
(A) True
If the DUR finds any concern with medicatiion it will give the clinician
(D) an alert
Apatient must become involved in his or her own healthcare to effectively manage and prevent diseases
(A) true
LIS is an acronym for ---------------
(D) Laboratory Information system
Which of the following is not one of the columns each problem list?
(c) vitals
If a test has been ordered and the test results are in the name of the test will be
(C) bold
The negs button stands for ----------------
(A) auto negative
BMI can be caluated with simple math of
(D) w/ht2
The instant medical history will ask the patient questions after the nurse enters the patient's age
(a) symptom and organ system for review
ABN is an acronym for
(D) Advance Beneficiary Notice