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43 terms

False

STUDY
PLAY
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