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FREE AND STUDY GAMES ABOUT CHAPTER 8 INSURANCE
EXAM QUESTIONS
Actual Qs and Ans Expert-Verified Explanation
This Exam contains:
-Guarantee passing score -51 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation
Question 1: for assignment of benefits, each patient's ______ must obtained
Answer:
signature
Question 2: research unpaid claims
Answer:
weekly
Question 3: update practice management system with payer information
Answer:
end of month
Question 4: when keying data, it is wise to back up
Answer:
frequently to save information
Question 5: back up copies of office records should be stored
Answer:
away from the office Question 6: name 3 advantages of using a clearinghouse to bill insurance companies
Answer:
- reduction in time of claims preparation
- cost-effective method through loss prevention
3, fewer claim rejections Question 7: a computer printout that is used to look for errors before an insurance claim is transmitted electronically is called
Answer:
an insurance billing worksheet
Question 8: the employer's identification number is assigned by the
Answer:
IRS
Question 9: clearinghouses always charge a flat fee for claim processing
Answer:
false
Question 10: insurance claims form data are gathered
Answer:
before the service is rendered, during the time the service is rendered, and after the service is rendered
Question 11: what does an electronic remittance advice (RA) do
Answer:
it is the status of a claim, tells you what has been paid or not
Question 12: an internal audit that reviews who has access to PHI is an
Answer:
administrative safeguard or security measure
Question 13: a screen prompt is a
Answer:
question field
Question 14: what are medical code sets
Answer:
it stream-lines the old system into a more efficient and cost effective system
Question 15: Post payments in practice management system
Answer:
daily or weekly Question 16: for insurance claims to be submitted electronically, a signed agreement by the physician with the carriers involved is necessary
Answer:
true
Question 17: why was the HIPAA Transaction Code Set developed
Answer:
to achieve a higher quality of health care and reduce administrative costs Question 18: Confidential data should be stored only in the computer's hard drive
Answer:
false Question 19: when a medical practice has its own computer and transmits claims electronically directly to the insurance carrier, this system is known as
Answer:
carrier direct
Question 20: audit claims batched and transmitted with confirmation reports
Answer:
daily
Question 21: make follow-up calls to resolve reasons for rejections
Answer:
weekly
Question 22: batch scrub edit and transmit claims
Answer:
daily or weekly
Question 23: assigning a code to represent data is known as
Answer:
encryption
Question 24: list 3 additional names for an encounter form
Answer:
charge slip, multipurpose billing form and a patients service slip Question 25: a group of insurance claims sent at the same time from one facility is known as a
Answer:
batch
Question 26: encrypted data often look like gibberish to unauthorized users
Answer:
true
Question 27: note any problematic claims and resolve outstanding files
Answer:
weekly
Question 28: what is an encoder
Answer:
it is add-on software to practice management systems that reduce time researching a claim before batching
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