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15 Cards in this Set
- Front
- Back
HIPAA privacy standards require providers to notify patients about their right to
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Privacy
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Development of an insurance claim begins when the
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patient contacts the provider's office and schedules an appointment.
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Which of the following is true?
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Outpatient observation care can be converted to inpatient admission.
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When block 27 contains an X in the YES box, the provider agrees to
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Accept assignment, and collect deductible/co-payment/coinsurance amounts from the patient.
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Optical character reader (OCR) guidelines were established when the
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CMS-1500 claim form was developed.
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When typewritten data in a CMS-1500 claim run over into adjacent blocks, the claim will be
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Rejected (and the provider should correct and resubmit).
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Which is the correct way to enter the amount $125.75 on the CMS-1500 claim?
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125 75
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A patient's name on the insurance cars reads Marvin. L. Blue III. How is that entered on the CMS-1500 claim?
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BLUE III, MARVIN, L
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Which is the correct way to report a patient's birth date of June, 16 1967 on the CMS-1500 claim?
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06 16 1967
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Which is the correct way to prepare a rejected claim for re submission?
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Create the corrected claim on an original claim form.
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Which is the proper format for entering the name of the provider in block 33 of the CMS-1500 claim?
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Howard Hurtz MD
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Which is issued by the CMS to individual provider and healthcare institutions?
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NPI
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If the patient does not sign block 13 of the CMS-1500 claim, the payer send reimbursement to the
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Patient
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When more than one diagnosis reference number is reported on a CMS-1500 claim, the first-listed code is the
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Reason the patient was treated by the provider.
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What type of data are required by all payers in block 24b of the CMS-1500 claim?
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Place of service
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