Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
When a patient is seen by his surgeon for postoperative complications, any service provided are
|
Included as part of the global surgery and not billed separately.
|
|
|
According to optical scanning guidelines, the punctuation that is acceptable when it is part of the patient's name is a
|
hyphen
|
|
|
Birth dates are entered as in block 3 of the CMS-1500 claim.
|
MM DD YYYY
|
|
|
The diagnosis code reported in item 1, block 21, of the CMS-1500 claim is the
|
first-listed diagnosis
|
|
|
Items 1-4 in block 21 of the CMS-1500 claim link the listed diagnosis codes to their appropriate procedure/service codes reported in block 24. These items are known as diagnosis
|
pointers
|
|
|
The legal business name of the practice is also called the
|
billing entity
|
|
|
The unique identifier that CMS will assign to providers as part of HIPAA requirements is called the
|
NPI
|
|
|
The maximum number of CPT and/or HCPCS modifiers that can be reported in block 24 of the CMS-1500 claim is
|
four
|
|
|
Block 25 of the CMS-1500 claim required entry of either the provider's social security number or the
|
EIN
|
|
|
Which character is entered in the boxes of block 8 of the CMS-1500 claim to indicate patient status?
|
X
|
|
|
When entering the diagnosis codes in block 21 of the CMS-1500, which is entered instead of the decimal?
|
space
|
|
|
A total charge of $900 would be entered on the CMS-1500 as
|
900 00
|
|
|
What is reported in block 24e of the CMS-1500?
|
diagnosis pointer number
|
|
|
When repoting anesthesia time in block 24g, how must the time be entered?
|
units
|
|
|
Provider services for inpatient medical cases are billed on what basis?
|
fee-for-service
|
|
|
Which prohibits a payer from notifying a provider about payment or rejections on unassigned claims?
|
Federal privacy act of 1974
|
|
|
Medicare conditions of participation require providers to maintain copies of government insurance claims and attachments submitted for what period of time?
|
five yeards
|
|
|
When a patient signs block 13 of the CMS-1500, allowing payment to go directly to the provider, this is known as
|
assignment of benefits
|
|
|
When an X is entered in one or more of the yes boxes in block 10 of the CMS-1500 claim, this may indicate that
|
the provider will accept assignment on the claim
|
|
|
An example of supplemental insurance plan is
|
medigap
|
|
|
to prevent breach of patient confidentiality , the patient must either sign an authorization for release of medical information statement, or
|
verbally authorize the practice to submit the claim
|
|
|
which diagnosis is considered a chronic condition that would always affect patient care?
|
diabetes melitius
|
|
|
in block 24g, unites would be entered based on the following statement: three-view sinus series.
|
1
|
