M/C Chapter 7 The Paper Claim CMS-1500 (08-05) – Flashcards
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The health insurance claim form (CMS-1500) is known as the:
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(C)Universal claim form
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An insurance claim form that contains no staples or highlighted areas and on which the bar code area has not been deformed is called:
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(C) A physically clean claim.
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An insurance claim submitted with errors is referred to as:
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(B) a dirty claim.
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What is the protocol to follow on receiving a request for an attending physicians statement from an insurance company on a patient who has applied for health insurance?
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(D) Request a fee from the insurance company before sending the attending physicians statement.
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If you receive a request, accompanied with the correct authorization, asking to abstract medical information from a patient's medical record.
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(B) send only the information requested.
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Office visits may be grouped on the insurance claim form if each visit:
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(B) is consecutive,uses the same procedure code, and results in the same fee.
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OCR is the acronym for:
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(B) optical character recognition.
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OCR guidelines for the CMS-1500 claim form state:
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(C) it should not be photocopied because it cannot be scanned.
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To conform to CMS-1500 OCR guidelines,
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(D) all of the above; do not fold insurance claim forms when mailing, do not use symbols with data on insurance claim forms, do not strike over errors when making a correction on an insurance claim form.
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How should blocks on an OCR CMS-1500 claim form be treated that do not need any information?
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(B) Leave the block blank.
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The CMS-1500 claim form is divided into which of the following major sections?
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(C) Patient and physician information.
