ch 8 sg IHMO

question

t or f, the exchange of data in a standardized format through computer systems is known as electronic data interchange.
answer

T
question

the newest version of electronic claims submission is known as 6020 and was required effective February 1 2012
answer

F
question

the national provider identifier identifies each individual health plan and is required on all claims as of may 23 2007
answer

F
question

clearinghouses always charge a flat fee for claim processing
answer

F
question

confidential data should be stored only in the computer’s hard drive
answer

F
question

to ensure that data have been effectively backed up on the practice management system, verification of original records to stored information should be performed
answer

Weekly
question

how often should the following procedure be done: post payments in practice management system:?
answer

Daily
question

how often should the following procedure be done: note any problematic claims and resolve outstanding files:?
answer

Weekly
question

How often should the following procedure be done: batch scrub edit and transmit claims:
answer

daily or weekly
question

how often should the following procedure be done: review all claims rejection reports:
answer

End of month
question

how often should the following procedure be done ; audit claims batched and transmitted with confirmation reports:
answer

Daily
question

how often should the following procedure be done: make follow up calls to resolve reasons for rejections
answer

weekly
question

how often should the following procedure be done: review clearinghouse/payer transmission reports
answer

daily
question

how often should the following procedure be done: correct rejections and resubmit claims:
answer

daily
question

how often should the following procedure be done; update practice management system with payer information
answer

end of month
question

how often should the following procedure be done: research unpaid claims
answer

weekly
question

the implementation of standard formats, procedures and data content into the electronic data interchange process is the result of HIPAA regulations
answer

HIPAA

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