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Test review 116-4 – Flashcards

Lucas Davies

8 July 2022

question

Exchange of data in a standardized format through computer connections is known as electronic data interchange.

answer

...True

question

Encrypted data often look like gibberish to unautherized users.

answer

...True

question

Submitting a claim to Medicare, the name of the insured is required, not situational.

answer

...True

question

Medicare claim must include standard code sets, such as CPT and ICD-9 codes.

answer

...True

question

Confidential data should be stored only in the computer's hard drive.

answer

...False

question

An installed firewall and antivirus software help maintain computer security.

answer

True

question

Practice management systems can be "rented" from practice management systems over the internet.

answer

...True

question

For insurance claims to be submitted electronically, a sign by the physician with the carriers involved is necessary.

answer

...True

question

Group of insurance claims sent at the same time from one facility is known as a?

answer

...batch

question

A clearing house is a/an?

answer

...An entity that receives the electronic transmission of claims from the health care provider's office and translates it into a standard format prescibed in HIPPA regulations

question

Insurance claims transmitted elctronically are usually paid in?

answer

...Two weeks or less

question

The most important function of a practice management system is?

answer

...Accounts Recievable

question

The employer's identification number is assigned by?

answer

...IRS "Internal Revenue Service'

question

A clearing house?

answer

...* Separate claims by carrier * Perform software edits on each claim to check errors * Transmit claims electronically to the correct insurance payer

question

Insurance claims form data are gathered?

answer

...* Before Service Rendered * During Service Rendered * After Service Rendered

question

Back-up copies of office records should be stored?

answer

...Off site Away from the office in case of fire, flood, or theft

question

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

A computer printout that used to look for errors before an insurance claim is transmitted electronically is called?

answer

...insurance billing worksheet

question

Back and forth communication between user and computer that occurs during online real time is called?

answer

...Interactive transaction

question

Assigning a code to represent data is known as?

answer

...Encryption

question

Combination of letters, numbers, or symbols that each individual is assigned to access computer the system is called a/an?

answer

...Password

question

When keying data, it is wise to______frequently to save information.

answer

...Back-up

question

An online transaction concerning the status of an INS. claim is called?

answer

...ERA----- Electronic Remittance Advice

question

Employee's who have access to patient's medical records must have a high degree of_____and______.

answer

...Responsibility and Accountability

question

A status report of claims is usually received?

answer

...Electronically

question

For assignment of benefits, each patient's______must be obtained.

answer

...Authorized Signature

question

A screen prompt is a _______?

answer

...Question

question

An internal audit that reviews who has access to PHI. is a/an_________safeguard or security measure.

answer

...Administrative

question

Automatic logoff that prevents unauthorized users from accessing a computer is a/an_______safeguard.How the physician handles the retention, removal, and disposal of paper records is a/an________safeguard.

answer

...Technical and Physical safeguard

question

Post payment in practice management system.

answer

...Daily

question

Note any problematic claims and resolve outstanding files.

answer

...Weekly

question

Batch, scrub, edit and transmit claims.

answer

...Daily and Weekly

question

review all claims rejection report.

answer

...End of Month

question

Audit claims batched and transmitted with conformation reports.

answer

...Daily

question

Make follow up calls to resolve reasons for rejections.

answer

...Weekly

question

Review clearinghouse/payer transmission reports.

answer

...Daily

question

Correct rejections and resubmit claims.

answer

...Daily

question

update practice management system with payer information.

answer

...End of Month

question

Research unpaid claims.

answer

...Weekly

question

answer

question

BMT

answer

Bone Marrow Transplantation

question

BSE

answer

Breast Self Examination

question

answer

cubic centimeter (same as ml: 1/1000 of liter

question

answer

Anterior Posterior

question

AUB

answer

Abnormal Uterine Bleeding

question

answer

Carbon ; Calorie

question

c/o

answer

complaint of

question

answer

Chief Complaint

question

BSO

answer

Bilateral Salpingo Oophoectomy

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Unlock answers

question

Exchange of data in a standardized format through computer connections is known as electronic data interchange.

answer

...True

question

Encrypted data often look like gibberish to unautherized users.

answer

...True

question

Submitting a claim to Medicare, the name of the insured is required, not situational.

answer

...True

question

Medicare claim must include standard code sets, such as CPT and ICD-9 codes.

answer

...True

question

Confidential data should be stored only in the computer's hard drive.

answer

...False

question

An installed firewall and antivirus software help maintain computer security.

answer

True

question

Practice management systems can be "rented" from practice management systems over the internet.

answer

...True

question

For insurance claims to be submitted electronically, a sign by the physician with the carriers involved is necessary.

answer

...True

question

Group of insurance claims sent at the same time from one facility is known as a?

answer

...batch

question

A clearing house is a/an?

answer

...An entity that receives the electronic transmission of claims from the health care provider's office and translates it into a standard format prescibed in HIPPA regulations

question

Insurance claims transmitted elctronically are usually paid in?

answer

...Two weeks or less

question

The most important function of a practice management system is?

answer

...Accounts Recievable

question

The employer's identification number is assigned by?

answer

...IRS "Internal Revenue Service'

question

A clearing house?

answer

...* Separate claims by carrier * Perform software edits on each claim to check errors * Transmit claims electronically to the correct insurance payer

question

Insurance claims form data are gathered?

answer

...* Before Service Rendered * During Service Rendered * After Service Rendered

question

Back-up copies of office records should be stored?

answer

...Off site Away from the office in case of fire, flood, or theft

question

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

A computer printout that used to look for errors before an insurance claim is transmitted electronically is called?

answer

...insurance billing worksheet

question

Back and forth communication between user and computer that occurs during online real time is called?

answer

...Interactive transaction

question

Assigning a code to represent data is known as?

answer

...Encryption

question

Combination of letters, numbers, or symbols that each individual is assigned to access computer the system is called a/an?

answer

...Password

question

When keying data, it is wise to______frequently to save information.

answer

...Back-up

question

An online transaction concerning the status of an INS. claim is called?

answer

...ERA----- Electronic Remittance Advice

question

Employee's who have access to patient's medical records must have a high degree of_____and______.

answer

...Responsibility and Accountability

question

A status report of claims is usually received?

answer

...Electronically

question

For assignment of benefits, each patient's______must be obtained.

answer

...Authorized Signature

question

A screen prompt is a _______?

answer

...Question

question

An internal audit that reviews who has access to PHI. is a/an_________safeguard or security measure.

answer

...Administrative

question

answer

...Technical and Physical safeguard

question

Post payment in practice management system.

answer

...Daily

question

Note any problematic claims and resolve outstanding files.

answer

...Weekly

question

Batch, scrub, edit and transmit claims.

answer

...Daily and Weekly

question

review all claims rejection report.

answer

...End of Month

question

Audit claims batched and transmitted with conformation reports.

answer

...Daily

question

Make follow up calls to resolve reasons for rejections.

answer

...Weekly

question

Review clearinghouse/payer transmission reports.

answer

...Daily

question

Correct rejections and resubmit claims.

answer

...Daily

question

update practice management system with payer information.

answer

...End of Month

question

Research unpaid claims.

answer

...Weekly

question

answer

question

BMT

answer

Bone Marrow Transplantation

question

BSE

answer

Breast Self Examination

question

answer

cubic centimeter (same as ml: 1/1000 of liter

question

answer

Anterior Posterior

question

AUB

answer

Abnormal Uterine Bleeding

question

answer

Carbon ; Calorie

question

c/o

answer

complaint of

question

answer

Chief Complaint

question

BSO

answer

Bilateral Salpingo Oophoectomy

Test review 116-4 – Flashcards

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