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Test review 116-4

question

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

…True
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Encrypted data often look like gibberish to unautherized users.
answer

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

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

…True
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Confidential data should be stored only in the computer’s hard drive.
answer

…False
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An installed firewall and antivirus software help maintain computer security.
answer

True
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Practice management systems can be “rented” from practice management systems over the internet.
answer

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

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

…batch
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A clearing house is a/an?
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…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
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Insurance claims transmitted elctronically are usually paid in?
answer

…Two weeks or less
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The most important function of a practice management system is?
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…Accounts Recievable
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The employer’s identification number is assigned by?
answer

…IRS “Internal Revenue Service’
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A clearing house?
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…* Separate claims by carrier * Perform software edits on each claim to check errors * Transmit claims electronically to the correct insurance payer
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Insurance claims form data are gathered?
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…* Before Service Rendered * During Service Rendered * After Service Rendered
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Back-up copies of office records should be stored?
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…Off site Away from the office in case of fire, flood, or theft
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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
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A computer printout that used to look for errors before an insurance claim is transmitted electronically is called?
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…insurance billing worksheet
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Back and forth communication between user and computer that occurs during online real time is called?
answer

…Interactive transaction
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Assigning a code to represent data is known as?
answer

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

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

…Back-up
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An online transaction concerning the status of an INS. claim is called?
answer

…ERA—– Electronic Remittance Advice
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Employee’s who have access to patient’s medical records must have a high degree of_____and______.
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…Responsibility and Accountability
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A status report of claims is usually received?
answer

…Electronically
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For assignment of benefits, each patient’s______must be obtained.
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…Authorized Signature
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A screen prompt is a _______?
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…Question
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An internal audit that reviews who has access to PHI. is a/an_________safeguard or security measure.
answer

…Administrative
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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
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Post payment in practice management system.
answer

…Daily
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Note any problematic claims and resolve outstanding files.
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…Weekly
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Batch, scrub, edit and transmit claims.
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…Daily and Weekly
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review all claims rejection report.
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…End of Month
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Audit claims batched and transmitted with conformation reports.
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…Daily
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Make follow up calls to resolve reasons for rejections.
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…Weekly
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Review clearinghouse/payer transmission reports.
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…Daily
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Correct rejections and resubmit claims.
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…Daily
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update practice management system with payer information.
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…End of Month
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Research unpaid claims.
answer

…Weekly
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@
answer

at
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BMT
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Bone Marrow Transplantation
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BSE
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Breast Self Examination
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cc
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cubic centimeter (same as ml: 1/1000 of liter
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AP
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Anterior Posterior
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AUB
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Abnormal Uterine Bleeding
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C
answer

Carbon ; Calorie
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c/o
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complaint of
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CC
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Chief Complaint
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BSO
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Bilateral Salpingo Oophoectomy