Mod H Lab

Front 1

when submitting Medicare claims electronically, what is needed from the HHS secretary

Back 1

waiver

Front 2

nine-digit indentifier assigned by the federal or state agency

Back 2

IEN

Front 3

what us entered on the bottom of the CMS-1500?

Back 3

physician/supplier information

Front 4

inserting correct punctuation is a guideline for

Back 4

CMS-1500 form

Front 5

what is entered in the top portion of the CMS-1500

Back 5

patient insured information

Front 6

what is the most common use of ASCII?

Back 6

most common format used for text files in computers and on the internet

Front 7

what are the top two reasons for the revision of the CMS-1500 form?

Back 7

errors and omissions

Front 8

what is the purpose of a ledger card

Back 8

keeps track of patient charges and payments

Front 9

patient and supplier are the the main sections of what commonly used form?

Back 9

CMS-1500

Front 10

name 3 advantages of filing claims electronically

Back 10

improves cash flow, reduces expense of claim processing and streamlines internal prosesses.

Front 11

what is the most common reason a claim is rejected

Back 11

incomplete, invalid patient diagnosis codes,
missing or invalid information

Front 12

what is the procedure for a claim with unlisted procedure code is reported

Back 12

a code ending in 99 is used to justify certain procedures or charges, or both

Front 13

what information you typically find on an insurance id card

Back 13

Patient information such as name of insurance policy number copayment name of the primary care physician ,
telephone numbers, preauthorization, precertification , alpha characters or numbers

Front 14

a superbill/charge slip can also be called

Back 14

Encounter form

Front 15

what is monospaced type font and what is it used for

Back 15

is a character that takes exactly the same amount of space.
It is used for OCR SCANNING.

Front 16

what is special about the CMS-1500 form

Back 16

is universal

Front 17

submitting insurance claims directly to a third party payer

Back 17

direct data entry

Front 18

claim that can be processed for payment quicly without being returned

Back 18

clean claim

Front 19

document to complete CMS-1500 form

Back 19

patient information form
patient insurance id
encounter form
ledger card
plan health record

Front 20

most important responsibilties for a health insurance professional

Back 20

to obtain maximum amout of reimbursement in the minimal amount of time that the medical record supports