11.4 Workbook Flashcards

Front 1

HIPAA privacy standards require providers to notify patients about their right to

Back 1

Privacy

Front 2

Development of an insurance claim begins when the

Back 2

patient contacts the provider's office and schedules an appointment.

Front 3

Which of the following is true?

Back 3

Outpatient observation care can be converted to inpatient admission.

Front 4

When block 27 contains an X in the YES box, the provider agrees to

Back 4

Accept assignment, and collect deductible/co-payment/coinsurance amounts from the patient.

Front 5

Optical character reader (OCR) guidelines were established when the

Back 5

CMS-1500 claim form was developed.

Front 6

When typewritten data in a CMS-1500 claim run over into adjacent blocks, the claim will be

Back 6

Rejected (and the provider should correct and resubmit).

Front 7

Which is the correct way to enter the amount $125.75 on the CMS-1500 claim?

Back 7

125 75

Front 8

A patient's name on the insurance cars reads Marvin. L. Blue III. How is that entered on the CMS-1500 claim?

Back 8

BLUE III, MARVIN, L

Front 9

Which is the correct way to report a patient's birth date of June, 16 1967 on the CMS-1500 claim?

Back 9

06 16 1967

Front 10

Which is the correct way to prepare a rejected claim for re submission?

Back 10

Create the corrected claim on an original claim form.

Front 11

Which is the proper format for entering the name of the provider in block 33 of the CMS-1500 claim?

Back 11

Howard Hurtz MD

Front 12

Which is issued by the CMS to individual provider and healthcare institutions?

Back 12

NPI

Front 13

If the patient does not sign block 13 of the CMS-1500 claim, the payer send reimbursement to the

Back 13

Patient

Front 14

When more than one diagnosis reference number is reported on a CMS-1500 claim, the first-listed code is the

Back 14

Reason the patient was treated by the provider.

Front 15

What type of data are required by all payers in block 24b of the CMS-1500 claim?

Back 15

Place of service