Term
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Definition
| T or F: You should use Caps Lock because CMS-1500 form only accepts capital letters |
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Term
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Definition
Which looks like how a payment should be entered on a CMS-1500 form?
a) $25.00
b) 25.00
c) $25 00
d) 25 00 |
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Term
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Definition
Which is the correct way to enter a diagnosis code on a CMS-1500 form?
a) 250.00
b) 250 00
c) 25000 (an ICD-9 code) |
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Term
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Definition
How should you enter a telephone number on a CMS-1500 form?
a) (123) 456-7890
b) 123-456-7890
c) 123 456 7890
d) (123) 456 7890
e) 1234567890 |
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Term
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Definition
The patient's full name: William F. Goodpatient IV
It appears on his card: William F. Goodpatient
How would you type the name? |
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Term
| GOODPATIENT IV, WILLIAM, F |
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Definition
| The name on the patient's ID card is William F. Goodpatient IV. How do you write the name on a CMS-1500 form? |
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Term
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Definition
| T or F: You don't use titles or other designations (Sr., III) unless they appear that way on the patient's ID card. |
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Term
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Definition
| _________ claims require entry of active duty sponsor rank/grade after the name. |
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Term
False
You enter both without hyphens or spaces |
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Definition
| T or F: On CMS-1500 forms, you enter Social Security and employee identification numbers with spaces rather than hyphens |
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Term
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Definition
| the person responsible for submitting a provider's charges to the appropriate party |
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Term
|
Definition
| monies owed to a physician for his or her services |
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Term
|
Definition
| pertaining only to a physician |
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Term
|
Definition
|
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Term
|
Definition
| an offsite company hired to process medical bills for the physician |
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Term
|
Definition
| a professional status or level earned by successful completion of an examination |
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Term
| Certified Medical Reimbursement Specialist |
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Definition
| What does CMRS stand for? |
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Term
|
Definition
The CMRS is offered by:
a) American Medical Billing Association
b) National Electronic Billers Alliance
c) National Healthcare Association
d) AHIMA
e) ACAP |
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Term
| Certified Healthcare Reimbursement Specialist |
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Definition
| What does CHRS stand for? |
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Term
|
Definition
CHRS is offered by:
a) American Medical Billing Association
b) National Electronic Billers Alliance
c) National Healthcare Association
d) AHIMA
e) ACAP |
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Term
| National Electronic Billers Alliance |
|
Definition
| What does NEBA stand for? |
|
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Term
| Certified Billing and Coding Specialist |
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Definition
| What does CBCS stand for? |
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Term
| National Helathcareer Association |
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Definition
|
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Term
| American Health Information Management Association |
|
Definition
| What does AHIMA stand for? |
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Term
|
Definition
| Who offers CBCS certification? |
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Term
|
Definition
| Who offers CHRS certification? |
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Term
| Certified in Healthcare Privacy |
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Definition
|
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Term
|
Definition
| Who offers CHP certification? |
|
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Term
| Claims Assistance Professional |
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Definition
|
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Term
| Alliance of Claims Assistance Professionals |
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Definition
| What does ACAP stand for? |
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Term
|
Definition
CAP means you are a member of :
a) AHIMA
b) ACAP
c) NEBA
d) NHA |
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Term
|
Definition
| a level of measurement of noncredited education |
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Term
| continuing education unit |
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Definition
|
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Term
| Health Insurance Portability and Accountability Act |
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Definition
| What does HIPAA stand for? |
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Term
|
Definition
| What year was HIPAA put into regulations? |
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Term
| submitting a provider's charges to the appropriate party |
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Definition
| What is the primary duty of a medical biller? |
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Term
False
A medical biller may also have this job function |
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Definition
| T or F: While a medical biller submits claims, an accountant is always responsible for maintaining the physician's accounts receivable |
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Term
|
Definition
Physician-based billing refers to:
a) durable medical equipment billing
b) hospital room charges
c) charges for a physician's services
d) all of the above
e) a and c |
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Term
|
Definition
If a medical biller does not file accurate claims, it could result in:
a) physician not getting paid
b) physician will not be able to meet office expenses
c) physician may not be able to afford malpractice insurance
d) other employees of physician may not get paid
e) a physician could get audited
f) a physican could suffer legal consequences
g) all of the above |
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Term
|
Definition
Certification:
a) demonstrates dedication, skill, and achievement
b) makes a biller a step above those not certified
c) designates a biller as a professional
d) can be a deciding factor in getting a job
e) all of the above |
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