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Exam 7: The Paper Claim: Cms-1500 02-12

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Question 21

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For the following questions, refer to the CMS-1500 claim form illustrated in Figure 7-3 of the text. -Does the patient have another health insurance plan that would provide secondary coverage?

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verified

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Question 22

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The number issued to physicians by the Internal Revenue Service for income tax purposes is known as:

A) TIN.
B) PIN.
C) UPIN.
D) NPI.

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Question 23

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The paper claim form was revised in 1990 and printed in red ink to allow ______ of claims.

Match the type of insurance claim with the correct description. -An insurance claim that is submitted via a dial-up modem or direct data entry.

The CMS-1500 claim form is divided into which of the following major sections?

OCR is the acronym for

Match the type of insurance claim with the correct description. -An insurance claim held in suspense due to review or other reason.

According to OCR guidelines, dollar signs ($) should not be used in the money columns.

The paper claim form was revised in 2005 to allow reporting of ___ for physicians.

Match the type of insurance claim with the correct description. -An insurance claim that is submitted on paper, including optically scanned claims.

A clean claim has no ___ and passes all electronic edits.

For the following questions, refer to the CMS-1500 claim form illustrated in Figure 7-3 of the text. -Who is the policyholder of the insurance contract?

The uniform claim form task force was replaced by

Most insurance companies accept the CMS-1500 claim form except TRICARE and the Blue Plans.

When submitting a letter to an insurance company to explain unusual circumstances that should be considered when processing the claim, it should be sent to the attention of the ______.

A claim that is submitted to the insurance carrier via Internet connection is referred to as ___.

When a patient has dual coverage, the insurance that is considered the primary insurance is

The objective of the Administrative Simplification Compliance Act was to improve the administration of the Medicare program by increased efficiencies resulting from ________.

Match the type of insurance claim with the correct description. -A Medicare claim that is missing required information.

All paper claims that are generated should be ___ for misspelling of patient names.