FiltersDone

Question type

Essay

Multiple Choice

Short Answer

True False

Matching

Exam 11: Physician Medical Billing

Show Answer

Share

---

All types

Filters

Study Flashcards

Question 51

Short Answer

Review LaterAdd Note

Review Later

Physicians bill insurance carriers using a universal form, the __________ claim form.

Correct Answer

verified

Show Answer

Question 52

True/False

Review LaterAdd Note

Review Later

A signature stamp should never be used in place of the physician's original signature on a claim form.

Correct Answer

verified

Show Answer

Question 53

Short Answer

Review LaterAdd Note

On the CMS-1500 claim form, the abbreviation EIN refers to: A)Employer Identification Number. B)Employer Identifier for National Coverage. C)Estimated Insurance Number for payment. D)Examination Indicates Nothing.

If needed information is missing from a claim when it is submitted to an insurance carrier, it is referred to as a(n): A)clean claim. B)dirty claim. C)erroneous claim. D)incomplete claim.

The use of the CMS-1500 claim form is: A)mandatory for all physician office claims. B)mandatory for all Medicare claims but optional for private insurance carriers. C)optional for all Medicare claims but mandatory for private insurance carriers. D)optional for all physician office claims.

If a patient has signed a consent document authorizing release of medical information to the insurance carrier, the notation "Signature on File" or "SOF" may be entered in form locator 12.

The person who is ultimately responsible for payment to the medical office is called the: A)guarantor. B)patient. C)guardian. D)insured.

To submit claims to an insurance carrier, a billing service requires: A)the patient's personal and insurance information. B)a copy of the patient's insurance card. C)the encounter form documenting the diagnosis and services provided. D)all of the above.

The CMS-1500 claim form includes the following number of locators (fields): A)13 B)33 C)52 D)70

How are clearinghouses typically paid by the physician?

If a patient is covered by more than one health plan, form locator 11d is answered Yes and form locators 9a-d must be completed.