Medical Billing and Coding Test 2 Correct 100%

What is the HIPAA-mandated electronic transaction for claims called? - Answer The HIPAA x12837 What is NUCC and what is it's function? - Answer National Uniform Claim Committee. They determine the content of both the CMS1500 claim form and the HIPAA x12837 What skills are required to be effective when completing claim forms? - Answer Organizational skills and good thinking skills Under HIPAA rules, do payers have to accept the standard transactions? - Answer Yes What version is used to send HIPAA EDI transactions? - Answer The 5010 version Where is the "carrier block" located on the CMS 1500 claim form? - Answer The upper right corner If a release of information is required, the document must have been signed in the last ____ months. - Answer 12 What kind of information is listed in blocks 1-13 on the CMS1500 claim form? - Answer Information about the patient and their insurance How many different types of providers may be identified and what are they? - Answer 4 -The Billing Provider -The Pay to Provider -The Rendering Provider -The Referring Provider If a patient was sent by another physician, that physician is known as the _________ physician. - Answer Referring The physician who actually provides the service is known as the _______ physician - Answer Rendering How many diagnosis pointers can be listed per service according to the NUCC manual? - Answer 4 What is a data element that HIPAA mandates reporting under certain conditions? - Answer Situational Data Element