Chapter 14, 15, & 16.Final Test
Paper 2026\2027.
The objective of the Administrative Simplification Compliance
Act was to improve the administration of the Medicare
program by increased efficiencies resulting
from____________.
electronic claims submissions.
The CMS-1500 paper claim form can be purchased through a
medical office supply company or through the ________.
AMA (American Medical Association).
A clean claim has no ____ and passes all electronic edits.
deficiencies
Abstraction of technical information from patient records
may be necessary to support medical__________.
necessity before payment of claim.
Insurance claims transmitted electronically are usually paid in
____.
2 weeks or less.
One advantage of electronic claim submission is the ability to
build a/an ______ which provides a chronologic record of
, Chapter 14, 15, & 16.Final Test
Paper 2026\2027.
submitted data that can be traced to the source to determine
the place of origin.
Audit Trail
HIPAA requires employers to obtain ______ numbers to
identify themselves during the process of enrolling employees
into a health plan.
employer identification
The objective of HIPAA Transaction and Code Set regulations
was to standardize code sets, claim forms, and processes
used in health care facilities which would reduce
administrative costs.
True
The document together with the payment voucher that is sent
to a physician who has accepted assignment of benefits is
referred to as an ______.
EOB ( explanation of benefits)
The maximum dollar value that the insurance company
assigns to each medical service is referred to as_____.
Paper 2026\2027.
The objective of the Administrative Simplification Compliance
Act was to improve the administration of the Medicare
program by increased efficiencies resulting
from____________.
electronic claims submissions.
The CMS-1500 paper claim form can be purchased through a
medical office supply company or through the ________.
AMA (American Medical Association).
A clean claim has no ____ and passes all electronic edits.
deficiencies
Abstraction of technical information from patient records
may be necessary to support medical__________.
necessity before payment of claim.
Insurance claims transmitted electronically are usually paid in
____.
2 weeks or less.
One advantage of electronic claim submission is the ability to
build a/an ______ which provides a chronologic record of
, Chapter 14, 15, & 16.Final Test
Paper 2026\2027.
submitted data that can be traced to the source to determine
the place of origin.
Audit Trail
HIPAA requires employers to obtain ______ numbers to
identify themselves during the process of enrolling employees
into a health plan.
employer identification
The objective of HIPAA Transaction and Code Set regulations
was to standardize code sets, claim forms, and processes
used in health care facilities which would reduce
administrative costs.
True
The document together with the payment voucher that is sent
to a physician who has accepted assignment of benefits is
referred to as an ______.
EOB ( explanation of benefits)
The maximum dollar value that the insurance company
assigns to each medical service is referred to as_____.
