,NCCT STUDY GUIDE (MOA) 164 QUESTION &
ANSWERS 100% CORRECT!!
The phrase __ was coined to indicate payment of services rendered by
someone other than the patient Answer - Third-party reimbursement
Since 2005, providers have been urged to Answer - Send claims electronically
The CMS-1500 form is accepted by Answer - Medicare and Medicaid
When a third-party payer identifies an error on the claim form, the claim is
Answer - Rejected with a request to resubmit the form with corrections
How many digits are in a National Provider Identifier (NPI) number Answer - 10
What is the first step in completing a claim form Answer - Check for a
photocopy of the patients insurance card
Electronically processing claim forms to insurance carriers Answer - Reduces
the amount of preparation time for the claim processor
Which form is also known as the UB-04 form Answer - CMS-1450
Which of the following is not a fee usually charged by a clearinghouse Answer -
customer service fee
, Which of the following is not an advantage of using an Electronic Claims
Tracking (ECT) system Answer - All claims are guaranteed to be paid if the
forms are filled out correctly.
When following up on a delinquent claim, if the carrier tells you that it is still in
process, you should Answer - request an anticipated date of payment
When applying in insurance adjustment to a patient's account you are not
typically required to post the Answer - Name of secondary insurance company
that might be billed later
Number that identifies or refers to the claim that either the patient or health
provider submitted to the insurance company Answer - Claim number
Beginning and end dates of the health related service a patient received from a
provider Answer - Date of service
Amount of money that a patient's insurance company did not pay the provider
Answer - Not allowed amount
Amount of money a patient goes as a share of the bill Answer - Coinsurance
copayment amount
Amount of provider billed the patient's insurance company for a service
Answer - Charge
Number assigned to a patient by the insurance company which should match
the number on the patient's insurance card Answer - Insurance ID number
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