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CMS FUNDAMENTALS PROCTORED COMPLETE)AGRADE (DME) Durable medical equipment - ANSW..Equipment that can withstand repeated use; DME is also referred to as durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS$17.99
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CMS FUNDAMENTALS PROCTORED COMPLETE)AGRADE (DME) Durable medical equipment - ANSW..Equipment that can withstand repeated use; DME is also referred to as durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS
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Course
CMS FUNDAMENTALS PROCTOR
Institution
CMS FUNDAMENTALS PROCTOR
CMS FUNDAMENTALS PROCTORED
COMPLETE)AGRADE
(DME) Durable medical equipment -
ANSW..Equipment that can withstand repeated
use; DME is also referred to as durable medical
equipment, prosthetics, orthotics, and supplies (DMEPOS
(DME) Durable medical equipment -
✔✔ANSW✔✔..Equipment that can withstand repeated
use; DME is also referred to as durable medical
equipment, prosthetics, orthotics, and supplies (DMEPOS)
(EDI)Electronic data interchange - ✔✔ANSW✔✔..A
secure system-to-system interchange of data in a
standardized format.
(NPI) National provider identifier - ✔✔ANSW✔✔..unique
identifier issued by CMS as the standard of identification
for health care providers
(NUCC) nATIONAL uNIFORM cLAIM cOMMITTEE -
✔✔ANSW✔✔..LED BY THE AMERICAN MEDICAL
ASSOCIATION (ama) AND DETERMINES THE
CONTENT OF cms-1500 CLAIM FORM
(OCR) Optical Character Reader guideline -
✔✔ANSW✔✔..Use uppercase alpha characters
(PHI) Protected Health Information -
✔✔ANSW✔✔..Individually identifiable health information
that is maintained or trnsmitted by health care providers
, 837 claim - ✔✔ANSW✔✔..HIPAA-mandated electronic
transaction standard for claims
Adjudication - ✔✔ANSW✔✔..Process health plans follow
to examine claims and determine payment
Audit - ✔✔ANSW✔✔..Review or formal examination of a
provider's accounting or a patient's medical records
Carrier Block on CMS-1500 - ✔✔ANSW✔✔..Located on
the upper right corner. Allow for a four-line address for the
payer
Clearinghouse - ✔✔ANSW✔✔..Edits and routes electronic
claims to the insurance carrier for payment
CMS-1500 - ✔✔ANSW✔✔..Claim form used to submit
paper claims fo services and procedures rendered by
physicians and other health care professional on an
outpatient basis
Continuity of care - ✔✔ANSW✔✔..Coordinating treatment
and health services between patients' health care
providers
Covered Entities - ✔✔ANSW✔✔..Health plans, health
care clearinghouses, or health care providers that conduct
health information in electronic form in connection with a
transaction covered by HIPAA
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