Question 1

The most important function of a practice management system is

Accepted Answer

A)   electronic health records.
B)   rescheduling.
C)   accounts receivable.
D)   word processing.

Question 2

An automatic logoff that prevents unauthorized users from accessing a computer is a/an __ safeguard.

Accepted Answer

The answer of An automatic logoff that prevents unauthorized users...

Question 3

What are the three kinds of information system safeguards and security measures?

Accepted Answer

Administra...

Question 4

The three-digit standard transaction for transmission of the electronic claim is referred to in the physician's office as ___.

Accepted Answer

837P

Question 5

List common electronic claim submission errors that have resulted from the upgrade to Version 5010 of the electronic claims submission standards.

Accepted Answer

Billing provider address, Zip ...

Question 6

To ensure that data has been effectively backed up on the practice management system, verification of original records to stored information should be performed

Accepted Answer

A)   daily.
B)   weekly.
C)   monthly.
D)   annually.

Question 7

Supplemental documents that provide additional medical information to a claim are referred to as

Accepted Answer

A)   claim attachments.
B)   advanced beneficiary notices.
C)   claim reports.
D)   add-on reports.

Question 8

What is an encoder?

Accepted Answer

Add-on software for a practice...

Question 9

The establishment of standard unique patient identifiers is currently stalled due to protest that universal identifiers could be a ____ threat.

Accepted Answer

The answer of The establishment of standard unique patient identifiers...

Question 10

For assignment of benefits, each patient's ___ must be obtained.

Accepted Answer

The answer of For assignment of benefits, each patient's ___...

Question 11

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency.

-Post payments in practice management system.

Accepted Answer

A)  Daily
B)  Weekly
C)  End of month
D)  Daily or weekly

Question 12

A status report of claims is usually received ___.

Accepted Answer

The answer of A status report of claims is usually...

Question 13

A clearinghouse is a/an

Accepted Answer

A)   regional office that "clears" the signal for electronic insurance claim transmission.
B)   entity that receives transmission of insurance claims, separates the claims, and sends each one electronically to the correct insurance payer.
C)   corporation hired by the insurance company to review claims for payment.
D)   computer software system that can be purchased by the physician's office for electronic insurance claims transmission.

Question 14

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency.

-Audit claims batched and transmitted with confirmation reports.

Accepted Answer

A)  Daily
B)  Weekly
C)  End of month
D)  Daily or weekly A

Question 15

Confidential data should be stored only in the computer's hard drive.

Accepted Answer

A) True 
 B)False

Question 16

Back-and-forth communication between user and computer that occurs during online real time is called

Accepted Answer

A)   electronic remittance notice.
B)   interactive transaction.
C)   electronic communication.
D)   electronic data interchange.

Question 17

ASC X12 Version 5010 allows providers to submit claims

Accepted Answer

A)   with HCPCs codes, as needed.
B)   with CPT-4, Category II, and Category III codes.
C)   with ICD-10-CM/PCS codes.
D)   with NPI numbers for referring physicians.

Question 18

Insurance claims transmitted electronically are usually paid in

Accepted Answer

A)   1 day.
B)   2 weeks or less.
C)   3-4 weeks.
D)   4-6 weeks.

Question 19

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency.

-Note any problematic claims and resolve outstanding files.

Accepted Answer

A)  Daily
B)  Weekly
C)  End of month
D)  Daily or weekly B

Question 20

A provider is not considered a covered entity under HIPAA under which of the following circumstances?

Accepted Answer

A)   The provider has fewer than 10 employees and submits claims only on paper to Medicare.
B)   If the provider submits electronic transactions to any payer.
C)   If the provider submits paper claims to Medicare and has more than 10 employees.
D)   None of the above.

Exam 8: The Electronic Claim

The most important function of a practice management system is

Correct AnswerverifiedShow Answer

An automatic logoff that prevents unauthorized users from accessing a computer is a/an __ safeguard.

Correct AnswerverifiedShow Answer

What are the three kinds of information system safeguards and security measures?

Correct AnswerverifiedAdministra...View AnswerShow Answer

The three-digit standard transaction for transmission of the electronic claim is referred to in the physician's office as ___.

Correct Answerverified837P

List common electronic claim submission errors that have resulted from the upgrade to Version 5010 of the electronic claims submission standards.

Correct AnswerverifiedBilling provider address, Zip ...View AnswerShow Answer

To ensure that data has been effectively backed up on the practice management system, verification of original records to stored information should be performed

Correct AnswerverifiedShow Answer

Supplemental documents that provide additional medical information to a claim are referred to as

Correct AnswerverifiedShow Answer

What is an encoder?

Correct AnswerverifiedAdd-on software for a practice...View AnswerShow Answer

The establishment of standard unique patient identifiers is currently stalled due to protest that universal identifiers could be a ____ threat.

Correct AnswerverifiedShow Answer

For assignment of benefits, each patient's ___ must be obtained.

Correct AnswerverifiedShow Answer

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Post payments in practice management system.

Correct AnswerverifiedShow Answer

A status report of claims is usually received ___.

Correct AnswerverifiedShow Answer

A clearinghouse is a/an

Correct AnswerverifiedShow Answer

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Audit claims batched and transmitted with confirmation reports.

Correct AnswerverifiedA

Confidential data should be stored only in the computer's hard drive.

Correct AnswerverifiedShow Answer

Back-and-forth communication between user and computer that occurs during online real time is called

Correct AnswerverifiedShow Answer

ASC X12 Version 5010 allows providers to submit claims

Correct AnswerverifiedShow Answer

Insurance claims transmitted electronically are usually paid in

Correct AnswerverifiedShow Answer

Match the frequency with which each of the procedures described below should be done with the word correctly describing that frequency. -Note any problematic claims and resolve outstanding files.

Correct AnswerverifiedB

A provider is not considered a covered entity under HIPAA under which of the following circumstances?

Correct AnswerverifiedShow Answer

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Administra...
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Billing provider address, Zip ...
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Add-on software for a practice...
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