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15 Cards in this Set

  • Front
  • Back
HIPAA privacy standards require providers to notify patients about their right to
Privacy
Development of an insurance claim begins when the
patient contacts the provider's office and schedules an appointment.
Which of the following is true?
Outpatient observation care can be converted to inpatient admission.
When block 27 contains an X in the YES box, the provider agrees to
Accept assignment, and collect deductible/co-payment/coinsurance amounts from the patient.
Optical character reader (OCR) guidelines were established when the
CMS-1500 claim form was developed.
When typewritten data in a CMS-1500 claim run over into adjacent blocks, the claim will be
Rejected (and the provider should correct and resubmit).


Which is the correct way to enter the amount $125.75 on the CMS-1500 claim?
125 75


A patient's name on the insurance cars reads Marvin. L. Blue III. How is that entered on the CMS-1500 claim?
BLUE III, MARVIN, L
Which is the correct way to report a patient's birth date of June, 16 1967 on the CMS-1500 claim?
06 16 1967
Which is the correct way to prepare a rejected claim for re submission?
Create the corrected claim on an original claim form.
Which is the proper format for entering the name of the provider in block 33 of the CMS-1500 claim?
Howard Hurtz MD


Which is issued by the CMS to individual provider and healthcare institutions?
NPI
If the patient does not sign block 13 of the CMS-1500 claim, the payer send reimbursement to the
Patient
When more than one diagnosis reference number is reported on a CMS-1500 claim, the first-listed code is the
Reason the patient was treated by the provider.
What type of data are required by all payers in block 24b of the CMS-1500 claim?
Place of service