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The insured's name is found in block:


A) 1
B) 2
C) 3
D) 4

E) B) and C)
F) None of the above

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The charges for procedures are listed in column __________ of block 24.

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F
The charges for pr...

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The patient's name is found in block:


A) 1
B) 2
C) 3
D) 4

E) None of the above
F) B) and D)

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The insurance claim should always be proofread.

A) True
B) False

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Claims that are done by direct billing first go to a clearinghouse.

A) True
B) False

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The CMS-1500 claim form is sometimes called a(n) __________ claim form.

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universal
The CMS-15...

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The insured's address in block 7 refers to the ______ address.


A) patient's
B) spouse's
C) policyholder's
D) insurance carrier's

E) None of the above
F) B) and D)

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The transaction and code sets for the CMS-1500 are called the:


A) 837P
B) 837CMS
C) 837HPA
D) 837

E) B) and C)
F) None of the above

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What is meant by "other insured" on the claim form?


A) The spouse of the patient
B) The insured who covers the patient on his or her insurance plan
C) The patient's other insurance
D) The patient who covers the insured on his or her insurance plan

E) None of the above
F) A) and B)

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TRICARE is a form of government insurance for veterans of the U.S.armed forces.

A) True
B) False

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Electronic claims are submitted via electronic media.

A) True
B) False

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Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.


A) clean
B) dirty
C) dingy
D) incomplete

E) A) and D)
F) None of the above

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Patients sign an __________ of benefits form so that the physician will receive payment for services directly.

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assignment
Patients sign an as...

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Intelligent __________ is the electronic scanning of printed items as images and the use of special software to read those images.

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character recognition
Intellig...

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Audit trails are not necessary in the physician's office and are usually used in hospitals.

A) True
B) False

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Which of the following would be a valid number for block 24e?


A) 3
B) 6
C) 401.1
D) 256.01

E) A) and D)
F) None of the above

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The provider can list up to __________ diagnoses on the CMS-1500 claim form.

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four
4
The provider ...

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The assignment of benefits is located in block:


A) 12
B) 13
C) 27
D) 33

E) None of the above
F) A) and B)

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The medical assistant should always follow office __________ for claim review and signatures.

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policies
The medical assistant...

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The medical assistant should do the following when a new patient comes to the office?


A) Collect the completed patient information sheet
B) Make a copy of the patient's insurance card, front and back
C) Make a copy of the patient's driver's license
D) All of the above should be done.

E) B) and D)
F) A) and B)

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