14...................................................DD service line information (details of the procedure)
15...................................................AA Rendering provider means who rendered the procedure or service
KEY TERMS MATCHING Match the definition with the correct term from the following word list. A....
KEY TERMS to hog ho MATCHING Match the definition with the correct term from the following word list. A. administrative code set B. billing provider C. carrier block D. claim attachment E claim control number claim filing indicator code G. claim frequency code (claim submission eason code) H. claim soruhter I clean claims Q. HIPAA XI2 837 Healh Care Claim Professional (R37P) R. line item conl nember S. National Uniform Claim Committee (NUCC) T. other ID nunber U. ostside lahoratory...
Review Questions Match the key terms with their definitions. 1. LO 7.3 billing provider 2. LO 7.7 clean claim 3. LO 7.6 destination payer 4. LO 7.6 line item control number 5. LO 7.3 pay-to provider 6. LO 7.4 POS code 7. LO 7.8 claim scrubber 8. LO 7.4 rendering provider 9. LO 7.5 subscriber 10. LO 7.4 taxonomy code 11. LO 7.2 carrier block 12. LO 7.1 CMS-1500 A. Claim accepted by a health plan for adjudication . Unique...
In the cases that follow, you play the role of a medical insurance specialist who is preparing HIPAA claims for transmission. Assume that you are working with the practice’s PMP to enter the transactions. The information you enter is based on the patient information form and the encounter form. • Claim control numbers are created by adding the eight-digit date to the patient account number, as in AA026-10042029. • A copayment of $15 is collected from...
oward a patien blood is artificially MATCHING 8-1:KEY TERMS AND DESCRIPTIONS Match each key term with the best description. Descriptions Key Terms A Acronym for a topical skin anesthetic Accession B. Acronym for date of birth Anchor C. As soon as possible Arm/wrist/ID band D. Behavior of a healthcare provider toward or as perceived by a patient ASAP E Do not resuscitate/do not attempt resuscita Barcode E No food or drink except water for 8 to 12 he G. Procedure...
As with a Medicare RA, when a commercial RA is received, before posting payments and preparing secondary claims that may be required you must carefully review it. When analyzing an RA from a commercial carrier, you must be familiar with the guidelines of that carrier’s particular plan. The type of services covered and the percentage of the coverage will vary, depending on whether the plan is a fee-for-service plan, a managed care plan, a consumer-driven health plan, or some other...