Homework Answers
11
1 -0- non payment /zero claim
2 Admit through /discharge
3 Interim -First claim
3 Interim contiuing claims
12 1500
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Claim Frequency Code 11. List the three types of claim frequency code. (3) Diagnosis Codes 12....
7.2 Completing the CMS-1500 Claim: Patient Information Section 1. What do Item Numbers 1 through 13...
7.2 Completing the CMS-1500 Claim: Patient Information Section 1. What do Item Numbers 1 through 13 on the CMS-1500 refer to? Where does this information come from? 2. What do Item Numbers 14 through 33 refer to? Where does this informati come from? Carrier Block 3. What information is listed in the carrier block? Patient Information 4. What information do Item Numbers 1 through 13 of the CMS-1500 contain? 5. What is the importance of completing Item Numbers 10A through...
KEY TERMS MATCHING Match the definition with the correct term from the following word list. A....
KEY TERMS 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 F. claim filing indicator code G. claim frequency code (claim submission reason code) H. claim scrubber I. clean claims J. CMS-1500 claim K. condition code L. data elements M. destination payer N. 5010 version O. HIPAA X12 276/277 Health Care Claim Status Inquiry/Response P. individual relationship code Q....
KEY TERMS to hog ho MATCHING Match the definition with the correct term from the following...
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...
7.6 Completing the HIPAA 837P Claim Provider Information 1. List the four types of providers. (2)...
7.6 Completing the HIPAA 837P Claim Provider Information 1. List the four types of providers. (2) Subscriber Information 2. How is the term subscriber used on the HIPAA 837P claim form? 3. Who is a responsible party? Claim Filing Indicator Code 4. What is a claim filing indicator code? When must it be used?! Relationship of Patient to Subscriber 5. What is an individual relationship code?
CPT Organization, Structure, and Guidelines Category II codes cover all but one of the following topics....
CPT Organization, Structure, and Guidelines Category II codes cover all but one of the following topics. Which is not addressed by Category Il codes? a. Patient management b. New technology C. Therapeutic, preventive, or other interventions d. Patient safety In CPT, the symbols are used to indicate a. Changes in verbiage within code descriptions b. A new code c. Changes in verbiage other than that in code descriptions: for example, changes in coding guidelines or parenthetical notes d. A code...
Review Questions Match the key terms with their definitions. 1. LO 7.3 billing provider 2. LO...
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...
I NEED ONLY NUMBER ONE 1 ASAP, THANK YOU! Only define them not spell. 1. Define...
I NEED ONLY NUMBER ONE 1 ASAP, THANK YOU!
Only define them not spell.
1. Define and spell the key terms os presented in the glossary 2. Define terminology necessary to understand and code medical insurance com for 3. Describe how to use the most current procedural and diagnostic coding systems 4. Code a sample claim form. 5. Apply third-party guidelines 6. Recognize common errors in completing insurance claim forms. 7. Explain the difference between the CMS-1500 (02-12) and the...
Ch 8.1 Claim Form
The objective of these exercises is to correctly complete private payer claims, applying what you have learned in the chapter. Following the information about the provider for the cases are two sections. The first section contains information about the patient, the insurance coverage, and the current medical condition. The second section is an encounter form for Valley Associates, PC. The following provider information should be used for Cases 8.4A and 8.4B Billing Provider Information: Valley Associates, PCAddress: 1400 West Center Street Toledo, OH...
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure...
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure you sequence them property according to coding conventions and guidelines, including the definition of first-listed diagnosis. Refer to the diagnostic coding and reporting guidelines for outpatient services in your textbook when assigning codes. Fever, difficulty swallowing, acute tonsilitis Chest pain, rule out arteriosclerotic heart disease 2 3 Hypertension, acute bronchitis, family history of lung cancer Lipoma, subcutaneous tissue of left thigh 4. Audible wheezing,...
Ch 16 Case Studies #9
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...
7.2 Completing the CMS-1500 Claim: Patient Information Section 1. What do Item Numbers 1 through 13 on the CMS-1500 refer to? Where does this information come from? 2. What do Item Numbers 14 through 33 refer to? Where does this informati come from? Carrier Block 3. What information is listed in the carrier block? Patient Information 4. What information do Item Numbers 1 through 13 of the CMS-1500 contain? 5. What is the importance of completing Item Numbers 10A through...
KEY TERMS 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 F. claim filing indicator code G. claim frequency code (claim submission reason code) H. claim scrubber I. clean claims J. CMS-1500 claim K. condition code L. data elements M. destination payer N. 5010 version O. HIPAA X12 276/277 Health Care Claim Status Inquiry/Response P. individual relationship code Q....
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...
7.6 Completing the HIPAA 837P Claim Provider Information 1. List the four types of providers. (2) Subscriber Information 2. How is the term subscriber used on the HIPAA 837P claim form? 3. Who is a responsible party? Claim Filing Indicator Code 4. What is a claim filing indicator code? When must it be used?! Relationship of Patient to Subscriber 5. What is an individual relationship code?
CPT Organization, Structure, and Guidelines Category II codes cover all but one of the following topics. Which is not addressed by Category Il codes? a. Patient management b. New technology C. Therapeutic, preventive, or other interventions d. Patient safety In CPT, the symbols are used to indicate a. Changes in verbiage within code descriptions b. A new code c. Changes in verbiage other than that in code descriptions: for example, changes in coding guidelines or parenthetical notes d. A code...
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...
I NEED ONLY NUMBER ONE 1 ASAP, THANK YOU!
Only define them not spell.
1. Define and spell the key terms os presented in the glossary 2. Define terminology necessary to understand and code medical insurance com for 3. Describe how to use the most current procedural and diagnostic coding systems 4. Code a sample claim form. 5. Apply third-party guidelines 6. Recognize common errors in completing insurance claim forms. 7. Explain the difference between the CMS-1500 (02-12) and the...
Instructions Assign ICD-10-CM codes to the following diagnostic statements. When multiple codes are assigned, make sure you sequence them property according to coding conventions and guidelines, including the definition of first-listed diagnosis. Refer to the diagnostic coding and reporting guidelines for outpatient services in your textbook when assigning codes. Fever, difficulty swallowing, acute tonsilitis Chest pain, rule out arteriosclerotic heart disease 2 3 Hypertension, acute bronchitis, family history of lung cancer Lipoma, subcutaneous tissue of left thigh 4. Audible wheezing,...
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