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Ch. 7 Medisoft
Test Description: A
Instructions: Answer all questions to get your test result.
1) Which of the following is a claim that contains all of the correct information required for processing?
A
Clean Claim
B
Navigator Claim
C
Filtered Claim
2) Which of the following is a condition that data must meet to be included in the selection process?
A
Navigator Buttons
B
Clean Claim
C
Filter
3) Navigator buttons are:
A
Buttons that data must meet to be included in the selection.
B
Buttons that simplify the task of moving from one entry to another.
C
Buttons that filter clean claims for insurance carriers.
4) If an error is found on a claim, how is it corrected?
A
Select claim, click edit, make changes, save
B
Select claim, make changes, save, create
C
Click edit, make changes, change status, save
5) The Health Insurance Portability and Accountability Act's standard format for electronic transmission of a claim submitted to a health plan is called:
A
HIPAA X12 843
B
HIPAA X12 873
C
HIPAA X12 837
6) The List Only feature is used for:
A
Filtering results in the procedures and diagnosis dialog box
B
Filtering clean claims by using navigator buttons
C
Filtering results in the claim management dialog box
7) Where is information about electronic claim attachments entered?
A
The EDI area
B
The X12 area of the claim status dialog box
C
Claim Management Dialog Box
8) How would you create claims for a specific insurance company?
A
Create claim, enter policy number, create
B
Create claims, enter insurance carrier code, create
C
Create claims, enter insurance company code, create
9) If claims were not created and transmitted, it is likely that the practice would not receive payment from the insurance plan.
A
True
B
False
10) Which of the following are reasons why it is so important to submit a claim complete and on time?
A
Payments of an unclean claim may be delayed
B
To ensure the claim is not rejected
C
All of the above
D
Unclean claims require extra staff time costing more labor fees
*select an answer for all questions
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