Question: Claims are electronically transmitted as __________ packets between provider and billing company, clearinghouse, or payer using the Internet or other packet-exchange network.

Answer: Data

Question: When an X is entered in one or more of the YES boxes of Block 10 on the CMS-1500 claim, payment might be the responsibility of a _________ insurance company.

Answer: homeowner’s

Question: Office and other outpatient providers submit _____ procedure and service codes to payers.

Answer: CPT/HCPCS Level II

Question: Which is responsible for developing data elements reported on the UB-04?

Answer: NUBC

Question: Which is a common error that can delay CMS-1500 claims processing?

Answer: Failing to properly link each procedure with the correct diagnosis

Question: Which statement is an accurate interpretation of the phrase “assignment of benefits”? If signed by the patient on the CMS-1500 claim the

Answer: payer is instructed to reimburse the provider directly.

Question: A chargemaster includes ancillary services provided to a hospital outpatient as four-character __________ codes, which are populated on the UB-04 claim.

Answer: revenue

Question:

Answer: Suspicious for urinary tract infection

Question: Which is considered a final step for processing CMS-1500 claims among those listed?

Answer: Submitting the completed CMS-1500 claim to the payer or clearinghouse

Question: The CMS-1500 claim is transmitted using the 837P standard format to

Answer: clearinghouses.