HCM 425 Quiz 5 Questions with
Correct Answers
Which are the amounts owed to a business for services or goods provided? - Answer-
accounts receivable
The transmission of claims data to payers or clearinghouses is called claims - Answer-
submission
A series of fixed-length records submitted to payers to bill for health care services is an
electronic - Answer-flat file format
A claim that is rejected because of an error or omission is considered a(n) - Answer-
open claim
The sorting of claims upon submission to collect and verify information about the patient
and provider is called claims - Answer-processing
Comparing the claim to payer edits and the patient's health plan benefits is part of
claims - Answer-adjudication
Which is the fixed amount patients pay each time they receive health care services? -
Answer-copayment
Which is the financial record source document usually generated by a hospital? -
Answer-chargemaster
Which requires providers to make certain written disclosures concerning all finance
charges and related aspects of credit transactions? - Answer-truth in lending act
Which is considered a covered entity? - Answer-private-sector payers that process
electronic claims
Which is the insurance plan responsible for paying health care insurance claims first? -
Answer-primary insurance
Secondary insurance is the insurance plan that is billed after the primary insurance plan
has paid its contracted amount and the provider's office has received a(n) __________
from the primary payer. - Answer-remittance advice
Correct Answers
Which are the amounts owed to a business for services or goods provided? - Answer-
accounts receivable
The transmission of claims data to payers or clearinghouses is called claims - Answer-
submission
A series of fixed-length records submitted to payers to bill for health care services is an
electronic - Answer-flat file format
A claim that is rejected because of an error or omission is considered a(n) - Answer-
open claim
The sorting of claims upon submission to collect and verify information about the patient
and provider is called claims - Answer-processing
Comparing the claim to payer edits and the patient's health plan benefits is part of
claims - Answer-adjudication
Which is the fixed amount patients pay each time they receive health care services? -
Answer-copayment
Which is the financial record source document usually generated by a hospital? -
Answer-chargemaster
Which requires providers to make certain written disclosures concerning all finance
charges and related aspects of credit transactions? - Answer-truth in lending act
Which is considered a covered entity? - Answer-private-sector payers that process
electronic claims
Which is the insurance plan responsible for paying health care insurance claims first? -
Answer-primary insurance
Secondary insurance is the insurance plan that is billed after the primary insurance plan
has paid its contracted amount and the provider's office has received a(n) __________
from the primary payer. - Answer-remittance advice
