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UB04 form is used for ✔Correct Answer-Hospice, Ambulatory Surgery Centers, Home Health Care
patient confidentiality ✔Correct Answer-treating patient's medical information as private and not
for publication
signing an Acknowledgement of Notice of Privacy Practice is accepting what ✔Correct Answer-
HIPAA
form to authorize sharing of medical information ✔Correct Answer-medical release form
standard form used for medical billing ✔Correct Answer-CMS-1500
must appear on CMS 1500 form prior to submission ✔Correct Answer-birth date in 8 digit format,
all caps
encounter form ✔Correct Answer-financial record source document to record treated diagnosis
and services rendered to the patient during the current encounter. also called the superbill
where non allowed charges are recorded ✔Correct Answer-adjustment column
10 digit numeric identifier required in box 33A of CMS 1500 ✔Correct Answer-National Provider
Identifier (NPI)
CLIA - Clinical Laboratory Improvement Act ✔Correct Answer-quality standards for lab tests
most common reason for claim rejection ✔Correct Answer-incorrect or incomplete information
PICA pitch 10 ✔Correct Answer-written CMS 1500 form
PICA pitch 12 ✔Correct Answer-electronic CMS 1500 form
delinquent claim ✔Correct Answer-not paid within a certain amount of time
implied contract ✔Correct Answer-patient scheduling an appointment with a new provider
bullet/solid circle ✔Correct Answer-symbol used to indicate a new CPT code
plus sign (+) ✔Correct Answer-add on CPT code symbol
triangle ✔Correct Answer-new/revised code in HCPCS level 1
multiple, varying wound sizes ✔Correct Answer-add the sizes together
dependents of military personnel ✔Correct Answer-required to have military ID for TriCare
insurance