HIM 130 CHAPTER 11 TEST ADDITIONAL INFO | QUESTIONS
AND ANSWERS | 2026 UPDATE | 100% CORRECT
Block 33 of the CMS-1500 claim requires entry of the name, address, and
telephone number of the billing entity, which is the __________. Answer -
legal business name of the practice
Which was developed by the Centers for Medicare and Medicaid Services to
assign the unique health care provider and health plan identifiers and to serve
as a database from which to extract data? Answer - NPPES
The CMS-1500 paper claim was designed to accommodate optical scanning of
__________ claims. Answer - paper
The optical scanning process uses a device that converts __________
characters into text that can be viewed by an optical character reader (OCR).
Answer - printed
Supplemental plans usually cover the deductible and copay or coinsurance of a
primary health insurance policy. Which is the best known supplemental plan?
Answer - Medigap
, Provider services for inpatient care are billed on a fee-for-service basis, and
service results in a unique and separate charge designated by a __________ or
HCPCS level II service/procedure code. Answer - CPT
Hospital inpatient charges are reported on the __________ claim. Answer -
UB-04
Which occurs when a physician in the community refers a patient to the
hospital for observation, bypassing the clinic or emergency department?
Answer - direct admission
Surgeon's charges for inpatient and outpatient surgery are billed according to a
global fee, which means that __________ cover(s) presurgical evaluation and
management, initial and subsequent hospital visits, surgical procedure, the
discharge visit, and uncomplicated postoperative follow-up care in the
surgeon's office. Answer - one charge
Postoperative complications requiring a return to the operating room for
surgery related to the original procedure are billed as an additional procedure,
and the additional procedure is linked to __________. Answer - a new
diagnosis that describes the complication
HIPAA regulations require all payers to accept __________ attachments.
Answer - electronic
When completing the CMS-1500, enter a __________ for the dollar sign or
decimal in all charges or totals and parentheses surrounding the area code in a
telephone number. Answer - space
When reporting procedures and services on the CMS-1500, list one procedure
per line, starting with line one of Block 24. To report more than six procedures
AND ANSWERS | 2026 UPDATE | 100% CORRECT
Block 33 of the CMS-1500 claim requires entry of the name, address, and
telephone number of the billing entity, which is the __________. Answer -
legal business name of the practice
Which was developed by the Centers for Medicare and Medicaid Services to
assign the unique health care provider and health plan identifiers and to serve
as a database from which to extract data? Answer - NPPES
The CMS-1500 paper claim was designed to accommodate optical scanning of
__________ claims. Answer - paper
The optical scanning process uses a device that converts __________
characters into text that can be viewed by an optical character reader (OCR).
Answer - printed
Supplemental plans usually cover the deductible and copay or coinsurance of a
primary health insurance policy. Which is the best known supplemental plan?
Answer - Medigap
, Provider services for inpatient care are billed on a fee-for-service basis, and
service results in a unique and separate charge designated by a __________ or
HCPCS level II service/procedure code. Answer - CPT
Hospital inpatient charges are reported on the __________ claim. Answer -
UB-04
Which occurs when a physician in the community refers a patient to the
hospital for observation, bypassing the clinic or emergency department?
Answer - direct admission
Surgeon's charges for inpatient and outpatient surgery are billed according to a
global fee, which means that __________ cover(s) presurgical evaluation and
management, initial and subsequent hospital visits, surgical procedure, the
discharge visit, and uncomplicated postoperative follow-up care in the
surgeon's office. Answer - one charge
Postoperative complications requiring a return to the operating room for
surgery related to the original procedure are billed as an additional procedure,
and the additional procedure is linked to __________. Answer - a new
diagnosis that describes the complication
HIPAA regulations require all payers to accept __________ attachments.
Answer - electronic
When completing the CMS-1500, enter a __________ for the dollar sign or
decimal in all charges or totals and parentheses surrounding the area code in a
telephone number. Answer - space
When reporting procedures and services on the CMS-1500, list one procedure
per line, starting with line one of Block 24. To report more than six procedures
