CHAM MEDICARE TEST BANK 2026
COMPREHENSIVE QUESTIONS AND
ACCURATE SOLUTIONS VERIFIED
◉ What qualifier is used in block 19 of the CMS-1500 claim form to
indicate 'Goals, Rehabilitation Potential or Discharge Plans'? Answer:
DCP
◉ What is a claim that is submitted within the insurance carrier's time
limit, has no deficiencies and passes all electronic edits? Answer: clean
◉ What is the block number of the CMS-1500 claim form used to report
the NPI number of the facility? Answer: block33a
◉ Who is charged with the task of standardizing national instructions for
completion of the CMS-1500 claim form? Answer: National Uniform
Claim Committee (NUCC)
◉ What voluntary organization developed the CMS 1500 claim form?
Answer: National Uniform Claim Committee
◉ What is a claim submitted to the insurance carrier via Internet
connection referred to as? Answer: electronic
, ◉ What information must be completed regarding the patient's when
filling out a claim form for a patient with group insurance coverage?
Answer: employer
◉ How many days should copies of submitted claim forms be followed
up on? Answer: 30
◉ What may be necessary to support medical necessity? Answer:
Abstraction of technical information from patient records
◉ Where can the CMS-1500 paper claim be purchased? Answer: AMA
◉ What is the block number of the CMS-1500 claim form used to report
the NPI number of the referring, ordering or supervising provider?
Answer: block17b
◉ What should be done if a CMS-1500 claim is denied due to a global
surgical period? Answer: Resubmit the claim with the appropriate
modifier.
◉ What is a paper claim that does not have any staples or highlighted
areas called? Answer: physically clean claim
◉ What is the CMS-1500 known as? Answer: standard paper claim
COMPREHENSIVE QUESTIONS AND
ACCURATE SOLUTIONS VERIFIED
◉ What qualifier is used in block 19 of the CMS-1500 claim form to
indicate 'Goals, Rehabilitation Potential or Discharge Plans'? Answer:
DCP
◉ What is a claim that is submitted within the insurance carrier's time
limit, has no deficiencies and passes all electronic edits? Answer: clean
◉ What is the block number of the CMS-1500 claim form used to report
the NPI number of the facility? Answer: block33a
◉ Who is charged with the task of standardizing national instructions for
completion of the CMS-1500 claim form? Answer: National Uniform
Claim Committee (NUCC)
◉ What voluntary organization developed the CMS 1500 claim form?
Answer: National Uniform Claim Committee
◉ What is a claim submitted to the insurance carrier via Internet
connection referred to as? Answer: electronic
, ◉ What information must be completed regarding the patient's when
filling out a claim form for a patient with group insurance coverage?
Answer: employer
◉ How many days should copies of submitted claim forms be followed
up on? Answer: 30
◉ What may be necessary to support medical necessity? Answer:
Abstraction of technical information from patient records
◉ Where can the CMS-1500 paper claim be purchased? Answer: AMA
◉ What is the block number of the CMS-1500 claim form used to report
the NPI number of the referring, ordering or supervising provider?
Answer: block17b
◉ What should be done if a CMS-1500 claim is denied due to a global
surgical period? Answer: Resubmit the claim with the appropriate
modifier.
◉ What is a paper claim that does not have any staples or highlighted
areas called? Answer: physically clean claim
◉ What is the CMS-1500 known as? Answer: standard paper claim
