CMS-1500 HEALTH INSURANCE CLAIM FORM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
HCFA stands for : Ans✓✓✓Health Care Financing Administration
The HCFA-1500 paper health insurance form was developed in______
by ________________ : Ans✓✓✓1975; Health Care Financing
Administration (HCFA)
The HCFA claim form was developed to be used by providers for what
purpose? Ans✓✓✓Billing Medicare for outpatient services
HCFA changed its name to what in July of 2001? Ans✓✓✓Center for
Medicare and Medicaid Services (CMS)
HCFA-1500 claim form was changed to this in July of 2001 :
Ans✓✓✓CMS-1500 Universal Claim Form
For EVERY patient, the patient's insurance company should be
contacted to verify what? Ans✓✓✓1) The patient's eligibility
2) Coverage is in effect
3) Which benefit plan the patient has
The paper CMS-1500 claim form can be submitted via what means?
Ans✓✓✓Mailed; or scanned & submitted
, Medicare & Medicaid claim forms may be submitted electronically
using the : Ans✓✓✓837P standardized encrypted format
As of October 16, 2003, HIPAA required all claim forms to be
submitted electronically with what exception? Ans✓✓✓Claims
submitted to smaller companies
Verification of eligibility, coverage, and insurance plan helps the billing
specialist with what? Ans✓✓✓1) Faster processing of the patient's
services
2) Knowing which expenses the patient is responsible for
3) Assisting in patient education of insurance coverage
Electronic claims can be submitted in three ways. They are? Ans✓✓✓1)
Direct data entry
2) Dial-up telephone
3) Computer over the internet
What is Direct Data Entry? Ans✓✓✓Data is electronically transmitted
from a provider's computer system into a health insurer's computer
system.
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
HCFA stands for : Ans✓✓✓Health Care Financing Administration
The HCFA-1500 paper health insurance form was developed in______
by ________________ : Ans✓✓✓1975; Health Care Financing
Administration (HCFA)
The HCFA claim form was developed to be used by providers for what
purpose? Ans✓✓✓Billing Medicare for outpatient services
HCFA changed its name to what in July of 2001? Ans✓✓✓Center for
Medicare and Medicaid Services (CMS)
HCFA-1500 claim form was changed to this in July of 2001 :
Ans✓✓✓CMS-1500 Universal Claim Form
For EVERY patient, the patient's insurance company should be
contacted to verify what? Ans✓✓✓1) The patient's eligibility
2) Coverage is in effect
3) Which benefit plan the patient has
The paper CMS-1500 claim form can be submitted via what means?
Ans✓✓✓Mailed; or scanned & submitted
, Medicare & Medicaid claim forms may be submitted electronically
using the : Ans✓✓✓837P standardized encrypted format
As of October 16, 2003, HIPAA required all claim forms to be
submitted electronically with what exception? Ans✓✓✓Claims
submitted to smaller companies
Verification of eligibility, coverage, and insurance plan helps the billing
specialist with what? Ans✓✓✓1) Faster processing of the patient's
services
2) Knowing which expenses the patient is responsible for
3) Assisting in patient education of insurance coverage
Electronic claims can be submitted in three ways. They are? Ans✓✓✓1)
Direct data entry
2) Dial-up telephone
3) Computer over the internet
What is Direct Data Entry? Ans✓✓✓Data is electronically transmitted
from a provider's computer system into a health insurer's computer
system.
