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Lifecycle of a Medical Claim
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Avg score: 45% • Most missed: “The department of health and human services (hhs)”
Lifecycle of a Medical Claim
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25 Questions

1. Clean claim

2. Internal audit

3. Audit

4. The department of health and human services (hhs)

5. Review that deals with accuracy—is the information contained in the documentation correct?

6. Allowed charge

7. The electronic version of the ub-04 is the

8. Revenue cycle management (rcm)

9. Advance beneficiary notice of noncoverage (abn)

10. Coverage determination.

11. Clearinghouse

12. Discharged not final billed (dnfb)

13. National uniform billing committee (nubc)

14. Selecting codes at a lower level than the service documented

15. Documents may be sent via telecommunications or physically transported on electronic storage media.

16. Carrier

17. Reconciliation

18. An independent - not-for-profit organization - the joint commission accredits and certifies more than 15 - 000 healthcare organizations and programs in the united states. Joint commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards

19. The official ub-04 data specifications manual

20. Adjudication

21. Claims log or claims register

22. Billing two or three procedures when the services are typically covered by a single comprehensive code

23. Administrative simplification compliance act

24. Electronic data interchange (edi)

25. Electronic version of the cms 1500 paper claim is the

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