help please

A provider was ordered by a judge to bring a patient's medical record to a court hearing. Which document was served on teh provider instructing him/her to comply?
Answer

deposition


interrogatory

subpoena duces tecum

res ipsa loquitor

4 points
Question 2


Patients can be billed for unauthorized services.
Answer True
False

4 points
Question 3



Code combinations that cannot be reported on the same claim are called
Answer

code groups

coding conventions

edit combinations

edit pairs

4 points
Question 4


What special handling is required to release medical information for a patient who is HIV-positive?
Answer

A special notation should be made on the standard release of information.


The insurance company must speak directly with the patient about the HIV diagnosis.

The patient must sign an additional authorization statement for release of information.

The provider must not release HIV-related information unless subpoenaed.

4 points
Question 5



Which form is considered the financial source document?
Answer

day sheet

encounter form


remittance advice

explanation of benefits

4 points
Question 6


A remittance advice from Medicare is called
Answer


Medicare Explanation of Benefits


Medicare Summary Notice

Provider Remittance Advice

Provider Remittance Notice

5 points
Question 7


Patients can be billed for ______.
Answer


noncovered services

extended procedures

reduced services

unauthorized services

5 points
Question 8


Many states have enacted prompt pay legislation which requires payers to either pay or deny claims within 2 business days.
Answer True
False

5 points
Question 9


All Medicare claims must be paid within 30 days.
Answer True
False

5 points
Question 10



The CMS 1500 claim form is used exclusively by Medicare to bill for all services rendered.
Answer True
False

5 points
Question 11



The patient is responsible for the difference between the billed amount and the contracted amount.
Answer True
False

5 points
Question 12



Delinquent claims awaiting payer reimbursement are resolved with the payer as opposed to being outsourced.
Answer True
False

5 points
Question 13


The _______ prohibits 3rd party collectors from contacting debtors at odd hours.
Answer

The Equal Credit Opportunity Act

The Fair Credit Reporting Act

The Consumer Credit Protection Act of 1968

The Fair Debt Collection Practices Act