Download About medical forms | MED - Insurance Billing & Coding and more Quizzes Medical Records in PDF only on Docsity!
True or False Notes must be signed, timed, verified, and dated Falsethe correct answer is notes must be signed, timed and dated. TERM 2 True or False Discharge summaries include a final diagnosis, current condition of patient, and reason for discharge DEFINITION 2 True TERM 3 True or False Scheduling is not a use for a medical record DEFINITION 3 True TERM 4 True or False HIV requires specific authorization from the patient other than for TPO DEFINITION 4 True TERM 5 True or False Address, DOB, and fax number are all PHI DEFINITION 5 True
What type of document notifies a individual of a breach? A breach notification TERM 7 Where is an assignment of benefits statement filed? DEFINITION 7 A patient's medical record and a patient's billing record TERM 8 An RTCA generates what? DEFINITION 8 An RTCA generates the actual amount a patient will owe. TERM 9 What form does a provider complete during or after a patient's visit to summarize their billing information? DEFINITION 9 Encounter form TERM 10 This document a patient signs to indicate that they have read and understood how the provider will protect their PHI... DEFINITION 10 Acknowledgement of Receipt of Notice of Privacy Practices
What is on a Medicare Summary Notice (MSN)? services provided over a 30-day period amounts charged amounts billed TERM 17 If a Medicare PAR physician thinks that a planned procedure will not be found medically necessary by Medicare and so will not be reimbursed, the patient should be asked to sign a(n) DEFINITION 17 an advance beneficiary notice TERM 18 What is the UB-04 form used for? DEFINITION 18 the UB-04 is a paper claim for hospital billing TERM 19 What is another word for the UB- form? DEFINITION 19 CMS- TERM 20 What is the CMS-1500 used for? DEFINITION 20 a paper claim for physician service
