NHI Administrative Duties and Records 5

Question 1

In the context of medical billing, what is a 'clean claim'?

Accepted Answer

A claim free of errors that can be processed without additional information

Answer

A clean claim contains all required information and is free of errors, allowing the insurer to process and adjudicate it without requesting additional data.

Question 2

Which scheduling technique allows two patients to be booked at the same appointment time, with one seen by the physician and one completing intake paperwork?

Accepted Answer

Double booking

Answer

Double booking places two patients in the same time slot, relying on intake procedures and staggered readiness to keep the provider productive.

Question 3

When verifying a patient's insurance eligibility, which information is most critical to confirm?

Accepted Answer

Coverage effective dates, deductible status, and co-pay amounts

Answer

Confirming coverage dates, deductible status, and co-pay amounts ensures accurate billing and informs the patient of their financial responsibility before the visit.

Question 4

What is the correct action when a patient verbally requests changes to their demographic information at check-in?

Accepted Answer

Have the patient complete and sign a demographic update form

Answer

Patients should complete and sign a demographic update form so changes are documented and the updated information can be verified before entering it into the system.

Question 5

Which ICD code set is used in the United States for documenting diagnoses in medical records and claims?

Accepted Answer

ICD-10-CM

Answer

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is the US standard for coding diagnoses on claims and health records.

(NHI) National Healthcareer Institute Certification Practice Test

(NHI) National Healthcareer Institute Certification Practice Test

NHI Administrative Duties and Records 5