CLAIM COMPLETION

Question 1

it occurs in the billing software, using data screens established in the patient account and combined with charges captured from encounter forms

Answer 1

Claim Completion

Question 2

maintains instruction for manual claim form completion with the goal of claim standardization

Answer 2

National Uniform Claim Committee (NUCC)

Question 3

original claim form, paper format

Answer 3

CMS-1500

Question 4

current format & instructions, electronic version of CMS-1500

Answer 4

837P

Question 5

If a question cannot be answered, should we leave the field blank?

Answer 5

Yes, leave the field blank rather than filling in a negative response such as “none”

Question 6

According to the NUCC, the correct date format for entering a DOB on a claim

Answer 6

2-digit (mm)
2-digit (dd)
4-digits (yyyy)

Question 7

CMS-1500 forms are used to provide what type of information?

Answer 7

provide the payer w/ necessary identifying info of the pt and the servicing provider, such as

patient demographics;
date of service;
insurance ID number; and service provided

Question 8

these are the basic qs payers want to be answered in the claim form

Answer 8

Who, what, when, why, where, & how