Which of the following pieces of information is required on the CMS-1500 claim form?
The date the patient's illness ended
The patient's filing limits
The patient's previous account balance
The patient's insurance identification number
The Correct Answer is D
A. The date the patient's illness ended: The form does not require the end date of the patient’s illness, but the date of service and diagnosis are needed.
B. The patient's filing limits: Filing limits are set by the insurance carrier and are not required information on the CMS-1500 form.
C. The patient's previous account balance: The previous account balance is not required on the claim form; this form is for billing current services.
D. The patient's insurance identification number: The patient's insurance identification number is required to process the claim with the correct insurance provider.
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Related Questions
Correct Answer is C
Explanation
Correct answer: C
A. A steady pulse rhythm in a 16-year-old male patient. A steady pulse rhythm is normal and within the expected range for a 16-year-old male.
B. A pulse rate of 68/min in a 35-year-old female patient: A pulse rate of 68/min is within the normal resting heart rate range for a 35-year-old female (60-100/min).
C. A bounding pulse volume in a 56-year-old male patient: A bounding pulse volume indicates an unusually strong pulse, which could be a sign of hypertension or other circulatory issues and should be reported.
D. A pulse rate of 120/min in a 22-year-old female patient: A pulse rate of 120/min is above the normal range (tachycardia) and should be reported, as it could indicate a cardiac or systemic problem.
Correct Answer is A
Explanation
A. Comprehensive care: Comprehensive care refers to the delivery of a wide range of services, including preventative and wellness care, addressing all aspects of a patient’s health.
B. Coordinated care: Coordinated care involves organizing patient care activities and sharing information among all participants concerned with a patient’s care but does not specifically refer to preventative and wellness care.
C. Accessible services: Accessible services ensure that patients can obtain care when needed but do not specifically address preventative and wellness care.
D. Quality and safety: Quality and safety refer to the overall standards and safety measures in care delivery rather than specifically addressing preventative and wellness care.
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