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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying powder to the site: Powder should not be applied to the site as it can interfere with electrode adhesion and signal transmission.
B. Wiping the site with alcohol and allowing to air dry: Wiping the site with alcohol helps to remove oils and debris, improving electrode adhesion and signal quality. Allowing the site to dry ensures proper contact between the electrode and the skin.
C. Taping the electrodes to the skin: Taping is not necessary if the electrodes are properly adhered with the adhesive backing. Excessive taping could cause discomfort or interfere with the electrode function.
D. Allowing the electrodes to sit for several hours before application: Electrodes should be applied immediately after preparation. Allowing them to sit for an extended period is not necessary and does not improve the quality of the EKG.
Correct Answer is C
Explanation
A. 24 hr: Urgent referrals often require quick processing, but it may take longer than 24 hours depending on the insurance company's policies.
B. 3 working days: This time frame is more typical for standard, non-urgent referrals.
C. Immediate approval via phone: Urgent referrals can sometimes be approved immediately via phone, particularly when immediate care is needed. This is the most appropriate choice for an urgent situation.
D. 10 days: Ten days is too long for an urgent referral and is more typical for non-urgent or routine requests.
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