Question 1

For what type of claims is the Prescription Date field required?

Accepted Answer

The Prescription Date field is typically required for vision and hearing claims because these types of claims often involve devices or treatments that must be prescribed by a healthcare professional, such as eyeglasses, contact lenses, or hearing aids.

Question 2

Identify the fields that must be completed in the EDI tab.

Accepted Answer

All of the relevant fields must be completed in the EDI tab, ensuring that only necessary and applicable information is provided for the specific context or transaction.

Question 3

Identify a situation in which the Insurance Type Code field must be completed.

Accepted Answer

When sending Medicare secondary claims, the Insurance Type Code field must be completed to indicate the type of insurance that is primary, as Medicare is the secondary payer in this scenario.

Question 4

What is a CLIA number?

Accepted Answer

A CLIA number refers to a Clinical Laboratory Improvement Amendments number, which is a unique identifier for laboratories that meet certain certification standards to ensure the quality and reliability of their testing.

Question 5

Which of these fields should be completed on the EDI tab if a physician is billing for hospice care?

Accepted Answer

The Hospice Number field should be completed on the EDI tab when a physician is billing for hospice care, as it specifically relates to services provided under a hospice program.

Question 6

What radio button must be clicked for the Edit Case button to be displayed?

Accepted Answer

The Edit Case button would logically be displayed when the Case radio button is clicked, as it directly relates to editing case-specific information.

Question 7

Identify the way that a case can be opened for editing.

Accepted Answer

Options A and B are both correct ways to open a case for editing, making option D, which includes both methods, the correct answer.

Quiz 4: Working With Cases