Healthcare Billing Terms and Form Names

Random Miscellaneous Quiz

Can you name the Healthcare Billing Terms and Form Names?

Quiz not verified by Sporcle

How to Play
A code that identifies a specific accomodation or service. It is a group of individual charges. Payors will either pay the whole claim, or they'll pay for each of these charges.
System developed my CMS to promote national coding methodologies and reduce duplicate entries
Codes which charge for the procedures performed in an outpatient setting.
Professional AND Hospital Billing claim in the electronic format.
A code used to charge for procedures performed in an inpatient stay.
A Medicare policy to determine what is and what is not covered for an encounter. It is based on medical necessity.
An electronic request for claim status. Sent by provider to payor.
A Diagnosis-related charge for inpatient stays. Only one may be assigned to a patient.
Professional Billing claim in the paper format.
Electronic form of remittance advice.
Medicare's identification number it assigns to each claim received to keep track of it.
A diagnosis-related charge for an outpatient visit. Patients can have multiple groups of these charges.
Hospital Billing claim in the paper format.
Codes which charge for supplies and equipment used in an outpatient setting.
A designation that Medicare gives to qualifying organizations which allows them to bill Medicare on UB and 1500--not just on one CMS form.
Both edit-checks a claim and determines its medium (paper or electronic)
An electronic response to a request for claim status. Sent from payor back to provider.
A document from the payor explaining what invoices are being paid and why.

Friend Scores

  Player Best Score Plays Last Played
You You haven't played this game yet.

You Might Also Like...


Created Aug 5, 2011ReportNominate
Tags:health, healthcare, insurance, money