Name four of the eight EDI transactions required by HIPAA
What will be an ideal response?
Any four of the following:
Claims or equivalent encounters and coordination of benefits (ANSI 837)
Remittance and payment advice (ANSI 835)
Claims status inquiry (ANSI 276) and response (ANSI 277)
Eligibility and benefit inquiry (ANSI 270) and response (ANSI 271)
Referral certification and authorization (ANSI 278)
Health plan premium payments (ANSI 820)
Enrollment and de-enrollment in a health plan (ANSI 834)
Retail drug claims, coordination of drug benefits and eligibility inquiry (NCPDP 5.1)
You might also like to view...
Which of the following is a general sense?
A) Smell B) Balance C) Taste D) Temperature
An 84-year-old female has fallen down six steps, landing on carpet. She complains of abdominal and pelvic pain. Her airway is open, breathing adequate, and radial pulse intact. Skin is cool and dry with a noted tear to the left elbow with minor bleeding. EMRs report the following vital signs: pulse 84, respirations 20, blood pressure 126/68, and SpO2 97% on room air. Her family states she is
acting normally. The hips are easily moved and do not appear broken. The patient does not want to go to the hospital and is asking to refuse. Your next action would be to: A) ask to see what medications she is taking. B) clean and wrap the skin tear to prevent infection. C) ask family members for their input. D) contact medical direction for authorization to refuse.
Select the appropriate ICD-9-CM procedure code using an ICD-9-CM code book for the statements given in the following questions
Injection of anesthetic into spinal canal for analgesia
What element is missing from the communication circle in the figure?
A. Body language B. Interference C. Personal space D. Feedback E. Receiver