Question

which is a common error that delays cms - 1500 claims processing?
dates of service for physician office encounters
incomplete patient names
prior treatment authorization numbers
units of service
question 20 (2.5 points)
hipaa administrative simplification regulations require all payers to accept_________ claims attachments.
electronic
encrypted
manual

Explanation:

• For the first question: Incomplete patient names are a common error. Without a complete name, it's hard to accurately identify the patient, causing delays. Other options like dates of service (usually standardized and less error - prone), prior treatment authorization numbers (if required, are usually known by providers), and units of service (can be verified) are less likely to be common delays compared to incomplete names.
• For the second question: HIPAA administrative simplification regulations aim to streamline processes. Electronic claims attachments are more efficient and in line with the goal of simplification. Encrypted is about security (a subset of electronic in many cases), and manual is the opposite of what simplification regulations promote.

Answer:

• First question: Incomplete patient names
• Second question: electronic