Clearinghouses Process Claims in an Electronic Flat File Format, Which

question 38

Multiple Choice

Clearinghouses process claims in an electronic flat file format, which requires conversion of CMS-1500 claims data to a standard format. Providers can also use software to convert claims to an electronic flat file format, also known as a(n) __________, which is a series of fixed-length records (e.g., 25 spaces for patient's name) submitted to payers as a bill for health care services.

• A) common data file
• B) electronic media claim
• C) patient ledger
• D) source document

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Definitions:

Role Overload

Role overload occurs when an individual is expected to fulfill more roles or tasks than is feasible within given time constraints, leading to stress or inability to perform effectively.

Executives

Senior-level employees responsible for making overarching strategic decisions within an organization.

Workforce Engaged

The level of emotional and intellectual commitment employees have towards their organization and its goals.

Harshness

The tendency to perceive the job performance of ratees as especially ineffective.