Introduction To Benefit Coding Process

14 Questions | Total Attempts: 149

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Introduction To Benefit Coding Process

Questions and Answers
  • 1. 
    Who is responsible for translating the requested benefits into codes understandable to the system? (1 Mark)
    • A. 

      Code Tester

    • B. 

      Benefit Coder

    • C. 

      NASCO

    • D. 

      NPS

  • 2. 
    What is the single system solution helps the process of benefit coding? (1 Mark)
    • A. 

      NASCO

    • B. 

      NPS

    • C. 

      IBM

    • D. 

      Benefit Coder

  • 3. 
    What are the advantages of coding the benefits? (5 Marks)  Choose the correct five values from the given options.
    • A. 

      Less Memory Space

    • B. 

      Easy Understanding

    • C. 

      Security

    • D. 

      Enhancement of Auto-Adjudication

    • E. 

      Quick Claim Processing

    • F. 

      Reduced Time

    • G. 

      Easy to Code

    • H. 

      Less Paperwork

  • 4. 
    Once the Claim is entered into the claim processing system, the system checks the validity of that claim. (1 Mark)
    • A. 

      True

    • B. 

      False

  • 5. 
    NASCO stands for _________________________________________________ (1 Mark)
  • 6. 
    NASCO proviodes the single system solution to the insurance plans for processing of claims. (1 Mark)
    • A. 

      True

    • B. 

      False

  • 7. 
    NASCO, LLC., was found in ____________ (1 Mark)
    • A. 

      1897

    • B. 

      1987

    • C. 

      1978

    • D. 

      1879

  • 8. 
    Usage of NASCO by the insurance companies results in __________________, __________________ & ____________________ (3 Marks)
    • A. 

      Reduced Costs

    • B. 

      Easy access

    • C. 

      Reduced maintenance

    • D. 

      Increasing quality

    • E. 

      Increasing Manpower

    • F. 

      Increasing performance

  • 9. 
    When Benefit Coding is implemented, Manual Intervention is increased. (1 Mark)
    • A. 

      True

    • B. 

      False

  • 10. 
    What are the analytical skills a benefit coder must possess? (5 Marks)
  • 11. 
    What is the term refer the description of benefits required by the contractual agreement between the plan and the customer? (1 Mark)
    • A. 

      Benefit form

    • B. 

      Business Requirement

    • C. 

      Contracted Benefits

    • D. 

      None of the above

  • 12. 
    ________________________________ Phrase refers to the layers of a benefit package that have a three dimensional quality. (1 Mark)
    • A. 

      Benefit File

    • B. 

      Benefit Structure

    • C. 

      Benefit String

    • D. 

      Benefit Database

  • 13. 
    NASCO’s System Infrastructure is supported by ___________________________ (1 Mark)
    • A. 

      NPS

    • B. 

      Secret Agent

    • C. 

      IBM

    • D. 

      Service Provider

  • 14. 
    What language is a benefit coder reading when they read the Benefit File? (2 Marks) Choose the Correct two values from the given options.
    • A. 

      Basic Values

    • B. 

      NASCO

    • C. 

      Benefit Plan

    • D. 

      Mnemonics

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