#1
What does EDI stand for in healthcare?
Electronic Data Integration
Electronic Data Interface
Electronic Data Interchange
Electronic Data Interpretation
#2
Which of the following is a benefit of using EDI in healthcare billing and claims?
Increased paperwork
Reduced errors
Slower processing time
Limited accessibility
#3
What is a 837 file format commonly used for in healthcare EDI?
Patient records
Claims submission
Medication orders
Medical billing
#4
Which organization oversees the HIPAA-mandated standard transactions for EDI in healthcare?
CMS (Centers for Medicare & Medicaid Services)
WHO (World Health Organization)
AMA (American Medical Association)
WEDI (Workgroup for Electronic Data Interchange)
#5
Which of the following is NOT a commonly used healthcare EDI transaction type?
#6
What does the 270/271 transaction set in healthcare EDI entail?
Claim status inquiry and response
Medication dispensing
Patient scheduling
Healthcare provider enrollment
#7
Which EDI standard is widely used in the United States for healthcare transactions?
#8
Which of the following is a potential challenge of implementing EDI in healthcare?
Increased data security
Standardization of data formats
Enhanced interoperability
Reduced efficiency
#9
What is the purpose of the 835 file format in healthcare EDI?
Patient admission
Payment and remittance advice
Insurance eligibility verification
Medical coding
#10
What is a key advantage of using XML-based formats in healthcare EDI?
Human readability
Limited extensibility
High processing speed
Incompatibility with other systems
#11
In the context of healthcare EDI, what does the term 'clearinghouse' refer to?
A medical facility
A secure data storage system
An intermediary for processing and routing transactions
A billing software
#12
What is the primary purpose of the 834 file format in healthcare EDI?
Benefits enrollment and maintenance
Claims processing
Medical coding
Insurance eligibility verification
#13
Which organization is responsible for creating and maintaining the X12 standards for EDI in the United States?
American Medical Association (AMA)
Health Level Seven International (HL7)
Accredited Standards Committee X12 (ASC X12)
American National Standards Institute (ANSI)
#14
What is the purpose of the 999 transaction in healthcare EDI?
To acknowledge receipt of an inbound transaction
To provide a response to an eligibility inquiry
To report errors in a submitted transaction
To transmit payment information