Revenue Chapter 9 Exam

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  1. In healthcare settings, the record of the cash the facility will receive for the services it has provided is known as
    Accounts Receivable
  2. What is a characteristic of the"old" RCM approach?
    Silo mentality
  3. Which of the following CDM data elements is nationally recognized?
    Revenue code
  4. In a typical acute care setting, Charge Entry is located in which revenue cycle area?
    Claims processing
  5. Scrubbers are used by hospitals to identify which of the following errors that can cause claim rejections or denials.
    All of the above
  6. What is the name of the notice sent after the provider files a claim that details amounts billed by the provider, amounts approved by the payer, how much the payer paid & what the patient must pay?
    EOB (Explanation of Benefits)
  7. Which of the following is not a function area of the revenue cycle?
    Cafeteria
  8. The term"soft coding" refers to
    CPT/HCPCS codes that are coded by coders
  9. Which of the following compliance documents services day to day operating instructions for administering CMS programs?
    Medicare Claims Processing Manual
  10. The difference between what is charged & what is paid is known as
    Contractual allowance
  11. All of the following elements are found in a CDM except
    ICD-10-CM code
  12. Which type of compliance guidance is used by Medicare to describe the circumstances under which specific medical supplies, services or procedures are covered nationwide by Medicare?
    National coverage
  13. Which entity is responsible for processing Part A & hospital based Part B claims for institutional services on behalf of Medicare.
    MAC (Medicare Administrative Contractor)
  14. In a typical acute care setting, Admitting is located in which revenue cycle area?
    Pre-claims submission
  15. Which of the following is the definition of revenue cycle management?
    Coordination of all administrative & clinical functions that contribute to the capture, management & collection of patient service revenue.
  16. In a typical acute care setting, the EOB, MSN, & the RA documents (provided by the payer) are monitored in which revenue cycle area?.
    Claims reconciliation/collections
  17. Which type of compliance guidance is used by Medicare to communicate policies & procedures for the prospective payment systems' manual?
    CMS Program Transmittals
  18. The amount of money owed a healthcare facility when claims are pending is called
    Dollars in AR
  19. Which of the following is not a benefit of an integrated revenue cycle?
    Separation of physician practices
  20. In a typical acute care setting, which revenue cycle area uses an internal auditing system (scrubber) to ensure that error free claims (clean claims) are submitted to 3rd party payers?
    Claims processing
  21. When revenue cycle analyst examine MS-DRG relationships reporting they examine MS-DRG families for differences _____ reporting.
    Complication/comorbidity
  22. In a typical acute care setting, Aging of Accounts reports are monitored in which revenue cycle area?
    Accounts Receivable
  23. T or F There are nationally recognized rules regarding the use of charge descriptions for CPT codes in the CDM.
    False
  24. T or F In regards to AR management, the older the account or the longer the account remains unpaid, the less of a chance that the facility will receive reimbursement for the encounter.
    True
  25. The dollar amount the facility actually bills for the services it provides is known as
    Charge
  26. Most facilities begin counting days in accounts receivable at which of the following times?
    The date the bill drops
  27. The RA is provided to which party?
    Both A & B Patient & facility
  28. Which of the following is not used to reconcile accounts in the patient accounting department?
    Medicare Code Editor
  29. In a typical acute care setting, Patient Education of Payment Policies is located in which revenue cycle area?
    Pre-claims submission

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Author:
TASFiberArt
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336238
Filename:
Revenue Chapter 9 Exam
Updated:
2017-11-24 20:47:30
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