Chapter 9 Test example #41692

Which of the following is the definition of revenue cycle management?

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, and what the patient must pay?

In a typical acute-care setting, admitting is located in which revenue cycle area?

In healthcare settings, the record of the cash the facility will receive for the service it has provided is known as which of the following terms?

The amount of money owed a healthcare facility when claims are pending is called?

The remittance advice is provided to which party?

In a typical acute-care setting, aging of accounts reports are monitored in which revenue cycle area?

In regard to accounts receivable 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.

The difference between what is charged and what is paid is known as?

The term "soft coding" refers to?

Which is a characteristic of the "old" RCM approach?

When revenue cycle analysts examine MS-DRG relationships reporting they examine MS-DRG families for differences in_________ reporting?

In a typical acute-care setting, patient education of payment policies is located in which revenue cycle area?

Which of the following is not a benefit of an integrated revenue cycle?

In a typical acute-care setting, the explanation of benefits, Medicare summary notice, and remittance advice documents (provided by the payer) are monitored in which revenue cycle area?

Which type of compliance guidance is used by Medicare to communicate policies and procedures for the specific prospective payment systems manuals?

Which entity is responsible for processing Part A claims and hospital-based Part B claims for institutional services on behalf of Medicare?

Which type of compliance is used by Medicare to describe the circumstances under which specific medical supplies, services or procedures are covered nationwide by Medicare?

Which of the following is not a use of the CDM?

Which of the following is not a function area of the revenue cycle?

The dollar amount the facility actually bills for the services it provides is known as?

Which of the following CDM data element is nationally recognized?

In a typical acute-care setting, charge entry is located in which revenue cycle area?

Which of the following is not used to reconcile accounts in the patient accounting department?

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 third-party payers?

Scrubbers are used by hospitals to identify which of the following errors that can cause claims rejection or denials?

All of the following elements are found in a charge description master, except?

Most facilities begin counting days in accounts receivable at which of the following times?

Which of the following compliance documents services as day-to-day operating instructions for administering CMS programs?

There are nationally recognized rules regarding the use of charge descriptions for CPT codes in the CDM?