CPPM CHAPTER 3 (REVENUE CYCLE
MANAGEMENT) QUESTIONS AND
ANSWERS 100% CORRECT
When do you collect copay's? - ANSWER-Collect all money due at time of service.
An effective revenue cycle policy would allow for several different adjustment codes,
why? - ANSWER-To accurately track what adjustments were being made to accounts.
Spending time on the phone resolving claim denials is cost effective for what denials? -
ANSWER-Only high dollar accounts.
Maintaining good control of denial codes, reasons, and prevention is what? - ANSWER-
Denial Management
Name 6 ways to prevent denials - ANSWER-Educate and communicate
Verify insurance prior to service
Know your payors
Document appropriately
Take advantage of technology
Monitor, analyze, and revise
What is the A & R Summary / Aged Trial Balance - ANSWER-Length of time charges
have been outstanding
What is the Days in A / R Report? - ANSWER-How long it takes a business to collect on
Charges
How to calculate Days in A / R? - ANSWER-Total A /R divided by Total charges
Net Collection Ratio is what? - ANSWER-Identifies how well a practice collects
allowable charges.
How to calculate the Net Collection Ratio? - ANSWER-Divide total payments (receipts)
received by the total charges, minus write offs
What is Adjustment to Collection Ratio - ANSWER-Identifies the improper fluctuations of
adjustments.
Total adjustments for period divided by total collections for period.
Most insurance payers will pay a predetermined set amount for each procedure code.
What is this payment methodology known as? - ANSWER-Prospective Fee Schedule
MANAGEMENT) QUESTIONS AND
ANSWERS 100% CORRECT
When do you collect copay's? - ANSWER-Collect all money due at time of service.
An effective revenue cycle policy would allow for several different adjustment codes,
why? - ANSWER-To accurately track what adjustments were being made to accounts.
Spending time on the phone resolving claim denials is cost effective for what denials? -
ANSWER-Only high dollar accounts.
Maintaining good control of denial codes, reasons, and prevention is what? - ANSWER-
Denial Management
Name 6 ways to prevent denials - ANSWER-Educate and communicate
Verify insurance prior to service
Know your payors
Document appropriately
Take advantage of technology
Monitor, analyze, and revise
What is the A & R Summary / Aged Trial Balance - ANSWER-Length of time charges
have been outstanding
What is the Days in A / R Report? - ANSWER-How long it takes a business to collect on
Charges
How to calculate Days in A / R? - ANSWER-Total A /R divided by Total charges
Net Collection Ratio is what? - ANSWER-Identifies how well a practice collects
allowable charges.
How to calculate the Net Collection Ratio? - ANSWER-Divide total payments (receipts)
received by the total charges, minus write offs
What is Adjustment to Collection Ratio - ANSWER-Identifies the improper fluctuations of
adjustments.
Total adjustments for period divided by total collections for period.
Most insurance payers will pay a predetermined set amount for each procedure code.
What is this payment methodology known as? - ANSWER-Prospective Fee Schedule
