Executive of Healthcare Revenue Cycle
Full Exam Review (Qns & Ans)
2025
Multiple Choice Questions
Which phase of the revenue cycle is primarily responsible for
verifying patient eligibility for insurance coverage?
A) Pre-registration
B) Charge Capture
C) Collections
D) Claims Submission Correct ANS: A) Pre-registration
Rationale: Pre-registration involves verifying insurance coverage
to ensure patients are eligible for services before they receive
care.
What is the primary objective of the claims scrubber in the
revenue cycle?
©2025
,A) To increase patient satisfaction
B) To ensure timely payments
C) To identify errors in claims before submission
D) To track patient compliance Correct ANS: C) To identify
errors in claims before submission Rationale: Claims scrubbing
involves checking for and correcting errors, reducing claims
denials and improving revenue flow.
Which of the following is a key performance indicator (KPI) used
to assess the effectiveness of the revenue cycle?
A) Patient satisfaction scores
B) Days in Accounts Receivable
C) Employee turnover rate
D) Service volume Correct ANS: B) Days in Accounts
Receivable Rationale: Days in Accounts Receivable measures the
average number of days it takes to collect payment, which is
critical for assessing revenue cycle performance.
In risk-sharing agreements, what financial risk do providers
typically accept?
A) The risk associated with patient satisfaction
B) The risk of inflated billing rates
©2025
,C) The risk of underutilization of services
D) The risk of overutilization of services Correct ANS: D) The
risk of overutilization of services Rationale: Providers must
manage and balance the risk of delivering too many services
while still providing quality care to avoid losses.
Fill-in-the-Blank Questions
The ________ is a document that outlines the process for coding
and billing in compliance with relevant regulations.
Correct ANS: Compliance manual
Rationale: Compliance manuals provide guidelines to ensure
adherence to federal, state, and payer regulations.
________ reimbursement is a strategy that ties provider payment
to the quality of care provided rather than the quantity of services
delivered.
Correct ANS: Value-based
Rationale: Value-based reimbursement aligns providers' financial
incentives with patient outcomes.
The primary function of the ________ is to collect and analyze
data for improving financial performance within healthcare
organizations.
Correct ANS: revenue cycle analytics
©2025
, Rationale: Revenue cycle analytics provide insights into
operational efficiency and financial performance.
True/False Questions
True or False: The revenue cycle starts at patient discharge and
ends when the healthcare provider receives full payment.
Correct ANS: False
Rationale: The revenue cycle starts at patient registration and
continues until payment is collected in full.
True or False: Health Information Technology (HIT) plays no
significant role in enhancing revenue cycle efficiency.
Correct ANS: False
Rationale: HIT significantly enhances efficiency by automating
processes and improving accuracy throughout the revenue cycle.
True or False: Denials management is not a part of the revenue
cycle process.
Correct ANS: False
Rationale: Denials management is crucial, as managing and
analyzing denials can improve future claims submissions.
Multiple Response Questions
©2025
Full Exam Review (Qns & Ans)
2025
Multiple Choice Questions
Which phase of the revenue cycle is primarily responsible for
verifying patient eligibility for insurance coverage?
A) Pre-registration
B) Charge Capture
C) Collections
D) Claims Submission Correct ANS: A) Pre-registration
Rationale: Pre-registration involves verifying insurance coverage
to ensure patients are eligible for services before they receive
care.
What is the primary objective of the claims scrubber in the
revenue cycle?
©2025
,A) To increase patient satisfaction
B) To ensure timely payments
C) To identify errors in claims before submission
D) To track patient compliance Correct ANS: C) To identify
errors in claims before submission Rationale: Claims scrubbing
involves checking for and correcting errors, reducing claims
denials and improving revenue flow.
Which of the following is a key performance indicator (KPI) used
to assess the effectiveness of the revenue cycle?
A) Patient satisfaction scores
B) Days in Accounts Receivable
C) Employee turnover rate
D) Service volume Correct ANS: B) Days in Accounts
Receivable Rationale: Days in Accounts Receivable measures the
average number of days it takes to collect payment, which is
critical for assessing revenue cycle performance.
In risk-sharing agreements, what financial risk do providers
typically accept?
A) The risk associated with patient satisfaction
B) The risk of inflated billing rates
©2025
,C) The risk of underutilization of services
D) The risk of overutilization of services Correct ANS: D) The
risk of overutilization of services Rationale: Providers must
manage and balance the risk of delivering too many services
while still providing quality care to avoid losses.
Fill-in-the-Blank Questions
The ________ is a document that outlines the process for coding
and billing in compliance with relevant regulations.
Correct ANS: Compliance manual
Rationale: Compliance manuals provide guidelines to ensure
adherence to federal, state, and payer regulations.
________ reimbursement is a strategy that ties provider payment
to the quality of care provided rather than the quantity of services
delivered.
Correct ANS: Value-based
Rationale: Value-based reimbursement aligns providers' financial
incentives with patient outcomes.
The primary function of the ________ is to collect and analyze
data for improving financial performance within healthcare
organizations.
Correct ANS: revenue cycle analytics
©2025
, Rationale: Revenue cycle analytics provide insights into
operational efficiency and financial performance.
True/False Questions
True or False: The revenue cycle starts at patient discharge and
ends when the healthcare provider receives full payment.
Correct ANS: False
Rationale: The revenue cycle starts at patient registration and
continues until payment is collected in full.
True or False: Health Information Technology (HIT) plays no
significant role in enhancing revenue cycle efficiency.
Correct ANS: False
Rationale: HIT significantly enhances efficiency by automating
processes and improving accuracy throughout the revenue cycle.
True or False: Denials management is not a part of the revenue
cycle process.
Correct ANS: False
Rationale: Denials management is crucial, as managing and
analyzing denials can improve future claims submissions.
Multiple Response Questions
©2025
