PRACTICE TEST 1: REVENUE CYCLE
EXAM QUESTIONS AND ANSWERS
100% CORRECT
using the charge description master to automatically link a service to the appropriate
CPT/HCPCS code is referred to as - ANSWER-hard coding
after appropriate diagnostic and procedural codes are assigned, which of the following
must be performed for the provider to be reimbursed in a fee-for-service payment
arrangement? - ANSWER-assign a fee to each service from the provider's standard fee
schedule
joe patient was admitted to community hospital. two days later, he was transferred to
big medical center for further evaluation and treatment. he was discharged to home
after three days. community hospital will receive from medicare - ANSWER-a per diem
rate for the two-day stay and big medical center will receive the full DRG payment
a clinical documentation improvement (CDI) program facilities accurate coding and
helps coders avoid: - ANSWER-assumption coding
the deception or misrepresentation by a healthcare provided that may result in a false or
fictitious claim for inappropriate payment by medicare or other insurers for items or
services either not rendered or rendered to a lesser extent than described in the claim is
- ANSWER-healthcare fraud
a ________assists in educating medical staff members on documentation needed for
accurate billing. - ANSWER-physician champion
the accounts not selected for billing report is used to track accounts that are: -
ANSWER-in bill hold or in error and awaiting billing
which of the following plans reimburses patients up to a specified amount? - ANSWER-
coinsurance
which of the following terms is used for the amount charged for a medical insurance
policy? - ANSWER-premium
major medical insurance covers - ANSWER-catastrophic illnesses and injuries
in processing a bill for healthcare services, which of the following would be excluded
under medicare Part A? - ANSWER-dental services
EXAM QUESTIONS AND ANSWERS
100% CORRECT
using the charge description master to automatically link a service to the appropriate
CPT/HCPCS code is referred to as - ANSWER-hard coding
after appropriate diagnostic and procedural codes are assigned, which of the following
must be performed for the provider to be reimbursed in a fee-for-service payment
arrangement? - ANSWER-assign a fee to each service from the provider's standard fee
schedule
joe patient was admitted to community hospital. two days later, he was transferred to
big medical center for further evaluation and treatment. he was discharged to home
after three days. community hospital will receive from medicare - ANSWER-a per diem
rate for the two-day stay and big medical center will receive the full DRG payment
a clinical documentation improvement (CDI) program facilities accurate coding and
helps coders avoid: - ANSWER-assumption coding
the deception or misrepresentation by a healthcare provided that may result in a false or
fictitious claim for inappropriate payment by medicare or other insurers for items or
services either not rendered or rendered to a lesser extent than described in the claim is
- ANSWER-healthcare fraud
a ________assists in educating medical staff members on documentation needed for
accurate billing. - ANSWER-physician champion
the accounts not selected for billing report is used to track accounts that are: -
ANSWER-in bill hold or in error and awaiting billing
which of the following plans reimburses patients up to a specified amount? - ANSWER-
coinsurance
which of the following terms is used for the amount charged for a medical insurance
policy? - ANSWER-premium
major medical insurance covers - ANSWER-catastrophic illnesses and injuries
in processing a bill for healthcare services, which of the following would be excluded
under medicare Part A? - ANSWER-dental services
