REVENUE CYCLE MANAGEMENT - 4TH
TEST WITH COMPLETE SOLUTIONS
RCM pays a role in assuring facilities maintain - ANSWER-profitablity under the PPS
RCM involves decreasing - ANSWER-payment delays and lost revenue
RCM is the supervision of all - ANSWER-adminstrative and clinical functions that
contribute to the capture, management and collection of patient service revenue
High performing medical billing dept - ANSWER-30 days or less
Average performing medical billing dept - ANSWER-45-50 days
Below average performing medical billing dept - ANSWER-60 days or more
aging accounts is the % of accounts receivable in each - ANSWER-aging bucket
the older the account or the longer the account remains unpaid the less of a chance the
facility will - ANSWER-receive reimbursement for the encounter
RCM used a silo approach with each department that were - ANSWER-responsible for
its own function and contributions to the revenue cycle
The silo approach is reactive in nature and did not promote - ANSWER-communication
and collaboration
Most facilities use a MULTIDISCIPLINARY or Team Approach composed of -
ANSWER-representative from all revenue cycle areas
the multidisciplinary or team approach promotes - ANSWER-better communication and
understanding each other roles and contributions to the revenue cycle and promotes a
proactive approach to addressing reimbursement issues
Component of the RCM - ANSWER-preclaims submission activites - patient registration
Patient Registration - ANSWER-1. collecting information completely and accurately
2. determining the appropriate financial class
3. educating the patient about their financial responsibilty
4. collecting waivers
5. verify data prior to procedures
Claims processing -Claims generation - ANSWER-charge captures all billable services
TEST WITH COMPLETE SOLUTIONS
RCM pays a role in assuring facilities maintain - ANSWER-profitablity under the PPS
RCM involves decreasing - ANSWER-payment delays and lost revenue
RCM is the supervision of all - ANSWER-adminstrative and clinical functions that
contribute to the capture, management and collection of patient service revenue
High performing medical billing dept - ANSWER-30 days or less
Average performing medical billing dept - ANSWER-45-50 days
Below average performing medical billing dept - ANSWER-60 days or more
aging accounts is the % of accounts receivable in each - ANSWER-aging bucket
the older the account or the longer the account remains unpaid the less of a chance the
facility will - ANSWER-receive reimbursement for the encounter
RCM used a silo approach with each department that were - ANSWER-responsible for
its own function and contributions to the revenue cycle
The silo approach is reactive in nature and did not promote - ANSWER-communication
and collaboration
Most facilities use a MULTIDISCIPLINARY or Team Approach composed of -
ANSWER-representative from all revenue cycle areas
the multidisciplinary or team approach promotes - ANSWER-better communication and
understanding each other roles and contributions to the revenue cycle and promotes a
proactive approach to addressing reimbursement issues
Component of the RCM - ANSWER-preclaims submission activites - patient registration
Patient Registration - ANSWER-1. collecting information completely and accurately
2. determining the appropriate financial class
3. educating the patient about their financial responsibilty
4. collecting waivers
5. verify data prior to procedures
Claims processing -Claims generation - ANSWER-charge captures all billable services
