Accredited Test Bank Solution For
Medical Insurance A Revenue Cycle
Process Approach 9th Edition by Joanne
Valerius; Nenna Bayes; Cynthia Newby;
Amy Blochowiak; Janet Seggern
[All Lessons Included]
Complete Chapter Solution Manual
are Included (Ch.1 to Ch.17)
• Rapid Download
• Quick Turnaround
• Complete Chapters Provided
, Table of Contents are Given Below
1. Introduction to the Revenue Cycle
2. Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients’ Health
Information
3. Patient Encounters and Billing Information
4. Diagnostic Coding: ICD-10-CM
5. Procedural Coding: CPT and HCPCS
6. Visit Charges and Compliant Billing
7. Healthcare Claim Preparation and Transmission
8. Private Payers/ACA Plans
9. Medicare
10. Medicaid
11. TRICARE and CHAMPVA
12. Workers’ Compensation and Disability/Automotive Insurance
13. Payments (RAs), Appeals, and Secondary Claims
14. Patient Billing and Collections
15. Primary Case Studies
16. RA/Secondary Case Studies
17. Hospital Billing and Reimbursement
PAGE 1
,Question 1. What is the primary purpose of the revenue cycle in healthcare?
A) To improve patient satisfaction
B) To ensure accurate billing and timely reimbursement
C) To enhance clinical outcomes
D) To manage hospital staff schedules
Answer: B
Explanation: The revenue cycle focuses on processes that ensure healthcare providers receive proper payment for
services through accurate billing and timely reimbursement.
Question 2. Which component of the revenue cycle involves capturing patient demographics and insurance
details?
A) Patient encounter documentation
B) Scheduling and registration
C) Coding and billing
D) Payment posting
Answer: B
Explanation: Scheduling and registration involve collecting patient demographics and insurance information
essential for subsequent billing processes.
Question 3. How does HIPAA protect patient health information?
A) By requiring all health data to be stored locally only
B) By establishing standards for privacy and security of protected health information (PHI)
C) By eliminating the need for patient consent for data sharing
D) By requiring patients to disclose all health information publicly
Answer: B
Explanation: HIPAA sets standards to safeguard PHI, ensuring its privacy and security during storage, sharing,
and transmission.
Question 4. What role does HITECH play in healthcare information technology?
PAGE 2
, A) It reduces the use of electronic health records (EHRs)
B) It promotes the adoption and meaningful use of EHRs with added security measures
C) It eliminates the need for data sharing
D) It limits access to health information to providers only
Answer: B
Explanation: The HITECH Act encourages the adoption of EHRs and promotes meaningful use while
strengthening security and privacy protections.
Question 5. Which statement best describes the purpose of diagnostic coding with ICD-10-CM?
A) To assign procedure codes for billing surgeries
B) To classify diseases and health conditions for documentation and billing
C) To determine insurance eligibility
D) To schedule patient appointments
Answer: B
Explanation: ICD-10-CM codes classify diseases and health conditions, facilitating accurate documentation,
billing, and statistical analysis.
Question 6. What is the primary function of CPT codes?
A) To describe diagnostic findings
B) To identify medical procedures and services for billing purposes
C) To specify patient's insurance coverage
D) To record medication prescriptions
Answer: B
Explanation: CPT codes are used to identify and bill for medical procedures and services performed by healthcare
providers.
Question 7. Which coding system is primarily used for supplies and certain services not covered by CPT?
A) ICD-10-CM
B) HCPCS Level II
PAGE 3
Medical Insurance A Revenue Cycle
Process Approach 9th Edition by Joanne
Valerius; Nenna Bayes; Cynthia Newby;
Amy Blochowiak; Janet Seggern
[All Lessons Included]
Complete Chapter Solution Manual
are Included (Ch.1 to Ch.17)
• Rapid Download
• Quick Turnaround
• Complete Chapters Provided
, Table of Contents are Given Below
1. Introduction to the Revenue Cycle
2. Electronic Health Records, HIPAA, and HITECH: Sharing and Protecting Patients’ Health
Information
3. Patient Encounters and Billing Information
4. Diagnostic Coding: ICD-10-CM
5. Procedural Coding: CPT and HCPCS
6. Visit Charges and Compliant Billing
7. Healthcare Claim Preparation and Transmission
8. Private Payers/ACA Plans
9. Medicare
10. Medicaid
11. TRICARE and CHAMPVA
12. Workers’ Compensation and Disability/Automotive Insurance
13. Payments (RAs), Appeals, and Secondary Claims
14. Patient Billing and Collections
15. Primary Case Studies
16. RA/Secondary Case Studies
17. Hospital Billing and Reimbursement
PAGE 1
,Question 1. What is the primary purpose of the revenue cycle in healthcare?
A) To improve patient satisfaction
B) To ensure accurate billing and timely reimbursement
C) To enhance clinical outcomes
D) To manage hospital staff schedules
Answer: B
Explanation: The revenue cycle focuses on processes that ensure healthcare providers receive proper payment for
services through accurate billing and timely reimbursement.
Question 2. Which component of the revenue cycle involves capturing patient demographics and insurance
details?
A) Patient encounter documentation
B) Scheduling and registration
C) Coding and billing
D) Payment posting
Answer: B
Explanation: Scheduling and registration involve collecting patient demographics and insurance information
essential for subsequent billing processes.
Question 3. How does HIPAA protect patient health information?
A) By requiring all health data to be stored locally only
B) By establishing standards for privacy and security of protected health information (PHI)
C) By eliminating the need for patient consent for data sharing
D) By requiring patients to disclose all health information publicly
Answer: B
Explanation: HIPAA sets standards to safeguard PHI, ensuring its privacy and security during storage, sharing,
and transmission.
Question 4. What role does HITECH play in healthcare information technology?
PAGE 2
, A) It reduces the use of electronic health records (EHRs)
B) It promotes the adoption and meaningful use of EHRs with added security measures
C) It eliminates the need for data sharing
D) It limits access to health information to providers only
Answer: B
Explanation: The HITECH Act encourages the adoption of EHRs and promotes meaningful use while
strengthening security and privacy protections.
Question 5. Which statement best describes the purpose of diagnostic coding with ICD-10-CM?
A) To assign procedure codes for billing surgeries
B) To classify diseases and health conditions for documentation and billing
C) To determine insurance eligibility
D) To schedule patient appointments
Answer: B
Explanation: ICD-10-CM codes classify diseases and health conditions, facilitating accurate documentation,
billing, and statistical analysis.
Question 6. What is the primary function of CPT codes?
A) To describe diagnostic findings
B) To identify medical procedures and services for billing purposes
C) To specify patient's insurance coverage
D) To record medication prescriptions
Answer: B
Explanation: CPT codes are used to identify and bill for medical procedures and services performed by healthcare
providers.
Question 7. Which coding system is primarily used for supplies and certain services not covered by CPT?
A) ICD-10-CM
B) HCPCS Level II
PAGE 3
