Revenue Cycle Management Questions With
Absolute Answers 2025\2026 A+ Grade.
In which issue of the Federal Register are updates to Medicare outpatient
reimbursement NOT published?
- accurate answers-October
Medicare part _____ is a prescription drug benefit.
- accurate answers-Part D
_____ assignment is when a provider does not bill a patient for the difference
between the service cost and Medicare allowed.
- accurate answers-Accepting
Which of the following would be considered a discount that would be
permitted as a "safe harbor" from fraud and abuse regulations?
- accurate answers-HMO contracts with laboratory for laboratory services and
receives a discounted price.
Which is not a component that is taken into account with a Relative Value Unit
(RVU)?
- accurate answers-work, malpractice and overhead (all are listed
components)
Which group does the Medicare program not cover?
- accurate answers-Prisoners
Healthcare is more heavily regulated than most other businesses in the United
States.
- accurate answers-True
Which type of health insurance plan uses primary care clinician gatekeepers
to coordinate the care of plan participants?
- accurate answers-HMO
Which type of healthcare reimbursement system pays a fixed amount per
patient?
- accurate answers-Capitation
,A legal document required in most states for expanding a hospital is
- accurate answers-Certificate of Need
A small, closely held corporation is owned by
- accurate answers-private investors
The responsibility of medical services at most hospitals lies with
- accurate answers-The chief of staff or medical director
Home healthcare services___
- accurate answers-are eligible for Medicare and Medicare reimbursement
Hospice care___
- accurate answers-is for patients and their families.
Nursing home costs for elderly Americans___
- accurate answers-are most covered by Medicaid
The emergency department of a hospital is
- accurate answers-an out-patient facility
A not-for-profit hospital must
- accurate answers-adopt a corporate structure
Ambulatory care refers to services provided by paramedics and emergency
medical technologists while transporting a patient to the hospital.
- accurate answers-False
Most proprietorship's form professional corporations in order to
- accurate answers-reduce financial liabilities
Which of the following financial management issues differentiates healthcare
from other businesses?
- accurate answers-third party payers
Which of the following provides hospitalization insurance?
- accurate answers-Blue Cross
, An individual works at a business that covers half the cost of a group
healthcare insurance plan with the other half paid by the employee. The
individual quits his job but wishes to retain group healthcare insurance as per
COBRA. How much will he pay for coverage?
- accurate answers-Twice the amount he paid while employed plus an
administrative fee
Prescription drugs for the elderly are covered under
- accurate answers-MMA (2003)
The following is true about a preferred provider organization plans and
explain their limited ability to control healthcare costs.
- accurate answers-A PPO plan is a form of managed care in which the insurer
contracts with healthcare providers that agree to a reduced cost fee schedule.
and Covered persons who use a PPO pay less through combination of lower
premiums. lower deductibles, and smaller co-payments. A PPO plan is a fee-
for-service and providers have no incentives for reducing services.
Premiums payments from Medicare recipients cover what portions of
Medicare's prescription drug benefits?
- accurate answers-10%
Healthcare providers who participate in a capitated payment type of health
maintenance organization
- accurate answers-get paid a per member per month rate
Medicare beneficiary premiums cover only one-fourth of Medicare Part B
costs.
- accurate answers-True
A self employed person who earns $100K must pay a Medicare payroll tax of
$______.
- accurate answers-$2900 (or 2.9%)
Individuals covered by a high deductible health plan within a preferred
provider organization use fewer outpatient services and shop around for
lower cost outpatient services because they
- accurate answers-pay directly for routine care.
Absolute Answers 2025\2026 A+ Grade.
In which issue of the Federal Register are updates to Medicare outpatient
reimbursement NOT published?
- accurate answers-October
Medicare part _____ is a prescription drug benefit.
- accurate answers-Part D
_____ assignment is when a provider does not bill a patient for the difference
between the service cost and Medicare allowed.
- accurate answers-Accepting
Which of the following would be considered a discount that would be
permitted as a "safe harbor" from fraud and abuse regulations?
- accurate answers-HMO contracts with laboratory for laboratory services and
receives a discounted price.
Which is not a component that is taken into account with a Relative Value Unit
(RVU)?
- accurate answers-work, malpractice and overhead (all are listed
components)
Which group does the Medicare program not cover?
- accurate answers-Prisoners
Healthcare is more heavily regulated than most other businesses in the United
States.
- accurate answers-True
Which type of health insurance plan uses primary care clinician gatekeepers
to coordinate the care of plan participants?
- accurate answers-HMO
Which type of healthcare reimbursement system pays a fixed amount per
patient?
- accurate answers-Capitation
,A legal document required in most states for expanding a hospital is
- accurate answers-Certificate of Need
A small, closely held corporation is owned by
- accurate answers-private investors
The responsibility of medical services at most hospitals lies with
- accurate answers-The chief of staff or medical director
Home healthcare services___
- accurate answers-are eligible for Medicare and Medicare reimbursement
Hospice care___
- accurate answers-is for patients and their families.
Nursing home costs for elderly Americans___
- accurate answers-are most covered by Medicaid
The emergency department of a hospital is
- accurate answers-an out-patient facility
A not-for-profit hospital must
- accurate answers-adopt a corporate structure
Ambulatory care refers to services provided by paramedics and emergency
medical technologists while transporting a patient to the hospital.
- accurate answers-False
Most proprietorship's form professional corporations in order to
- accurate answers-reduce financial liabilities
Which of the following financial management issues differentiates healthcare
from other businesses?
- accurate answers-third party payers
Which of the following provides hospitalization insurance?
- accurate answers-Blue Cross
, An individual works at a business that covers half the cost of a group
healthcare insurance plan with the other half paid by the employee. The
individual quits his job but wishes to retain group healthcare insurance as per
COBRA. How much will he pay for coverage?
- accurate answers-Twice the amount he paid while employed plus an
administrative fee
Prescription drugs for the elderly are covered under
- accurate answers-MMA (2003)
The following is true about a preferred provider organization plans and
explain their limited ability to control healthcare costs.
- accurate answers-A PPO plan is a form of managed care in which the insurer
contracts with healthcare providers that agree to a reduced cost fee schedule.
and Covered persons who use a PPO pay less through combination of lower
premiums. lower deductibles, and smaller co-payments. A PPO plan is a fee-
for-service and providers have no incentives for reducing services.
Premiums payments from Medicare recipients cover what portions of
Medicare's prescription drug benefits?
- accurate answers-10%
Healthcare providers who participate in a capitated payment type of health
maintenance organization
- accurate answers-get paid a per member per month rate
Medicare beneficiary premiums cover only one-fourth of Medicare Part B
costs.
- accurate answers-True
A self employed person who earns $100K must pay a Medicare payroll tax of
$______.
- accurate answers-$2900 (or 2.9%)
Individuals covered by a high deductible health plan within a preferred
provider organization use fewer outpatient services and shop around for
lower cost outpatient services because they
- accurate answers-pay directly for routine care.
