Revenue Cycle - RHIT UPDATED Exam
Questions and CORRECT Answers
What systems have been used to manage the costs of the Medicare and Medicaid programs: -
Correct Answer- The Prospective Payment Systems (PPS)
Provide healthcare benefits to full-time employees of a company - Correct Answer- Group
Health Insurance
Provides benefits up to a high-dollar limit for most types of medical expenses, requires
patients to pay large deductibles, may place limits on charges and may require patients to pay
a portion of the expenses. What type of plan is this? - Correct Answer- Major Medical
Insurance
The amount an insured pays before the insurer assumes liability for any remaining costs of
the covered services is called - Correct Answer- Deductible
Refers to the amount the insured pays as a requirement of the insurance policy - Correct
Answer- Coinsurance
The healthcare expenses that the insured party is responsible for paying, after they have
reached the amount specified in their plan, then the plan pays 100 percent. What is
responsibility called? - Correct Answer- Out of pocket expenses
Is provided free of charge to individuals age 65 and over who are eligible for SS, people
under 65 with disabilities or people with end stage renal disease. Covers IP care, SNF care,
Home Healthcare and hospice. - Correct Answer- Medicare Part A
Is allowed under medicare if medically necessary, is limited to 90 days per benefit period,
which begins on the day of admission and ends when out of the hospital for 60 days in a row.
Patient pays all deductibles and co-payments. What am I? - Correct Answer- Inpatient
Hospital Care
What care is covered if occurring within 30 days of a 3-day-long or longer acute
hospitalization and is medically necessary - days provided are limited to 100 per benefit
period - Correct Answer- Skilled Nursing Facility Care (SNF)
, What care may be furnished part-time in the residence of a home-bound beneficiary when
intermittent or part-time skilled nursing, therapy or rehabilitation care is needed. - Correct
Answer- Home Health Care
Voluntary supplemental medical insurance helps pay for physicians services, medical services
and medical-surgical supplies not covered by hospitilization plan, over age 65, pay a monthly
premium, must be medically necessary - deductibles and copayments - Correct Answer-
Medicare Part B
Long-term nursing care, Custodial Care, Dentures and Dental Care, Eyeglasses and Hearing
Aids are not covered by.... - Correct Answer- Medicare Part A & B
Tricare was formerly known as? - Correct Answer- Champus
The healthcare program for active-duty service members, National Guard and Reserve
members, retirees, their families, survivors and certain former spouses. - Correct Answer-
Tricare
What is Tricare Prime, Tricare Extra and Tricare Standard? - Correct Answer- The three types
of different plans within Tricare
A healthcare program for Dependents and survivors or permanently and totally disabled
veterans, survivors of veterans who died from service-related conditions, and survivors of
military personnel who died in the line of duty. - Correct Answer- CHAMPVA
The IHS is within what agency? - Correct Answer- HHS
Provides healthcare services to American Indians and Alaska natives? - Correct Answer- IHS
(Indian Health Services)
What are prepaid health plans that integrate the financial and delivery aspects of healthcare
services? - Correct Answer- Managed Care
Questions and CORRECT Answers
What systems have been used to manage the costs of the Medicare and Medicaid programs: -
Correct Answer- The Prospective Payment Systems (PPS)
Provide healthcare benefits to full-time employees of a company - Correct Answer- Group
Health Insurance
Provides benefits up to a high-dollar limit for most types of medical expenses, requires
patients to pay large deductibles, may place limits on charges and may require patients to pay
a portion of the expenses. What type of plan is this? - Correct Answer- Major Medical
Insurance
The amount an insured pays before the insurer assumes liability for any remaining costs of
the covered services is called - Correct Answer- Deductible
Refers to the amount the insured pays as a requirement of the insurance policy - Correct
Answer- Coinsurance
The healthcare expenses that the insured party is responsible for paying, after they have
reached the amount specified in their plan, then the plan pays 100 percent. What is
responsibility called? - Correct Answer- Out of pocket expenses
Is provided free of charge to individuals age 65 and over who are eligible for SS, people
under 65 with disabilities or people with end stage renal disease. Covers IP care, SNF care,
Home Healthcare and hospice. - Correct Answer- Medicare Part A
Is allowed under medicare if medically necessary, is limited to 90 days per benefit period,
which begins on the day of admission and ends when out of the hospital for 60 days in a row.
Patient pays all deductibles and co-payments. What am I? - Correct Answer- Inpatient
Hospital Care
What care is covered if occurring within 30 days of a 3-day-long or longer acute
hospitalization and is medically necessary - days provided are limited to 100 per benefit
period - Correct Answer- Skilled Nursing Facility Care (SNF)
, What care may be furnished part-time in the residence of a home-bound beneficiary when
intermittent or part-time skilled nursing, therapy or rehabilitation care is needed. - Correct
Answer- Home Health Care
Voluntary supplemental medical insurance helps pay for physicians services, medical services
and medical-surgical supplies not covered by hospitilization plan, over age 65, pay a monthly
premium, must be medically necessary - deductibles and copayments - Correct Answer-
Medicare Part B
Long-term nursing care, Custodial Care, Dentures and Dental Care, Eyeglasses and Hearing
Aids are not covered by.... - Correct Answer- Medicare Part A & B
Tricare was formerly known as? - Correct Answer- Champus
The healthcare program for active-duty service members, National Guard and Reserve
members, retirees, their families, survivors and certain former spouses. - Correct Answer-
Tricare
What is Tricare Prime, Tricare Extra and Tricare Standard? - Correct Answer- The three types
of different plans within Tricare
A healthcare program for Dependents and survivors or permanently and totally disabled
veterans, survivors of veterans who died from service-related conditions, and survivors of
military personnel who died in the line of duty. - Correct Answer- CHAMPVA
The IHS is within what agency? - Correct Answer- HHS
Provides healthcare services to American Indians and Alaska natives? - Correct Answer- IHS
(Indian Health Services)
What are prepaid health plans that integrate the financial and delivery aspects of healthcare
services? - Correct Answer- Managed Care
