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Exam (elaborations)

REVENUE CYCLE MANAGEMENT EXAM QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!

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REVENUE CYCLE MANAGEMENT EXAM QUESTIONS & ANSWERS VERIFIED 100% CORRECT!!

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REVENUE CYCLE
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REVENUE CYCLE











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Institution
REVENUE CYCLE
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REVENUE CYCLE

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Uploaded on
May 11, 2025
Number of pages
73
Written in
2024/2025
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REVENUE CYCLE MANAGEMENT EXAM
QUESTIONS & ANSWERS VERIFIED
100% CORRECT!!




1 of 79

Term



The ED is creating a paper form for staff to request charge

corrections. The form contains the patient's medical record number, billing
and posting date of the correction. What essential data is
missing from this form?



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Patient Account # Timely Filing deadlines

, Social security number and date of
birth Admission date



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2 of 79

Term


Claim edits help to identify errors that will cause a claim to
be rejected if not addressed. An example of an error that can
be identified is _.


Incorrect admission date


Incorrect gender on an appendectomy case


Mutually exclusive CPT/HCPCS codes and medically unlikely
quantities


Incorrect discharge disposition



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Establish a robust and
Bring in a consultant coder to
comprehensive compliance
reduce the backlog
program




Mutually exclusive
CPT/HCPCS codes and The payer remitted more than
medically unlikely the PFS system has recorded to be
quantities due

, Don't know?




3 of 79

Term


The two most definitive data elements to match when
evaluating duplicate medical records are _.


Name and date of birth


Name and address


Social security number and date of birth


Social security number and name



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Training, Patient Satisfaction,
The receipt of cash from a donor Coverage




Decrease accounts payable, Social security number and
decrease cash date of birth


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4 of 79

, Term


Which is an example of a practice that will most likely result in late
charges?


Laboratory result charges post on the day after the order is resulted.


Radiology always posts their charges immediately after the
procedure is completed.


Due to low volume, radiation oncology collects their charges and
posts once a week.


Patient access staff are notified when an ED patient is admitted.

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Mutually exclusive Due to low volume, radiation
CPT/HCPCS codes and oncology collects their
medically unlikely quantities charges and posts once a
week.




Sent to a lockbox and an 835 file
transmitted to the clearinghouse, The higher the percentage of clean
which posts the payment to claims, the faster cash is received
the patients' accounts to cover expenses



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5 of 79

Term

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