PRACTICE TEST 1: REVENUE CYCLE
GUIDE WITH VERIFIED ANSWERS
a clinical documentation improvement (CDI) program facilities accurate coding and helps coders avoid:
✔ans assumption coding
the deception or misrepresentation by a healthcare provided that may result in a false or fictitious claim
for inappropriate payment by medicare or other insurers for items or services either not rendered or
rendered to a lesser extent than described in the claim is ✔ans healthcare fraud
a ________assists in educating medical staff members on documentation needed for accurate billing.
✔ans physician champion
using the charge description master to automatically link a service to the appropriate CPT/HCPCS code is
referred to as ✔ans hard coding
after appropriate diagnostic and procedural codes are assigned, which of the following must be
performed for the provider to be reimbursed in a fee-for-service payment arrangement? ✔ans assign a
fee to each service from the provider's standard fee schedule
joe patient was admitted to community hospital. two days later, he was transferred to big medical
center for further evaluation and treatment. he was discharged to home after three days. community
hospital will receive from medicare ✔ans a per diem rate for the two-day stay and big medical center
will receive the full DRG payment
the accounts not selected for billing report is used to track accounts that are: ✔ans in bill hold or in error
and awaiting billing
which of the following plans reimburses patients up to a specified amount? ✔ans coinsurance
which of the following terms is used for the amount charged for a medical insurance policy? ✔ans
premium
GUIDE WITH VERIFIED ANSWERS
a clinical documentation improvement (CDI) program facilities accurate coding and helps coders avoid:
✔ans assumption coding
the deception or misrepresentation by a healthcare provided that may result in a false or fictitious claim
for inappropriate payment by medicare or other insurers for items or services either not rendered or
rendered to a lesser extent than described in the claim is ✔ans healthcare fraud
a ________assists in educating medical staff members on documentation needed for accurate billing.
✔ans physician champion
using the charge description master to automatically link a service to the appropriate CPT/HCPCS code is
referred to as ✔ans hard coding
after appropriate diagnostic and procedural codes are assigned, which of the following must be
performed for the provider to be reimbursed in a fee-for-service payment arrangement? ✔ans assign a
fee to each service from the provider's standard fee schedule
joe patient was admitted to community hospital. two days later, he was transferred to big medical
center for further evaluation and treatment. he was discharged to home after three days. community
hospital will receive from medicare ✔ans a per diem rate for the two-day stay and big medical center
will receive the full DRG payment
the accounts not selected for billing report is used to track accounts that are: ✔ans in bill hold or in error
and awaiting billing
which of the following plans reimburses patients up to a specified amount? ✔ans coinsurance
which of the following terms is used for the amount charged for a medical insurance policy? ✔ans
premium
