Revenue Cycle
Revenue Cycle
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Exam (elaborations)
REVENUE CYCLE TEST REVIEW EXAM QUESTIONS WITH DETAILED ANSWERS 2026
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--10January 20262025/2026A+Available in bundle
- Explain the "Business Record rule". - ANSWERSAdmissible as evidence in court as the documentation occurs in the normal course of business and is recorded by authorized, qualified individuals concomitantly with the care provided. 
 
How does the lack of documentation of an event impact the care provided and reimbursement? - ANSWERSIf the event it is not documented it is deemed to not have occurred. If the event it is not documented, or the documentation does not support the charges, the pro...
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papersmaster01
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Exam (elaborations)
THE REVENUE CYCLE & REVENUE CYCLE MANAGEMENT EXAM 2025 QUESTIONS AND ANSWERS
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---6June 20252024/2025A+
- Definition of Revenue Cycle Management (RCM) - ANS is the supervision of all administrative 
and clinical functions that contribute to the capture, management and collection of patient 
service revenue. 
Pre-Claims Submission Activities - 
ANS PreAdmit/Scheduling/Admissions/Registration/Patient Access Service/Front End 
Processes 
Case Management/Utilization Review - ANS a.Inpatient Medical Necessity (Admission 
Criteria) 
b.Determination of Appropriate Level of Care 
c.Procedural Pre-Certificat...
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Brainbarter
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Exam (elaborations)
Revenue Cycle - RHIT UPDATED Exam Questions and CORRECT Answers
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--10September 20242024/2025A+Available in bundle
- 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 t...
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$9.99 More Info
MGRADES
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Exam (elaborations)
Revenue Cycle Midterm Knowledge Check Questions and Answers | Latest Update | 2024/2025 | Graded
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---15September 20242024/2025A+
- Revenue Cycle Midterm Knowledge 
Check Questions and Answers | Latest 
Update | 2024/2025 | Graded A+ 
 
What is the first step in the revenue cycle for healthcare providers? 
A) Insurance verification 
B) Medical coding 
C) Patient registration 
D) Claim submission 
 
Which process ensures that patient services are covered by their insurance plan? 
A) Insurance verification 
B) Claims adjudication 
C) Charge capture 
D) Revenue reconciliation 
 
What is the primary purpose of medical coding in ...
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SterlingScores
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Exam (elaborations)
Revenue Cycle Final UPDATED Exam Questions and CORRECT Answers
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--7September 20242024/2025A+Available in bundle
- Revenue Cycle Final UPDATED Exam 
Questions and CORRECT Answers 
Which is associated with contracted health care services that are provided to subscribers by 
two or more physician multispecialty group practices? - Correct Answer- network model 
HMO 
Medicare and many states prohibit managed care contracts from containing __________, 
which prevent providers from discussing all treatment options with patients, whether or not 
the plan would provide reimbursement for services. - Correct Answ...
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MGRADES