MEDICAL REVENUE CYCLE
MANAGEMENT /PROCESSING AN
INSURANCE CLAIM- UMA COURSE
ME2550- CHAPTER 4 (1 OF 2 STUDY
GUIDE) - (UNDERSTANDING HEALTH
INSURANCE) EXAM QUESTIONS AND
ANSWERS
[COMPANY NAME] [Company address]
, MEDICAL REVENUE CYCLE
MANAGEMENT /PROCESSING AN
INSURANCE CLAIM- UMA COURSE
ME2550- CHAPTER 4 (1 OF 2 STUDY
GUIDE) - (UNDERSTANDING HEALTH
INSURANCE) EXAM QUESTIONS AND
ANSWERS
THE FOUR STAGES OF THE LIFE CYCLE OF INSURANCE CLAIMS - correct answer Adjudication, Submission,
Payment, and Processing
THE STEPS TO THE CLAIM LIFE CYCLE - correct answer (1) Patient calls to make appointment (2) Patient
registration (3) Office visit encounter (4) Insurance claim created and (5) Reimbursement received and
processed
REVENUE CYCLE MANAGEMENT (RCM) - correct answer Is the process in which health care facilities and
providers ensure their financial viability by increasing revenue, improving cash flow, and enhancing the
patient's experience (including quality of the patient's care).
ACCOUNTS RECEIVABLE MANAGEMENT - correct answer Another term used for revenue cycle
management
CLAIMS REJECTION - correct answer Are unpaid claims that fail to meet certain data requirements, such
as missing data (e.g. patient name, policy number). They can be corrected and resubmitted for
processing.
ENCOUNTER FORM - correct answer The financial record source document used by health care providers
and other personnel to record treated diagnoses and services rendered to the patient during the current
encounter
MANAGEMENT /PROCESSING AN
INSURANCE CLAIM- UMA COURSE
ME2550- CHAPTER 4 (1 OF 2 STUDY
GUIDE) - (UNDERSTANDING HEALTH
INSURANCE) EXAM QUESTIONS AND
ANSWERS
[COMPANY NAME] [Company address]
, MEDICAL REVENUE CYCLE
MANAGEMENT /PROCESSING AN
INSURANCE CLAIM- UMA COURSE
ME2550- CHAPTER 4 (1 OF 2 STUDY
GUIDE) - (UNDERSTANDING HEALTH
INSURANCE) EXAM QUESTIONS AND
ANSWERS
THE FOUR STAGES OF THE LIFE CYCLE OF INSURANCE CLAIMS - correct answer Adjudication, Submission,
Payment, and Processing
THE STEPS TO THE CLAIM LIFE CYCLE - correct answer (1) Patient calls to make appointment (2) Patient
registration (3) Office visit encounter (4) Insurance claim created and (5) Reimbursement received and
processed
REVENUE CYCLE MANAGEMENT (RCM) - correct answer Is the process in which health care facilities and
providers ensure their financial viability by increasing revenue, improving cash flow, and enhancing the
patient's experience (including quality of the patient's care).
ACCOUNTS RECEIVABLE MANAGEMENT - correct answer Another term used for revenue cycle
management
CLAIMS REJECTION - correct answer Are unpaid claims that fail to meet certain data requirements, such
as missing data (e.g. patient name, policy number). They can be corrected and resubmitted for
processing.
ENCOUNTER FORM - correct answer The financial record source document used by health care providers
and other personnel to record treated diagnoses and services rendered to the patient during the current
encounter
