Which Concept Combines Revenue Cycle Management

Question: The chargemaster is a(n)

Answer: computer-generated list used by facilities, which contains procedures, services, supplies, revenue codes, and charges.

Question: The sorting of claims upon submission to collect and verify information about the patient and provider is called

Answer: claims processing

Question:

Answer: $450, patient

Question: Which is a characteristic of delinquent commercial claims awaiting payer reimbursement?

Answer: The delinquent claims are resolved directly with the payer.

Question: The transmission of claims data to payers or clearinghouses is called claims.

Answer: submission

Question: Which is an interpretation of the birthday rule regarding two group health insurance policies when the parents of a child covered on both policies are married to each other and live in the same household?

Answer: The parent whose birth month and day occurs earlier in the calendar year is the primary policyholder.

Question: Which protects information collected by consumer reporting agencies?

Answer: Fair Credit Reporting Act

Question: Providers who do not accept assignment of Medicare benefits do not receive information included on the _____, which is sent to the patient.

Answer: Medicare Summary Notice

Question: During the patient discharge processing stage of revenue cycle management

Answer: patient information is verified, discharge instructions are provided, patient follow-up visit is scheduled, consent forms are reviewed for signatures, and patient policies are explained to the patient.

Question:

Answer: validates the patient’s health insurance coverage.