Revenue Cycle Management Flashcards
6 cards from real AAPC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Revenue Cycle Management flashcards as text
What is the first step in the healthcare revenue cycle?
Answer: Patient registration and scheduling
The revenue cycle begins with patient registration and scheduling, where demographic and insurance information is collected.
A 'clean claim' in revenue cycle management refers to a claim that:
Answer: Contains all required information and passes edits for processing
A clean claim contains all required data elements, passes all edits, and is ready for adjudication without additional information needed.
What is the primary purpose of eligibility verification in the revenue cycle?
Answer: To confirm a patient's insurance coverage before services are rendered
Eligibility verification confirms the patient's insurance benefits and coverage details prior to service to prevent claim denials.
What document does a payer send to explain how a claim was processed and paid?
Answer: Remittance advice (ERA/EOB)
A remittance advice (electronic or paper EOB) details payment decisions, adjustments, and denial reasons for submitted claims.
What does 'days in accounts receivable (AR)' measure in revenue cycle management?
Answer: The average number of days it takes to collect payment after service
Days in AR measures the average time from service date to payment receipt, indicating the efficiency of the billing cycle.
In revenue cycle management, a 'write-off' refers to:
Answer: An amount removed from accounts receivable that cannot be collected
A write-off is an amount that is adjusted off the account because it is contractually disallowed or deemed uncollectable.