AAPC Revenue Cycle Management

Question 1

What is the first step in the healthcare revenue cycle?

Accepted Answer

Patient registration and scheduling

Answer

Claim submission

Answer

Payment posting

Answer

Collections

Question 2

A 'clean claim' in revenue cycle management refers to a claim that:

Accepted Answer

Contains all required information and passes edits for processing

Answer

Has been denied by the payer

Answer

Has been submitted more than once

Answer

Has an outstanding balance

Question 3

What is the primary purpose of eligibility verification in the revenue cycle?

Accepted Answer

To confirm a patient's insurance coverage before services are rendered

Answer

To calculate the provider's fee schedule

Answer

To submit claims to payers

Answer

To post payments to patient accounts

Question 4

What document does a payer send to explain how a claim was processed and paid?

Accepted Answer

Remittance advice (ERA/EOB)

Answer

Superbill

Answer

Charge master

Answer

Patient statement

Question 5

What does 'days in accounts receivable (AR)' measure in revenue cycle management?

Accepted Answer

The average number of days it takes to collect payment after service

Answer

The number of claims denied per day

Answer

The total number of outstanding claims

Answer

The percentage of claims paid on first submission

Question 6

In revenue cycle management, a 'write-off' refers to:

Accepted Answer

An amount removed from accounts receivable that cannot be collected

Answer

An increase in the billed amount

Answer

A payment made by the patient

Answer

A claim resubmission