AHIMA Revenue Cycle Management 1

Question 1

What is revenue cycle management in healthcare?

Accepted Answer

The financial process tracking patient service from registration through final payment

Answer

Managing hospital revenue only from grants

Answer

Counting daily patient visits

Answer

Setting doctor salaries

Question 2

What is prior authorization?

Accepted Answer

Approval from an insurance company required before certain services are provided

Answer

A patient's signature on a consent form

Answer

A doctor's license verification

Answer

A hospital's accreditation

Question 3

What is a claim denial?

Accepted Answer

An insurance company's refusal to pay for a submitted healthcare claim

Answer

A patient refusing treatment

Answer

A doctor denying a referral

Answer

A hospital closing a department

Question 4

What is accounts receivable in healthcare?

Accepted Answer

Money owed to the healthcare organization for services already provided

Answer

Money in the bank

Answer

Prepaid insurance premiums

Answer

Government grants received

Question 5

What is the chargemaster?

Accepted Answer

A comprehensive listing of all billable items and their prices used by a healthcare facility

Answer

A hospital employee who manages billing

Answer

A government price list

Answer

A patient's itemized bill

Question 6

What is an EOB (Explanation of Benefits)?

Accepted Answer

A statement from an insurer showing what was billed, what insurance paid, and what the patient owes

Answer

A medical diagnosis summary

Answer

A prescription refill notice

Answer

A hospital discharge summary