CHAA - Certified Healthcare Access Associate Revenue Cycle Management 8

Question 1

Which metric measures the average number of days it takes a healthcare organization to collect payment after a service is provided?

Accepted Answer

Days in accounts receivable (AR)

Answer

Days in accounts receivable (AR) measures the average time from service delivery to payment collection, making it a key performance indicator for revenue cycle efficiency.

Question 2

What is the primary function of a remittance advice (RA) in the revenue cycle?

Accepted Answer

To explain how a payer processed and adjudicated a submitted claim

Answer

A remittance advice (also called an explanation of benefits) details how the payer adjudicated the claim, including amounts paid, adjusted, or denied, allowing the provider to post payments and identify discrepancies.

Question 3

In revenue cycle management, what does 'write-off' refer to?

Accepted Answer

Adjusting an uncollectable balance off the accounts receivable

Answer

A write-off is the formal removal of an uncollectable amount from accounts receivable, such as amounts exceeding contracted rates or balances deemed uncollectable after collection efforts.

Question 4

Which of the following best describes 'coordination of benefits' (COB) in healthcare billing?

Accepted Answer

A method for determining the order in which multiple insurers pay on a claim

Answer

Coordination of benefits establishes which insurer pays first (primary) and which pays second (secondary) when a patient has multiple insurance plans, preventing duplicate payments.

Question 5

What is the purpose of a healthcare organization's chargemaster (CDM)?

Accepted Answer

To list all services, supplies, and their associated charges billed by the facility

Answer

The chargemaster (charge description master) is the comprehensive list of every service, procedure, and supply a facility can bill, along with the associated standard charge, forming the foundation of the billing process.

CHAA - Certified Healthcare Access Associate Practice Test

CHAA - Certified Healthcare Access Associate Practice Test

CHAA - Certified Healthcare Access Associate Revenue Cycle Management 8