- Registered Health Information Technician Revenue Cycle Management Flashcards
6 cards from real RHIT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 - Registered Health Information Technician Revenue Cycle Management flashcards as text
What is the first step in the healthcare revenue cycle?
Answer: Patient pre-registration and scheduling including insurance verification
The revenue cycle begins with pre-registration, insurance verification, and eligibility confirmation.
What is the purpose of a remittance advice (RA)?
Answer: To communicate the payer's payment decision for each claim line including amounts paid and denial reasons
A remittance advice provides detailed information about how the payer adjudicated each claim.
What is the difference between a 'clean claim' and a 'rejected claim'?
Answer: A clean claim has all required data and processes smoothly; a rejected claim has errors preventing processing
A clean claim contains all required information for processing; a rejected claim has errors or missing data.
What is accounts receivable (A/R) management?
Answer: Tracking, managing, and collecting outstanding payments owed from payers and patients
A/R management involves tracking outstanding claims, following up on denials, and collecting balances.
What is the role of charge capture in the revenue cycle?
Answer: To ensure all billable services are accurately documented and entered into the billing system
Charge capture ensures every billable service and supply is recorded in the billing system.
What is the purpose of the Recovery Audit Contractor (RAC) program?
Answer: To identify and recover improper Medicare payments through post-payment claim reviews
RACs review Medicare claims post-payment to identify both overpayments and underpayments.