RHIT - Registered Health Information Technician Revenue Cycle Management 2

Question 1

What is the first step in the healthcare revenue cycle?

Accepted Answer

Patient pre-registration and scheduling including insurance verification

Answer

The revenue cycle begins with pre-registration, insurance verification, and eligibility confirmation.

Question 2

What is the purpose of a remittance advice (RA)?

Accepted Answer

To communicate the payer's payment decision for each claim line including amounts paid and denial reasons

Answer

A remittance advice provides detailed information about how the payer adjudicated each claim.

Question 3

What is the difference between a 'clean claim' and a 'rejected claim'?

Accepted Answer

A clean claim has all required data and processes smoothly; a rejected claim has errors preventing processing

Answer

A clean claim contains all required information for processing; a rejected claim has errors or missing data.

Question 4

What is accounts receivable (A/R) management?

Accepted Answer

Tracking, managing, and collecting outstanding payments owed from payers and patients

Answer

A/R management involves tracking outstanding claims, following up on denials, and collecting balances.

Question 5

What is the role of charge capture in the revenue cycle?

Accepted Answer

To ensure all billable services are accurately documented and entered into the billing system

Answer

Charge capture ensures every billable service and supply is recorded in the billing system.

RHIT - Registered Health Information Technician Practice Test