RHIT - Registered Health Information Technician Revenue Cycle Management 3

Question 1

What is the difference between Medicare Part A and Medicare Part B?

Accepted Answer

Part A covers inpatient/hospital services while Part B covers physician/outpatient services

Answer

Part A covers dental and Part B vision

Answer

Part A is for patients over 65 and Part B under 65

Answer

There is no difference

Question 2

How does the MS-DRG system affect hospital reimbursement?

Accepted Answer

It classifies inpatient cases to determine a fixed payment amount under the Inpatient Prospective Payment System

Answer

It is a patient satisfaction rating

Answer

It is a quality certification

Answer

It is a staffing model

Question 3

What is the purpose of chargemaster (CDM) maintenance?

Accepted Answer

To regularly review and update all billable services to ensure accurate pricing, current codes, and compliance

Answer

To maintain the building

Answer

To maintain employee records

Answer

To manage the vehicle fleet

Question 4

What is the difference between 'assignment' and 'non-assignment' in Medicare billing?

Accepted Answer

Assignment means accepting Medicare's allowed amount as full payment; non-assignment allows billing up to 115% of the fee schedule

Answer

Assignment means assigning a family member

Answer

Assignment means Medicare pays more

Answer

There is no difference for patients

Question 5

What is a prior authorization?

Accepted Answer

A requirement to obtain health plan approval before providing certain services

Answer

Authorization from a patient's family

Answer

Authorization to access a medical record

Answer

A physician's order for medication

Question 6

What is the significance of timely filing limits?

Accepted Answer

They are payer-imposed deadlines for claim submission; missed deadlines result in permanent denial

Answer

There are no deadlines

Answer

Only applies to paper claims

Answer

Only affects patient billing