HIM2135 MODULE 01 QUIZ

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Rasmussen College, Florida *

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HIM2135

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Accounting

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May 29, 2024

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HIM2135 Revenue Cycle Management Module 01 Quiz Final Grade 85% Assignment Content Assignment Content 1. There is a total of 20 multiple-choice or True/False questions each worth 1 point. Choose the BEST answer for each of the questions. This is a timed exam and is set for 20 minutes. You only have one opportunity to complete this exam. During the exam, you will be alerted when you have used half your time, and again when you have 5 minutes, 1 minute, and 30 seconds remaining. Once time expires your exam will be automatically submitted. Note: By starting this quiz you agree to abide by the Academic Misconduct Policy set forth in the course syllabus. You acknowledge that your failure to do so could result in being expelled from the course. 2. Question 1 To maintain profitability under prospective payment systems (PPS), healthcare facilities are encouraged to increase reimbursement or decrease costs to be more profitable. 1. T True 2. F False 3. Question 2 Although many components of the revenue cycle are similar across various healthcare settings, there may be differences in the management of the revenue cycle based on: 1. Size of the facility 2. Charge capture methods 3. Availability of coding professionals 4. All of these options 4. Question 3 Patient registration and case management are part of preclaims submission activities.
1. T True 2. F False 5. Question 4 A statement delivered to the patient describing services, covered payments and benefit limits and denials is a/an: 1. Advance Beneficiary Notice (ABN) 2. Bill 3. Explanation of Benefits (EOB) 4. Remittance Advice (RA) 6. Question 5 An electronic report returned to the provider outlining claim rejections, denials and payments to the facility is called: 1. Coordination of Benefits 2. EOB 3. Remittance Advice 4. Notice to Provider 7. Question 6 The department that plays a key role in ensuring data integrity is: 1. Administration 2. Patient Accounts 3. Information Services 4. Health Information Management (HIM) 8. Question 7 The Bill Hold or waiting period for Inpatients is 5 days and 7 days for Outpatients. 1. T True 2. F False 9. Question 8 A report listing all patients that have been discharged without the generation of a final bill is called: 1. Outstanding accounts 2. Discharge register
3. Delinquent record list 4. Discharge no final bill (DNFB)) 10.Question 9 Set of criteria determined by the payer regarding what will be paid. 1. APCs 2. DRGs 3. Medical Necessity 4. Per Diem 11.Question 10 The department responsible for entering charges for services performed is: 1. Billing 2. Coding 3. Clinical Services 4. Patient Access 12.Question 11 Revenue cycle is the series of activities that connect the services rendered by a healthcare provider/facility with the methods by which the provider receives compensation for those services. 1. T True 2. F False 13.Question 12 Patient Access and Health Information play significant roles in ensuring data integrity within the revenue cycle. 1. T True 2. F False 14.Question 13 If an event is not documented, it is deemed to not have occurred is 1. A business record rule 2. A condition of participation 3. A false assumption
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4. A federal law 15.Question 14 With the advent of the Medicare prospective payment system (PPS) in 1983 coding became a critical function in optimization of reimbursement. 1. T True 2. F False 16.Question 15 Data governance is responsible for the use of data including the release of information. 1. T True 2. F False 17.Question 16 The determination of what data are collected and how the data are safeguarded is part of 1. Information governance 2. Data governance 3. HIPAA 4. Health Information 18.Question 17 Providers on the Office of Inspector General (OIG) list of excluded individuals/entities cannot bill Medicare. 1. T True 2. F False
19.Question 18 To assist in the timely submission of claims, the HIM department has the following focus with the exception of: 1. Obtain control of the chart 2. Code the chart as quickly as possible 3. Allow providers to complete their charts when they have time 4. Submit the account to billing to drop the bill 20.Question 19 Cash flow is the responsibility of the Patient Accounting Department. 1. T True 2. F False 21.Question 20 The first step in the revenue cycle process from the patient's perspective is 1. Admission 2. Treatment 3. Scheduling 4. Physician office visit Feedback ×NOT CORRECTED YET!