RCM Final Assessment
RCM Final Assessment Quiz
Test your knowledge in Revenue Cycle Management (RCM) with our comprehensive final assessment quiz! This quiz consists of 11 carefully crafted questions covering key concepts and practices within RCM.
Challenge yourself and see how well you understand:
- Insurance claims processes
- Patient coverage scenarios
- Types of medical services and claims
If the patients plan took effect on Nov 3rd but enrolled on Nov 1st, will he covered if he goes to the hospital on Nov 2nd?
No, as DOS still within the cooling period
Yes, as DOS comes outside waiting period
No, as DOS still at the waiting period
What are the 2 types of services?
Inpatient & Outpatient
New patient & Established patient
Normal & Emergency service
A patient went in saying he fell off the roof while connecting the cable wires to a client during duty. He has a BCBS as his primary Insurance and Humana as secondary. Who will be responsible for the claim?
BCBS
Humana
Worker's compensation
The patient was treated in Richmond in christmas day. After meeting his yearly deductible his Insurance plan decided to pay 80% and billed him 20% of the allowed charges. The amount billed to the patient is his what?
US Holiday discount
Coinsurance
Deductible
What are the 2 types of claim submission?
Electronic & Paper
CMS 1500 & UB04
What are the 2 types of Claim form?
Payer ID & Mailing Address
CMS 1500 & UBO4
Revenue Code & Modifier
A medical transcriptionist converts text file into voice files
True
False
This is type of Medicare plan with combination of Inpatient & Outpatient coverage
Part A
Part B
Part C
Part D
We can send a bill as patient responsibility to a patient under Medicaid Insurance
True
False
A protection against loss or any damages in exchange of a premium
Insurance
Payer ID
Copay
Select the RCM steps
Eligibility Check & Benefit Verification
Encounter
Appointment & Scheduling
Appeals
Medical Transcription
Medical Encoder
Accounts Receivable
Medical Encryption
Medical Coding
Claims generation & submission
Insurance
Clearing House
Charge capture/Entry
Superbill
Payment Posting
Denial Management
External Review
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