Page |1
Comprehensive Test- Principals of
Healthcare Reimbursement and Revenue
Cycle Management Review Questions and
Correct Answers/ Latest Update / Already
Graded
The US healthcare sector represents a significant portion of the US
economy. The trend of _________ spending on healthcare has been
consistent for more than a decade.
Ans: increased
The goal of revenue integrity is to produce a claim that is __________.
Ans: Clean, complete, and compliant
A physician office submitting an invoice (claim) for payment when the
patient has health insurance is an example of a transaction between
________ and ________.
Ans: Provider; third-party payer
In the US, what is health insurance?
All rights reserved © 2025/ 2026 |
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Ans: Reduction of a person's or a group's exposure to risk for
unknown healthcare costs by the assumption of that risk by an
entity
An employee paying for 40 percent of the insurance premium through
payroll processing is an example of a transaction between ________
and ________.
Ans: Patient; employer
Which of the following is not a principle of revenue integrity?
Ans: No oversight
In this healthcare delivery model, the insurance company determines
that contribution amount that is not based on the policyholder's
income:
Ans: Private health insurance model
Successful RCM programs use this type of approach, which promotes
collaboration amount various clinical departments and emphasizes and
education strategy for all members:
Ans: Multidisciplinary model
All rights reserved © 2025/ 2026 |
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In this healthcare delivery model, employees and employers contribute
an income-based amount of money to funds that are regulated by the
government:
Ans: Social insurance model
Which of the following is a key factor in establishing a highly ethical
culture that promotes honesty and openness?
Ans: Transparency
Which of the following types of care represent healthcare services not
delivered by MCOs?
Ans: Experimental devices
What is the term that means evaluating, for a healthcare service, the
appropriateness of its setting and its level of service?
Ans: Utilization review
In the healthcare sector, what is the term for a group of individual
entities, such as individual persons, employers, or associations, whose
healthcare costs are combined for evaluating financial history and
estimating future costs?
Ans: Risk pool
All rights reserved © 2025/ 2026 |
Comprehensive Test- Principals of
Healthcare Reimbursement and Revenue
Cycle Management Review Questions and
Correct Answers/ Latest Update / Already
Graded
The US healthcare sector represents a significant portion of the US
economy. The trend of _________ spending on healthcare has been
consistent for more than a decade.
Ans: increased
The goal of revenue integrity is to produce a claim that is __________.
Ans: Clean, complete, and compliant
A physician office submitting an invoice (claim) for payment when the
patient has health insurance is an example of a transaction between
________ and ________.
Ans: Provider; third-party payer
In the US, what is health insurance?
All rights reserved © 2025/ 2026 |
, Page |2
Ans: Reduction of a person's or a group's exposure to risk for
unknown healthcare costs by the assumption of that risk by an
entity
An employee paying for 40 percent of the insurance premium through
payroll processing is an example of a transaction between ________
and ________.
Ans: Patient; employer
Which of the following is not a principle of revenue integrity?
Ans: No oversight
In this healthcare delivery model, the insurance company determines
that contribution amount that is not based on the policyholder's
income:
Ans: Private health insurance model
Successful RCM programs use this type of approach, which promotes
collaboration amount various clinical departments and emphasizes and
education strategy for all members:
Ans: Multidisciplinary model
All rights reserved © 2025/ 2026 |
, Page |3
In this healthcare delivery model, employees and employers contribute
an income-based amount of money to funds that are regulated by the
government:
Ans: Social insurance model
Which of the following is a key factor in establishing a highly ethical
culture that promotes honesty and openness?
Ans: Transparency
Which of the following types of care represent healthcare services not
delivered by MCOs?
Ans: Experimental devices
What is the term that means evaluating, for a healthcare service, the
appropriateness of its setting and its level of service?
Ans: Utilization review
In the healthcare sector, what is the term for a group of individual
entities, such as individual persons, employers, or associations, whose
healthcare costs are combined for evaluating financial history and
estimating future costs?
Ans: Risk pool
All rights reserved © 2025/ 2026 |
