UPDATE 2026
which of the following is used by Medicare to make payments to providers based on a predetermined,
fixed amount? - Answers a prospective payment system
how can an accountable care organization improve the patient experience when receiving care? -
Answers By using an integrated delivery system to coordinate care.
Which of the following best describes accounts receivable according to the chapter reading? -
Answers Claims where payment has not yet been made.
what is the purpose of a DNFB report? - Answers To monitor the billing process for discharged
patients.
why is the number of accounts receivable days important in the revenue cycle? - Answers An efficient
revenue cycle improves cash flow.
Which of the following would create a profit for a provider when using capitation as mentioned in the
chapter reading? - Answers The patient is not seen for care regularly.
Which of the following is a benefit of accepting a Participating Provider Agreement (PAR) with
Medicare per the chapter reading? - Answers direct and faster payment of all claims
what is the goal of the case management programs and other collaborative processes used by
caregivers? - Answers appropriate use of acute care resources
Why are human logic and intelligent decision-making in medical coding important per the chapter
reading? - Answers Procedures can be referred to in different terms.
As referenced in the chapter reading, how can the use of CAC software applications impact the
revenue cycle and return on investment? - Answers There is less need to outsource coding work.
Which of the following is considered a liability on the balance sheet per the chapter reading? -
Answers mortgage payments
How are department budgets used in an organization per the chapter reading? - Answers to forecast
revenue and expenses
As described in the chapter reading, why do some patients receive an Advanced Beneficiary Notice
(ABN) as one of the first financial communication documents shared with them? - Answers to explain
what may not be covered by insurnace
How are Remittance Advice Remark codes (RARCs) used by insurers per the chapter reading? -
Answers to relay information that does not have an adjustment reason code
Which of the following is used to tell a patient what the total charges for a visit are and how much will
be covered by their health plan per the chapter reading? - Answers explanation of benefits
According to the chapter reading, how can patients identify and compare the value of providers that
will provide the level of care desired? - Answers price transparency
As described in the chapter reading, why have health care organizations found it challenging to
publish standardized charges on websites as directed by CMS? - Answers Some charges are time- or
unit-based
when a manager holds a process view of health care finances, for what are they typically responsible?
filing government reports - Answers collecting data for information systems
how do hospitals and health care facilities indicate which group generated income and by how much
volume? - Answers by revenue center
As determined by the chapter reading, which of the following represents a charge? - Answers
revenues
The general billing requirements of the Medicare claims processing manual, a provider may bill a
Medicare beneficiary for the Part B deductible but not the Part A deductible. - Answers false
The Department of Health and Human Services defines AI as "enabling computer systems to perform
tasks normally requiring human intelligence". - Answers true
Per the AAPC "Beyond the Hype: How AI will impact medical billing and coding", in revenue cycle
management coders and auditors are reviewing 100% of the claims submitted for payment. -
Answers false
Coding compliance requires a system of checks and balances per AAPC's Raemarie Jiminez. - Answers
true
CPT, the current procedural terminology coding manual is established by CMS. - Answers false
Which is not a benefit of CAC per the lesson video? - Answers decreased efficiency