QUESTIONS AND ANSWERS SURE A+
✔✔Which statement about the Coordination of Benefits is false?
A: It is determined by accurately answering questions in the Medicare Secondary
Questionnaire
B: It applies to patients covered by one insurance plan
C: Incorrect determination can result in a delay in claim reimbursement
D: Access staff have a responsibility to determine the correct COB - ✔✔B: It applies to
patients covered by one insurance plan
✔✔Access's role in the revenue cycle is enhanced by staff training in which of the
following functions except:
A: Insurance verification
B: Financial counseling
C: General knowledge of billing requirements
D: Patient's diagnosis - ✔✔D: Patient's diagnosis
✔✔NAHAM has developed a series of guidelines that identify performance criteria,
explain how to measure them and provide Good/Better/Best benchmarks for facilities to
measure. These guidelines are called:
A. Access Keys
B. Map Keys
C. Revenue Cycle Keys
D. Keys to Success - ✔✔A: Access Keys
✔✔Which is not an example of how Access staff influence the revenue cycle?
A. Accurate gathering of patient data helps to ensure timely reimbursement.
B. In many facilities Access has taken over responsibility for financial counseling.
C. Insurance pre-requisites and high patient deductibles has emphasized focus on front-
end processes.
, D. Kiosks in the Access areas have resulted in shorter patient wait times. - ✔✔D: Kiosks
in the Access areas have resulted in shorter patient wait times.
✔✔All of the following should be reviewed when checking insurance eligibility, except:
A. Patient name and date of birth
B. Active insurance benefits
C. Date became eligible
D. When eligibility ends - ✔✔D: When eligibility ends
✔✔What is a deductible?
A. Payment made to pay for your insurance each month
B. The amount of the hospital bill not paid by insurance
C. The amount the insurance company requires you to pay before insurance pays -
✔✔C: The amount the insurance company requires you to pay before insurance pays.
✔✔Successful insurance verification doesn't automatically mean insurance will pay for
charges incurred during a visit.
A. True
B. False - ✔✔A: True
✔✔A minor child is brought in with insurance from both parents. The mother's birthdate
is July 15, 1993. The father's birthdate is February 20, 1995. According to the birthday
rule, whose insurance is primary?
A. The mother's insurance
B. The father's insurance - ✔✔B: The mother's insurance
✔✔Which of the following is NOT an example of technology used to ensure positive
patient identity?
A: Palm vein
B: Kiosks
C: Facial recognition
D: Retinal - ✔✔B: Kiosks
✔✔An interval when a system is unavailable to users is called:
A: Blackout
B: Downtime
C: Manual registration
D: Batch processing - ✔✔B: Downtime
✔✔Which of the following functions is not typically supported by advanced technology?
A: Medical records coding
B: Insurance verification
C: Estimating patient responsibility
D: Explaining benefits to patients - ✔✔D: Explaining benefits to patients