HIM2133 Section 03 Revenue Cycle and Billing - Online Plus - 2018 Summer Quarter Term 1....100%

• Question 1 Who has the authority to impose remedial action or administrative 1 out of 1 points sanctions against individuals who consistently fail to comply with Medicare regulations or are deemed abusive to the Medicare program? Selected Answer: B. Office of the Inspector General (OIG) • Question 2 Which code indicates the location a service was performed, such as the Emergency Room, and is attached to charges in the charge description master? 1 out of 1 points Selected Answer: A. Revenue code • Question 3 Which of the following is NOT true regarding Current Procedural Terminology (CPT)? 1 out of 1 points Selected Answer: B. CPT codes are linked with ICD-10 PCS procedure codes to determine medical necessity. • Question 4 1 out of 1 points A/an is a communication between the CDI department or Coder and a provider regarding the completion or clarification of documentation that is necessary for coding and ensures an accurate accounting of intensity of services and severity of illness. Selected Answer: C. Physician query • Question 5 Which individual is responsible for responding to inquiries about HIPAA 1 out of 1 points privacy rules? Selected Answer: A. Privacy Officer • Question 6 What term describes the amount of money a patient pays out of pocket prior to insurance payment for health care visits and services? 1 out of 1 points Selected Answer: D. Deductib le • Question 7 1 out of 1 points Which is NOT a true statement regarding electronic claims submissions? Selected Answer: A. Complete elimination of paper claims • Question 8 Which of the following are required elements of an “Accounting of Disclosures”? 1 out of 1 points Selected Answer: D. Date of disclosure, recipient of the PHI, description of information disclosed, and the purpose of the disclosure • Question 9 1 out of 1 points Which activity occurs in the Patient Encounter component of the revenue cycle? Selected Answer: A. Charge capture • Question 10 Which of the following is NOT a requirement of valid authorization to release a patient’s PHI? 1 out of 1 points Selected Answer: B. The authorization presented as a formal, typed document on official letterhead • Question 11 1 out of 1 points Which of the following is NOT a true statement regarding coding systems used in the revenue cycle? Selected D. Answer: ICD-10-CM codes are a component of the charge description master. • Question 12 1 out of 1 points Despite every effort to generate clean claims, denials and rejections occur. Which of the following reasons does not require a formal appeal? Selected Answer: C. Missing diagnosis code on a claim • Question 13 1 out of 1 points Which of the following is a common patient registration error that impacts the effectiveness of the revenue cycle? Selected Answer: C. Duplicate medical record numbers • Question 14 Which of the following is NOT a revenue cycle job title? 1 out of 1 points Selected Answer: B. Medical Assistant • Question 15 According to the Department of Health and Human Services, the most frequent privacy complaint is because of: 1 out of 1 points Selected Answer: D. Improper practices around the use and disclosure of PHI • Question 16 Which term describes the insurance carrier’s decision whether or not to pay a claim? 1 out of 1 points Selected Answer: C. Adjudicati on • Question 17 1 out of 1 points The “Discharged, not final billed” report (also known as the “discharged, no final bill” or the “unbilled” report) includes what types of accounts? Selected Answer: B. Accounts that have been discharged but have not been