CHAM ARRIVAL REVENUE CYCLE NEWEST 2025
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|100% GUARANTEED PASS!
Revenue Cycle consists of - (answer)several departments with numerous
responsibilities. Department responsibilities and names vary by organization.
The key to a strong revenue cycle is a - (answer)clean claim.
Patient Access is responsible for over - (answer)60% of the claims fields on a
UB04.
In 1975, the American Hospital Association brought together all the national
payer and provider organizations and developed the - (answer)National Uniform
billing committee (NUBC).
In an effort to simplify healthcare billing in America and to develop one standard,
a nationally accepted billing form was created in 1982. It has been replaced and
now the - (answer)Uniform Bill (UB04) is the recognized bill form for hospitals and
other institutional healthcare providers.
The UB04 document is made up of 81 different data fields, called - (answer)form
locators.
,Each form locator name describes the - (answer)type of information input into the
field. Recent changes to the form include an increase in filed size, additional fields
being allocated, and labels changed to better explain the purpose of the form
locator.
Data elements necessary for accurate billing include: - (answer)*Provider and
patient information (Form locators 1-41) *Services provided to the patient (Form
locators 42-49) *Patient's insurance information (Form Locators 50-65)
*Diagnosis, procedure, and physician information (Form Locators 66-81)
Required fields are: - (answer)provider name, address and telephone number &
pay to name, address[situational] *patient control number *medical/health
record number [situational] *Other provider ID [situational] *Insured's name
*Patient's relationship to insured *Insured's unique ID (certificate, social security
number, HI Claim/ID number) *type of bill *federal tax number *statement covers
period (from/through dates) *patient name and address *date of birth *sex
*admission date (inpatients) *admission type (inpatients) *patient status
*conditions codes [situational] *occurrence code and data[situational] occurrence
span code (inpatients) *occurrence span dates (inpatients) *value codes and
amounts *revenue code *HCPCS/rate/HIPPS rates codes *service date *units of
service *total charges *payer identification (name) *health plan ID *release of
information certification indicator *prior payments [situational] *National
Provider ID
Case Management - (answer)*Insurance group name [situational] *Insurance
group number [situational]*treatment authorization code [situational]
*document control number [situational] *employer name [situational] *diagnosis
and procedure code qualifier *principle diagnosis code *other diagnosis
codes*admitting diagnosis *patient's reason for visit [situational] *principal
, procedure code and date [situational] *other procedure code and date
[situational] *attending provider name and identifiers (including NPI) [situational]
*operating provider name and identifiers [situational] *remarks [situational]
*code-code field [situational
Case Management was introduced in the 1980's in order to control costs by -
(answer)improving quality and manage use of hospital inpatient resources.
There is a renewed interest in case management, as the hospital C Suite is
beginning to recognize its unique role as a bridge between the clinical and
financial realms of - (answer)healthcare delivery.
An interdisciplinary case management team (which may consist of utilization
review and discharge planning functions work directly with healthcare providers
to ensure - (answer)all admissions and observation stays in the hospital are
justified, documentation supports the appropriate level of care and payment for
the hospital, roadblock from timely discharge form the facility removed and that
condition of care across the continuum improves quality, patient satisfaction
avoiding unnecessary readmissions.
The case management team also works directly with the finance department to -
(answer)streamline the revenue cycle, improve communication with payers and
institute operational efficiency and ultimately a more profitable bottom line.
Case Management performs five major functions to the revenue cycle team: -
(answer)*Obtain pre-authorizations and precertification approve from insurance
carriers and payers *Reduce unnecessary admission and effectively manage
length of stay. Inherently, they manage medical necessity which results in
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|100% GUARANTEED PASS!
Revenue Cycle consists of - (answer)several departments with numerous
responsibilities. Department responsibilities and names vary by organization.
The key to a strong revenue cycle is a - (answer)clean claim.
Patient Access is responsible for over - (answer)60% of the claims fields on a
UB04.
In 1975, the American Hospital Association brought together all the national
payer and provider organizations and developed the - (answer)National Uniform
billing committee (NUBC).
In an effort to simplify healthcare billing in America and to develop one standard,
a nationally accepted billing form was created in 1982. It has been replaced and
now the - (answer)Uniform Bill (UB04) is the recognized bill form for hospitals and
other institutional healthcare providers.
The UB04 document is made up of 81 different data fields, called - (answer)form
locators.
,Each form locator name describes the - (answer)type of information input into the
field. Recent changes to the form include an increase in filed size, additional fields
being allocated, and labels changed to better explain the purpose of the form
locator.
Data elements necessary for accurate billing include: - (answer)*Provider and
patient information (Form locators 1-41) *Services provided to the patient (Form
locators 42-49) *Patient's insurance information (Form Locators 50-65)
*Diagnosis, procedure, and physician information (Form Locators 66-81)
Required fields are: - (answer)provider name, address and telephone number &
pay to name, address[situational] *patient control number *medical/health
record number [situational] *Other provider ID [situational] *Insured's name
*Patient's relationship to insured *Insured's unique ID (certificate, social security
number, HI Claim/ID number) *type of bill *federal tax number *statement covers
period (from/through dates) *patient name and address *date of birth *sex
*admission date (inpatients) *admission type (inpatients) *patient status
*conditions codes [situational] *occurrence code and data[situational] occurrence
span code (inpatients) *occurrence span dates (inpatients) *value codes and
amounts *revenue code *HCPCS/rate/HIPPS rates codes *service date *units of
service *total charges *payer identification (name) *health plan ID *release of
information certification indicator *prior payments [situational] *National
Provider ID
Case Management - (answer)*Insurance group name [situational] *Insurance
group number [situational]*treatment authorization code [situational]
*document control number [situational] *employer name [situational] *diagnosis
and procedure code qualifier *principle diagnosis code *other diagnosis
codes*admitting diagnosis *patient's reason for visit [situational] *principal
, procedure code and date [situational] *other procedure code and date
[situational] *attending provider name and identifiers (including NPI) [situational]
*operating provider name and identifiers [situational] *remarks [situational]
*code-code field [situational
Case Management was introduced in the 1980's in order to control costs by -
(answer)improving quality and manage use of hospital inpatient resources.
There is a renewed interest in case management, as the hospital C Suite is
beginning to recognize its unique role as a bridge between the clinical and
financial realms of - (answer)healthcare delivery.
An interdisciplinary case management team (which may consist of utilization
review and discharge planning functions work directly with healthcare providers
to ensure - (answer)all admissions and observation stays in the hospital are
justified, documentation supports the appropriate level of care and payment for
the hospital, roadblock from timely discharge form the facility removed and that
condition of care across the continuum improves quality, patient satisfaction
avoiding unnecessary readmissions.
The case management team also works directly with the finance department to -
(answer)streamline the revenue cycle, improve communication with payers and
institute operational efficiency and ultimately a more profitable bottom line.
Case Management performs five major functions to the revenue cycle team: -
(answer)*Obtain pre-authorizations and precertification approve from insurance
carriers and payers *Reduce unnecessary admission and effectively manage
length of stay. Inherently, they manage medical necessity which results in
