1|Page
CHAM ARRIVAL REVENUE CYCLE NEWEST
2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |100%
GUARANTEED PASS!!! BRAND NEW!!!
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).
,2|Page
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)
,3|Page
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
, 4|Page
[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
CHAM ARRIVAL REVENUE CYCLE NEWEST
2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |100%
GUARANTEED PASS!!! BRAND NEW!!!
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).
,2|Page
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)
,3|Page
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
, 4|Page
[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
