ACMPE Practice Exam | Scenario-Based
Answer Bank 1- Complete Exam Study
Guide 2026/2027 with Verified Answers |
Newest Version. A+
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process.
What functions of the Business Office will you be analyzing when reviewing the Revenue
Cycle Management process?"
1. Charge Capture
2. Payer Mix
3. Fee schedule by Payer
4. Denial Management
5. All of the above
All of the above
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process. What
four steps to auditing your payer contracts?
Organize your contracts, identify and monitor key performance indicators, track and document
discrepancies and prepare to mediate, arbitrate or litigate.
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process. The
practice does not have a Financial Policy that is given to all new patients, or to every patient
when changes are made. What element is not usually included within a Financial Policy?
The conversion factor of the average commercial contract.
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
,decide to investigate the various steps within the Revenue Cycle Management process. A high
number of days in AR could be attributed to:
Problems with clean claims and Failure to work denials
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. What type of incoming practice receipts do you need to account for in your monthly
reconciliation process? - CHOOSE THREE
ACH payments for patient care services ; Refunds from vendors and Counter receipts from
patients
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. During the bank reconciliation, you notice debits to your account with NSF check
notations, which have not been posted to any patient’s account. What process gaps might
exist? - CHOOSE TWO
Bank is not sending check details to the practice and Practice staff placed the notification in
patient's chart to address at their next visit
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. You notice a consistent trend that total receipts posted to practice’s billing system do
not match the total bank lockbox receipts on any given day. What are the typical reasons for
variances? - CHOOSE TWO
Missing EOBs ; Timing differences between lockbox deposit and posting to billing system
As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service. What type of audit should the billing team
perform?
Coding audit
As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service.What revenue cycle values would be negatively
impacted by increased claim rejections?
Total receipts per encounter
, As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service. What are the best actions to take to decrease
this category of claim rejection in the future? - CHOOSE TWO
Set up a rule in your billing system to flag the mismatch of procedure and place of service codes
and Share rejection data claim examples with your charge entry team
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. What action should the
front desk team take immediately to assist in collection of patient balances?
Research patient accounts for the next day's appointments and engage those patients in
collections at time of service
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. Your youngest
physician directs you to continue to bill the patient until they pay. He refuses to write-off any
patient balances. What are your next steps? - CHOOSE TWO
Meet with the physician to understand his concerns. and Engage the services of a collection
agency.
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. What metric will you
now review monthly to prevent this situation in the future?
Review outstanding accounts receivable for insurance and patient responsibility
Answer Bank 1- Complete Exam Study
Guide 2026/2027 with Verified Answers |
Newest Version. A+
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process.
What functions of the Business Office will you be analyzing when reviewing the Revenue
Cycle Management process?"
1. Charge Capture
2. Payer Mix
3. Fee schedule by Payer
4. Denial Management
5. All of the above
All of the above
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process. What
four steps to auditing your payer contracts?
Organize your contracts, identify and monitor key performance indicators, track and document
discrepancies and prepare to mediate, arbitrate or litigate.
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
decide to investigate the various steps within the Revenue Cycle Management process. The
practice does not have a Financial Policy that is given to all new patients, or to every patient
when changes are made. What element is not usually included within a Financial Policy?
The conversion factor of the average commercial contract.
As the Practice Administrator of a large single specialty practice, you have noted that the
revenue does not seem to reflect the work that has been completed by the physicians. You
,decide to investigate the various steps within the Revenue Cycle Management process. A high
number of days in AR could be attributed to:
Problems with clean claims and Failure to work denials
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. What type of incoming practice receipts do you need to account for in your monthly
reconciliation process? - CHOOSE THREE
ACH payments for patient care services ; Refunds from vendors and Counter receipts from
patients
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. During the bank reconciliation, you notice debits to your account with NSF check
notations, which have not been posted to any patient’s account. What process gaps might
exist? - CHOOSE TWO
Bank is not sending check details to the practice and Practice staff placed the notification in
patient's chart to address at their next visit
As the new Controller of an orthopedic practice in Texas, one of your practice goals is to
ensure proper monthly bank reconciliation to your cash collected and disbursed at the
practice. You notice a consistent trend that total receipts posted to practice’s billing system do
not match the total bank lockbox receipts on any given day. What are the typical reasons for
variances? - CHOOSE TWO
Missing EOBs ; Timing differences between lockbox deposit and posting to billing system
As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service. What type of audit should the billing team
perform?
Coding audit
As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service.What revenue cycle values would be negatively
impacted by increased claim rejections?
Total receipts per encounter
, As the billing manager of a cardiology group, you notice increased claim rejections related to
procedure code does not match site of service. What are the best actions to take to decrease
this category of claim rejection in the future? - CHOOSE TWO
Set up a rule in your billing system to flag the mismatch of procedure and place of service codes
and Share rejection data claim examples with your charge entry team
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. What action should the
front desk team take immediately to assist in collection of patient balances?
Research patient accounts for the next day's appointments and engage those patients in
collections at time of service
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. Your youngest
physician directs you to continue to bill the patient until they pay. He refuses to write-off any
patient balances. What are your next steps? - CHOOSE TWO
Meet with the physician to understand his concerns. and Engage the services of a collection
agency.
As an Administrator of a 9 physician Internal Medicine group, your Finance Manager has
advised you that receipts for January through April are down 30 percent compared to same
time period last year. With further review, the data shows that dollars in outstanding patient
balances as a percent of total AR has increased dramatically. You meet immediately with your
front desk supervisor and revenue cycle team lead. The revenue cycle team then reviews all
patient balances over 90 days over the next four months. They ultimately bring the
outstanding patient balances to each of the physicians for disposition. What metric will you
now review monthly to prevent this situation in the future?
Review outstanding accounts receivable for insurance and patient responsibility
