,1. What is the primary objective of using revenue cycle
management (RCM) in healthcare organizations?
- A) To ensure patient satisfaction
- B) To maximize revenue and reduce claim denials
- C) To minimize the number of patients treated
- D) To increase insurance premiums
Correct Answer: B
Rationale: Revenue cycle management aims to
maximize revenue by improving the efficiency of billing
processes and reducing claim denials through streamlined
procedures.
2. When dealing with outstanding patient balances, what is
considered a "best practice" for collections?
- A) Send monthly statements indefinitely
- B) Implement a standard operating procedure with steps
for follow-up
- C) Rely solely on automated phone calls
- D) Wait for patients to voluntarily pay
Correct Answer: B
Rationale: Developing a standardized, structured
approach with regular follow-ups is essential for effective
collections management.
, Correct Answer: B
Rationale: Proper coder education reduces errors by
ensuring that coding staff understand guidelines and are
up-to-date with coding changes.
### HIPAA and Compliance
4. Under HIPAA, which of the following is considered
Protected Health Information (PHI)?
- A) Patient's zip code
- B) Patient's home address alone
- C) A patient's full name and condition
- D) Only the patient's insurance provider
Correct Answer: C
Rationale: PHI includes identifiers such as name linked
with medical conditions or healthcare details, which can be
used to identify an individual.
5. What is the main purpose of the HIPAA Security Rule?
- A) To prevent insurance fraud
- B) To safeguard electronic protected health information
(ePHI)
- C) To regulate insurance premiums
- D) To ensure paper records are maintained securely
Correct Answer: B
Rationale: The Security Rule's primary focus is the
protection of ePHI through administrative, physical, and
technical safeguards.
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