CHAA Revenue Cycle Management

Question 1

Which phase of the revenue cycle begins when a patient schedules an appointment?

Accepted Answer

Pre-encounter

Answer

Claims adjudication

Answer

Charge capture

Answer

Collections

Question 2

What is the primary purpose of charge capture in the revenue cycle?

Accepted Answer

To record all billable services provided to a patient

Answer

To verify patient identity

Answer

To submit claims to insurance companies

Answer

To collect patient copayments

Question 3

What does 'clean claim' mean in healthcare billing?

Accepted Answer

A claim submitted without any errors or missing information

Answer

A claim that has been paid in full

Answer

A claim that has been audited by compliance

Answer

A claim submitted electronically

Question 4

Which department typically handles denied claims in the revenue cycle?

Accepted Answer

Patient financial services or billing

Answer

Patient access

Answer

Health information management

Answer

Clinical nursing

Question 5

What is the typical order of revenue cycle steps?

Accepted Answer

Scheduling, registration, charge capture, claims submission, payment posting, collections

Answer

Claims submission, registration, charge capture, scheduling, collections, payment posting

Answer

Charge capture, scheduling, registration, collections, claims submission, payment posting

Answer

Collections, payment posting, claims submission, charge capture, registration, scheduling

Question 6

What is revenue leakage in healthcare?

Accepted Answer

When revenue is lost due to missed charges, coding errors, or inefficient processes

Answer

When insurance companies overpay claims

Answer

When patients pay more than their financial responsibility

Answer

When the facility receives duplicate payments