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CHAM Arrival - Revenue Cycle Exam Questions and Answers 100% Pass
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CHAM Arrival - Revenue Cycle Exam Questions and Answers 100% 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 re...

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  • November 18, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
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CHAM Arrival - Revenue Cycle Exam
Questions and Answers 100% 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.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/21

,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

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/21

, 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.




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/21

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