A consolidation of Medicare Parts A and B benefits so that all claims would be processed by one organization is known as:

a. Medicare administrative contractors

b. management service organizations

C. health care fraud prevention and enforcement action team

d. Medicare shared savings program

One of the first things you learned as a new employee of the medical center was the critical importance of the revenue cycle and its consequential management. You were eventually promoted to the position of revenue cycle auditor, which requires you to complete the following auditing processes:

•Compliance monitoring

•Denials management

•Tracking resubmitted claims and appeals for denied claims

•Posting late charges and lost charges

Your job also requires you to monitor resource allocation using data metrics and analytics reported by departments of the medical center and state health care organizations. You are able to utilize data analytics from data warehouses as well as perform data mining.

What is the definition of revenue cycle management?

Jonathon is comparing three different EH systems. His hospital is looking to purchase a new system. He wants to make sure that each EHR system has the correct medical record content requirements before he makes a recommendation to Administration. All of the following organizations determine the requirements for the content of the hospital health record except:

(A) Joint Commission

(B) Medical staff rules and regulations

(C) State licensure and regulations

(D) AHIMA

Jonathon is comparing three different EH systems. His hospital is looking to purchase a new system. He wants to make sure that each EHR system has the correct medical record content requirements before he makes a recommendation to Administration. All of the following organizations determine the requirements for the content of the hospital health record except:

(A) Joint Commission

(B) Medical staff rules and regulations

(C) State licensure and regulations

(D) AHIMA