Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RCM Core > RCM Core Day 2 Review > Flashcards

RCM Core Day 2 Review Flashcards

1
Q

True or False: The MSPQ must be filled out for all Medicare and Medicaid patients.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following Medicaid services is a coverage requirement for every state?

A. Dental Services
B. Podiatry Services
C. Mental Health Services

A

C. Mental Health Services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does COB stand for?

A

Coordination of Benefits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

True or False: Authorizations for procedures are sent to both the member and the provider.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

_______ is the process of determining which of two or more insurance policies will have the primary responsibility of processing/paying a claim and the extent to which the other policies will contribute.

A. Capitation
B. Authorization
C. Coordination of Benefits (COB)
D. Crossover claims

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does EMTALA stand for?

A. Emergency Medical Treatment and Logistics Agenda
B. Excellent Medical Treatment and Living Act
C. Emergency Medical Treatment and Labor Act

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

True or False: When documenting notes, it is recommended to add next steps and a personal opinion.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does EOB stand for?

A

Explanation of Benefits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly

RCM Core (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions