RCM Basics

Write down a word that reminds you of the RCM course?

What is the initial step in Revenue Cycle Management where patient demographic and insurance information is gathered?

• Patient Consultation

• Patient Registration

What document explains the details of services covered, allowed amounts, and payments made by an insurance company?

• Invoice

• Explanation of Benefits (EOB)

What term refers to the maximum amount an insurer will reimburse for a covered service?

• Maximum Allowance

• Allowed Amount

Who is the person who holds the insurance policy in healthcare terms?

• Patient

• Subscriber

What does "EOB" stand for in the context of healthcare billing?

• Electronic Order of Billing

• Explanation of Benefits

Which possible patient responsibility comes after meeting the deductible base and is charged based on a percentage of the total allowed amount??

• Copayment

• Coinsurance

Which insurance covers costs not paid by the primary insurance?

• Primary Insurance

• Secondary Insurance

Which stage involves transmitting claims to insurance companies electronically or via paper forms?

• Claims Adjudication

• Claims Submission

What is the fixed amount a patient pays for certain services called?

• • Coinsurance

• • Copayment