1. Define Revenue Cycle
Answer: REVENUE CYCLE ----- is the series of events and services provided prior
to, during, and after the course of treatment
2. Departments that contribute to the Revenue Cycle.
Answer: Departments that con- tribute to the Revenue Cycle.
1. Access
2. Health information management/ Medical records
3. Case-management
4. Patient Care Services
5. Patient Financial Services
3. What led the creation of revenue management services?
Answer: The emphasis on the revenue cycle hasresulted in the need to organize its
components differently and created a new business unit known as revenue integrity
or revenue management services.
4. Benefit of Electronic transactions?
Answer: Electronic transactions." Transactions are associated with revenue capture
and collection activities. The implementation of electronic data interchange (EDI)
allows actions previously conducted by telephone/ manual methods to be performed
electronically ( improves workflow).
5. 5010 Transaction Set Function?
Answer: 5010Transaction Set new transaction processing system with new transaction standards.These standards will:
a. Offer healthcare providers enhanced information.
b. Require providers to provide payers with additional data to facilitate claim payments.
6. 6 Transactions associated with the revenue cycle include:
Answer: 6 Transactions associated with the revenue cycle include:
a. Claim/Encounter (837-I, 837-P, 837-COB, 837-P COB, NCPD).
b. Remittance (835).
c. Claim Status Inquiry/Response (276/277).
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