Question

multiple choice question

step 4 of the revenue cycle is to ______.

• review coding compliance
• establish financial responsibility
• check out patients
• monitor payer adjudication

Explanation:

Identify the revenue cycle steps

Using the Medical Billing Revenue Cycle knowledge point, the standard medical billing revenue cycle consists of 10 sequential steps:

1. Preregister patients
2. Establish financial responsibility
3. Check in patients
4. Review coding compliance
5. Review billing compliance
6. Check out patients
7. Prepare and transmit claims
8. Monitor payer adjudication
9. Generate patient statements
10. Follow up on patient payments and handle collections

Determine Step 4 of the cycle

Using the Coding Compliance Guidelines knowledge point, Step 4 is specifically designated as reviewing coding compliance to ensure all diagnosis and procedure codes are accurate and supported by medical documentation before billing.

Evaluate the options

Using the Establish Financial Responsibility knowledge point:

• "establish financial responsibility" is Step 2.
• "check out patients" is Step 6.
• "monitor payer adjudication" is Step 8.
• "review coding compliance" is Step 4.

Answer:

• (A) review coding compliance (Correct answer)
• (B) establish financial responsibility
• (C) check out patients
• (D) monitor payer adjudication