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Solution and Answer Guide PARKS, REVENUE CYCLE FOR HEALTHCARE, 1E CHAPTER 1: OVERVIEW OF REVENUE CYCLE MANAGEMENT
TABLE OF CONTENTS
Check Your Understanding: Remittance Advice.....................................................................................1
Enrichment activity: Interview..................................................................................................................1
Enrichment activity: Careers.....................................................................................................................1
End of Chapter Review ..............................................................................................................................2
CHECK YOUR UNDERSTANDING: REMITTANCE ADVICE
Review the remittance advice in Figure 1-7 to familiarize yourself with its organization and legend.
Identify the most likely reason why patient Lynch was not charged for coinsurance.
Answer: The billed amount is the same as the allowed amount agreed to by the payer, therefore there is
no coinsurance due. Suggestion: This question can be used by the instructor to open a discussion about
remittance advice and explanation of benefits.
ENRICHMENT ACTIVITY: INTERVIEW
Interview an insurance specialist whose task is to monitor claims status within the billing department of a
health care facility. Ask these questions:
ï‚· What is their procedure for monitoring the claims process?
ï‚· What AI software do they use to track the status of claims?
ï‚· Can they identify the number of claims that are returned because of errors?
Answer: Answers will vary.
ENRICHMENT ACTIVITY: CAREERS
Go to https://ahima.org/careermap and explore the emerging careers in revenue cycle management that
are available to you. Choose one and explain what the job is, what technology you anticipate working
with, what education level you need to perform that job, and why that job appeals to you.
Answer: Answers will vary based on individual student interest.
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