Staff Series – Round 3 Review Quiz
RCM FOUNDATION SERIES · ROUND 3
Review Quiz

Round 3 Review Quiz

A check on everything from Modules 1–3 before your certificate

This covers all three modules in this round — payment posting, insurance follow-up and denials, and patient statements and collections. You need 7 of 8 correct (80%) to unlock your certificate.

Round 3 Review

1. What does an ERA show, line by line?
Correct. An ERA breaks payment down in detail for every service billed.
Not quite. An ERA shows the full breakdown — allowed amount, payment, adjustments, and what the patient owes.
2. Who owes the contractual adjustment amount?
Correct. The contractual adjustment is written off, not billed to anyone.
Not quite. That amount is written off under the contract — it isn't owed by the patient or anyone else.
3. Why is it risky to post a batch remittance by total check amount only?
Correct. Posting only the total can bury a denial that needs follow-up.
Not quite. Posting by total risks missing a denied line that still needs to be worked.
4. What usually causes an eligibility denial?
Correct. Eligibility denials usually trace back to coverage changing without being re-verified.
Not quite. This type of denial is about coverage status, not coding or timing.
5. Why are timely filing denials especially serious?
Correct. Timely filing denials are usually final, which makes prevention critical.
Not quite. These denials are serious because they're typically not appealable.
6. What is the easiest point in the collection path to get a patient balance paid?
Correct. Time of service is the fastest and easiest point to collect.
Not quite. Time of service, while the patient is still there, is the easiest point to collect.
7. What tends to happen to recovery rates the further a balance moves down the collection path?
Correct. The further along the path a balance moves, the less likely it is to be fully recovered.
Not quite. Recovery rates drop the further a balance moves toward outside collections.
8. Why is it a problem if a statement amount doesn't match what the patient was told at the visit?
Correct. A mismatch can undermine trust and make it harder to collect going forward.
Not quite. A mismatch between what was said and what's billed tends to erode trust and slow payment.

Round 3 complete — nice work.

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