Exam (elaborations)

RPB102: Epic Resolute Professional Billing Fundamentals Exam Questions And Answers

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Rpb 102 Epic

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Rpb 102 Epic

RPB102: Epic Resolute Professional Billing Fundamentals Exam Questions And Answers Patient Filing Order - ANS Every coverage the patient has ever had whether or not it's still effective Prelude - ANS Enterprise Registration. Hold the basic patient, guarantor account and coverage data ...

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Uploaded on August 9, 2024
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rpb 102 epic

Institution Rpb 102 Epic
Module Rpb 102 Epic

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RPB102: Epic Resolute Professional
Billing Fundamentals

Patient Filing Order - ANS Every coverage the patient has ever had whether or not it's still effective

Prelude - ANS Enterprise Registration. Hold the basic patient, guarantor account and coverage data

K
Cadence - ANS Scheduling. Schedule and check in visits. Collect visit specific data.

C
Resolute Professional Billing - ANS Billing for professional services. UB and CMS claim forms
available.

LO
Single Billing Office - ANS Using an integrated set of tools to send a statement both hospital and
professional self-pay balances and follow-up on those balances. Requires the use of an encounter-specific
account called a hospital account (HAR) in both HB and PB.

HAR - ANS Hospital Account Record. Encounter-specific account.
YC
Retro Adjudication - ANS review and resolution of changes made to an existing visit's filing order.
Triggered when an update to a patient's filing order creates a new proposed visit filing order.

Visit Filing Order - ANS Which coverages to send a claim & in what order
D

- Filing order saved per visit
- Finalized when a visit is checked in
- Claims sent based on visit filing order
U

Guarantor - ANS Person/entity financially responsible
ST

A patient can have *** guarantor accounts - ANS Multiple

Accident related guarantor account types - ANS work comp or third party liability

Encounter form number - ANS Created when a visit is checked in

Contact Serial Number (CSN) - ANS Created when the appointment is scheduled

When are POS payments posted to the account? - ANS Immediately

In the foundation system, which of the following payment types can be partially refunded using the
Patient Refund module?

, Check
Cash
Credit Card - ANS Cash & Credit Card

True or False: In the foundation system, the front desk user can use the patient refund module to issue a
refund? - ANS False

True or False: When creating a coverage record in the system, you must choose the correct Payer and
Group Number listed on the subscriber's insurance card. - ANS False: Payer and Plan

K
True or False: A patient can have more than one guarantor account. - ANS True. However, only one
guarantor can be linked to a visit.

C
True or False: It is possible to refund payments collected at the front desk the same day they are collected.
- ANS True

LO
Master Files - ANS hold information about a particular type of data.

Each master file is also known by a three-letter abbreviation known as - ANS an INI

Records - ANS hold information about a particular data entry.
YC
Contacts - ANS hold date-specific information for a particular record

Items - ANS store discrete pieces of information about a record

Facility - ANS presents your entire healthcare organization. You will only have one facility record per
D

oganization

Service Area - ANS used to separate distinct business entities (accounts receivable) within an
U

organization.

(Revenue) Locations - ANS present the actual hospitals and clinics within the organization.
ST

Place of Service - ANS represents a facility or organization that is not an actual part of your
organizations hierarchy and is financially separate from your organization.

Department/Units - ANS places where users work and patients receive care.

True or False: A patient who has been seen multiple times at your hospital should have multiple patient
records in Epic. - ANS False, the patient will have one patient record with multiple contacts

Which entity is used to track changes to data over time?
A. Records

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Exam (elaborations)

RPB102: Epic Resolute Professional Billing Fundamentals Exam Questions And Answers

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