Exam (elaborations)

RPB102 Study Set With all Questions and Answers

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RPB102

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rpb102

Institution RPB102
Course RPB102

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RPB102 Study Set With all Questions and Answers

A guarantor is responsible for the following HARs with the following statuses:

The guarantor sends in a $300 check, which is posted using the

Foundation System post type Oldest First. To which HAR is the money
distributed?

A. HAR 247 because it is the oldest HAR

B. HAR999 because it is the oldest HAR still in active AR

C. HAR1011 because payment plan HARs are distributed to first and
HAR1011 is the oldest of the payment plan HARs

D. HAR1012 because payment plan HARs are distributed to first and
HAR1012 is the oldest of the payment plan HARs since PB is distributed to
before HB – Answer-C

.A guarantor is responsible for two hospital accounts, both at self-pay follow-
up level three. You include both hospital accounts on an activated payment
plan, but before the terms of that payment plan are included on a statement,
what is the self-pay follow-up level of those hospital accounts?

A. Base level

B. Level 1

C. Level 2

D. Level 3

E. There is not enough information provided to answer the question –
Answer-A

Both hospital accounts have self-pay balance due and a payment plan resets
the self-pay follow-up cycle for those hospital accounts. Since the balances
have not yet appeared on a statement they must be at the base level.

.Action – Answer-Deal with liability of remaining balances. Examples are NAA
or NRP

,.After calling a payer about an outstanding claim, you want to document the
conversation so that others researching the balance see a record of your
work.

Which activity or activities would you add? – Answer-Call Payer and Notes

.Allowed Amount – Answer-Maximum reimbursement amount (payer +
guarantor) amount from reimbursement contract

.As undistributed or overposted balances are resolved, they move to the ***
tab of the credit workqueue

A. Active

B. Deferred

C. Completed

D. Reviewed – Answer-C

.Batch – Answer-After calculating a control amount they create a holding tank
in the system into which all charge tickets are entered.

.Batch Scheduler – Answer-A tool that automates many tasks in the system
(like claims and statements processing).

.Billed Amount – Answer-Total amount charged for the service

.Billing Indicator – Answer-A HAR level flag that acts like a custom status. IT
indicates that something else needs to happen to the HAR

.Cash Control Group – Answer-Represents several deposited checks (cash
records) grouped together for posting purposes.

, .Cash Managment – Answer-An Epic module that lets you create records of
deposited money in order to validate that each check sent to the bank is
posted in the system.

.Cash Record – Answer-Represents one deposited check, which can be
created automatically from bank deposit information.

.CDF (Claim Definition File) – Answer-The system’s internal claims scrubber
which checks for errors and can format a claim according to payer-specific
requirements.

.Charge Correct – Answer-Voids a charge and allows the user to edit it before
reposting, to correct a charge after it has been posted.

.Charge Review Workqueue – Answer-Review charge sessions for issues while
charges are still temporary

.Charge Router review workqueues catch (major/minor) charge errors. –
Answer-Major

.Charge Session – Answer-Checks for issues:

In Charge Router:

* If errored: Charge router charge review

* If clean: send to billing system

In Billing System (PB):

* If errored: PB charge review

* If clean: post to account

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