RPB102: Resolute Professional Billing Fundamentals Questions And Answers
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Course
Rpb 102 Epic
Institution
Rpb 102 Epic
What is the difference between a patient record and a guarantor record? - ANS A patient record represents the person receiving care. It contains the demographic information for the patient
and the patient's chart. The guarantor record represents the person responsible for the charges. It ...
RPB102: Resolute Professional Billing
Fundamentals Questions And Answers
What is the difference between a patient record and a guarantor record? - ANS A patient
record represents the person receiving care. It contains the demographic information for the
patient
and the patient's chart. The guarantor record represents the person responsible for the charges.
It contains the
name of the guarantor and the address where the bill will be sent.
True or False:
A hospital account contains the information about the person ultimately responsible for the
charges incurred during a visit. - ANS False. The Hospital Account (HAR) is the hub for a
visit that allows a user to see information stored
elsewhere. The Guarantor Account record stores the information about a person or entity
ultimately
responsible for remaining balances for a visit. Serving as a hub the HAR allows the user to see
the guarantor
and guarantor information without having to look up the guarantor separately. The guarantor's
information,
however, is not stored in the HAR.
Which record contains information about a patient's insurance benefits? - ANS Coverage.
True or False:
A PB HAR is always created manually by a user in a registration workflow. - ANS False.
PB HARs are created automatically by the system whenever an encounter gets a PB filing
order.
Guarantor Record - ANS The guarantor record stores contact information for the person
who ultimately pays the bill. The responsible party or guarantor may be the patient, guardian, or
employer.
Guarantor Account - ANS Information about the person responsible for the self-pay portion
of the visit.
Hospital Account - ANS Displays information about the charges, payments, and
adjustments for that visit. It also shows which coverage is used for a particular visit, as well as
information
,about any claims that are sent out.
Coverage Record - ANS A coverage record (at minimum) is the unique combination of a
payor, plan, and subscriber.
Patient Record - ANS Patient-specific information, like the patient's address, phone
numbers, employment, PCP, and medical information are all stored in the patient record.
When checking in a patient, why might you click the Enterprise Pmt button? - ANS In order
to collect a copay, pre-payment or previous balance payment at the front desk.
What status does the appointment change to once it has been checked in? - ANS Arrived
Copay - ANS The flat fee that a patient pays, usually at the time services are rendered
Check In - ANS The Department Appointments Report (or DAR) is a list of scheduled
appointments and is commonly used to check a patient in when he arrives.
True or False:
When you schedule a walk-in appointment, the system automatically selects the first available
time slot for the physician. - ANS True
You are updating a patient's registration information. That patient hands you her new insurance
card. You look for the insurance in the system but can't find it. What should you do?
A) Select a coverage that has the closest name to what you have on the insurance card.
B) Do not enter her insurance information.
C) Select a generic coverage and enter information from the card.
D) Call somebody who has more security than you to do the search. - ANS C) Select a
generic coverage and enter information from the card.
Walk In Appointment - ANS The Walk-In functionality is used to schedule an appointment
for patients in the next available time slot. This workflow combines scheduling and check-in.
Generic Coverage - ANS When you attempt to add coverage to a patient, you might not
find the patient's insurance if it isn't
already built in the system.
True or False:
It is possible to refund payments collected at the front desk the same day they are
collected. - ANS True.
Refund a POS Payment - ANS You can refund patient payments at the point of service. If
you cannot physically refund the payment (for example, because your cash drawer is closed),
you can process a refund request from the same workflow.
, Note: That it is not possible to return part of a credit card payment or check, so the refund is all
or nothing. If a cash payment is paying for a copay as well as additional balances, a partial
refund is available.
What is the purpose of the cash drawer in the system? - ANS To reconcile the physical
money you collected with the money that you posted in the system.
What must you do when the cash drawer is out of balance? - ANS First, try to balance the
cash drawer by re-counting and re-entering the contents of your physical money. If it
still does not balance, contact a supervisor and enter a reason why the drawer is not balanced.
What do you do with a cash drawer before you go home? - ANS Count the contents
Verify the money in the drawer matches the money posted in the system
Print a report about the money that was collected and reconciled
Turn in the money and the printed report to your supervisor
Clicking which button automatically matches
the money you recorded from your cash drawer with the money posted in the system? - ANS
Select All
True or False:
Each charge entry batch contains only one charge entry session. - ANS False. Each
charge entry batch can contain an unlimited number of charge entry sessions.
True or False:
Each charge entry batch only contains information for one patient's charges. - ANS False.
The batch can contain charges for an unlimited number of different patients.
True or False:
One charge ticket is the equivalent of one charge entry session. - ANS True.
Name two conventions for entering a diagnosis code in the Code field on the Charge Entry form.
- ANS Enter the ICD code or the name and description of the diagnosis.
On the procedure line, what purpose does the Diagnosis field serve? - ANS The entry in
this field associates the charges with the appropriate diagnosis from the Diagnoses table.
What is the purposes of processing your batch? - ANS Processing the batch posts the
charges and make them available for billing.
Charge Ticket - ANS When the patient's visit is checked in in Cadence, an encounter form
number is generated as a method of tracking the visit.
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