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RPB102 Resolute Professional Billing Fundamentals
1. What is the difference between a patient record and a guarantor record?
Answer Apatient 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 forthe charges. It
contains the
name of the guarantor and the address where the bill will be sent.
2. True or False
A hospital account contains the information about the person ultimately re- sponsible for
the charges incurred during a visit.
Answer 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 orentity
ultimately
responsible for remaining balances for a visit. Serving as a hub the HAR allows theuser to see
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the guarantor
and guarantor information without having to look up the guarantor separately. Theguarantor's
information,
however, is not stored in the HAR.
3. Which record contains information about a patient's insurance benefits?
Answer -
Coverage.
4. True or False
A PB HAR is always created manually by a user in a registration workflow.
Answer -False. PB HARs are created automatically by the system whenever an encounter gets a
PB filing order.
5. Guarantor Record
Answer The guarantor record stores contact information for the per-son who ultimately pays
the bill. The responsible party or guarantor may be the patient, guardian, or employer.
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6. Guarantor Account
Answer Information about the person responsible for the self-payportion of the visit.
7. Hospital Account
Answer Displays information about the charges, payments, and ad- justments for that visit. It
also shows which coverage is used for a particular visit, aswell as information
about any claims that are sent out.
8. Coverage Record
Answer A coverage record (at minimum) is the unique combination ofa payor, plan, and
subscriber.
9. Patient Record
Answer Patient-specific information, like the patient's address, phonenumbers, employment,
PCP, and medical information are all stored in the patientrecord.
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10. When checking in a patient, why might you click the Enterprise Pmt but-ton?
Answer In order to collect a copay, pre-payment or previous balance payment at thefront desk.
11. What status does the appointment change to once it has been checkedin?
Answer Arrived
12. Copay
Answer The flat fee that a patient pays, usually at the time services are rendered
13. Check In
Answer The Department Appointments Report (or DAR) is a list of scheduledappointments and
is commonly used to check a patient in when he arrives.
14. True or False
When you schedule a walk-in appointment, the system automatically selectsthe first
available time slot for the physician.
Answer True
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