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RPB102 Resolute Professional Billing Fundamentals 2024/2025 | Questions and Verified Answers| 100% Correct

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RPB102 Resolute Professional Billing Fundamentals 2024/2025 | Questions and Verified Answers| 100% Correct

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  • 16 de agosto de 2024
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  • 2024/2025
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RPB102 Resolute Professional Billing Fundamentals


1. What is the difference between a patient record and a guarantor record?:

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.

2. True or False:

A hospital account contains the information about the person ultimately re-

sponsible for the charges incurred during a visit.: 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.

3. Which record contains information about a patient's insurance benefits?: -

Coverage.

4. True or False:

A PB HAR is always created manually by a user in a registration workflow.: -

False. PB HARs are created automatically by the system whenever an

encounter gets a PB filing order.

5. Guarantor Record: 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.

6. Guarantor Account: Information about the person responsible for the



,self-pay portion of the visit.

7. Hospital Account: Displays information about the charges, payments,

and ad- justments 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.

8. Coverage Record: A coverage record (at minimum) is the unique

combination of a payor, plan, and subscriber.

9. Patient Record: Patient-specific information, like the patient's

address, phone numbers, employment, PCP, and medical information

are all stored in the patient record.






, 10.When checking in a patient, why might you click the Enterprise Pmt but-

ton?: In order to collect a copay, pre-payment or previous balance

payment at the front desk.

11.What status does the appointment change to once it has been

checked in?: Arrived

12.Copay: The flat fee that a patient pays, usually at the time services

are rendered

13.Check In: The Department Appointments Report (or DAR) is a list of

scheduled appointments 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 selects

the first available time slot for the physician.: True

15.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

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