Exam (elaborations)
RPB102: RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS
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RPB102: RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS
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RPB102:RESOLUTE
PROFESSIONAL
BILLING
FUNDAMENTALS
What is the difference between a patient record and a guarantor record? - Answers -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. - Answers -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? - Answers -
Coverage.
True or False:
A PB HAR is always created manually by a user in a registration workflow. - Answers -
False. PB HARs are created automatically by the system whenever an encounter gets a
PB filing order.
,Guarantor Record - Answers -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 - Answers -Information about the person responsible for the self-pay
portion of the visit.
Hospital Account - Answers -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 - Answers -A coverage record (at minimum) is the unique
combination of a payor, plan, and subscriber.
Patient Record - Answers -Patient-specific information, like the patient's address, phone
numbers, employment, PCP, and medical information are all stored in the patient
record.
What must you do when the cash drawer is out of balance? - Answers -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? - Answers -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? -
Answers -Select All
True or False:
Each charge entry batch contains only one charge entry session. - Answers -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. - Answers -
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. - Answers -True.
, Name two conventions for entering a diagnosis code in the Code field on the Charge
Entry form. - Answers -Enter the ICD code or the name and description of the diagnosis.
On the procedure line, what purpose does the Diagnosis field serve? - Answers -The
entry in this field associates the charges with the appropriate diagnosis from the
Diagnoses table.
What is the purposes of processing your batch? - Answers -Processing the batch posts
the charges and make them available for billing.
Charge Ticket - Answers -When the patient's visit is checked in in Cadence, an
encounter form number is generated as a method of tracking the visit.
Upon check-in, a label is often printed that includes the encounter form number and
contact serial number from the appointment information.
If charges for the visit are entered manually by charge entry staff, this label can be
affixed to the charge ticket.
Charge Session - Answers -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
Batch - Answers -After calculating a control amount they create a holding tank in the
system into which all charge tickets are entered
Warnings - Answers -This message you should review the problem, but you do not
need to change it.
Errors - Answers -This message must be fixed before going forward.
Procedure Count - Answers -Number of procedures to be entered
Procedure Hash - Answers -Numerical sum of all of the procedure codes to be entered
Circle the correct choice:
Charge Router Review workqueues catch (major/minor) charge errors. - Answers -
Major
True or False:
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