Exam (elaborations)
RPB102: EPIC RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS
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RPB102: EPIC RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS
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RPB102: EPIC RESOLUTE PROFESSIONAL BILLINGFUNDAMENTALS
Patient Filing Order - Answers-Every coverage the patient has ever had whether or not
it's still effective
Prelude - Answers-Enterprise Registration. Hold the basic patient, guarantor account
and coverage data
Cadence - Answers-Scheduling. Schedule and check in visits. Collect visit specific data.
Resolute Professional Billing - Answers-Billing for professional services. UB and CMS
claim forms available.
Single Billing Office - Answers-Using an integrated set of tools to send a statement both
hospital and professional self-pay balances and follow-up on those balances. Requires
the use of an encounter-specific account called a hospital account (HAR) in both HB
and PB.
HAR - Answers-Hospital Account Record. Encounter-specific account.
Retroadjudication - Answers-review and resolution of changes made to an existing
visit's filing order. Triggered when an update to a patient's filing order creates a new
proposed visit filing order.
Visit Filing Order - Answers-Which coverages to send a claim & in what order
- Filing order saved per visit
- Finalized when a visit is checked in
- Claims sent based on visit filing order
Guarantor - Answers-Person/entity financially responsible
A patient can have *** guarantor accounts - Answers-Multiple
Accident related guarantor account types - Answers-work comp or third party liability
Encounter form number - Answers-Created when a visit is checked in
Contact Serial Number (CSN) - Answers-Created when the appointment is scheduled
When are POS payments posted to the account? - Answers-Immediately
In the foundation system, which of the following payment types can be partially refunded
using the Patient Refund module?
Check
, Cash
Credit Card - Answers-Cash & Credit Card
True or False: In the foundation system, the front desk user can use the patient refund
module to issue a refund? - Answers-False
True or False: When creating a coverage record in the system, you must choose the
correct Payer and Group Number listed on the subscriber's insurance card. - Answers-
False: Payer and Plan
True or False: A patient can have more than one guarantor account. - Answers-True.
However, only one guarantor can be linked to a visit.
True or False: It is possible to refund payments collected at the front desk the same day
they are collected. - Answers-True
Master Files - Answers-hold information about a particular type of data.
Each master file is also known by a three-letter abbreviation known as - Answers-an INI
Records - Answers-hold information about a particular data entry.
Contacts - Answers-hold date-specific information for a particular record
Items - Answers-store discrete pieces of information about a record
Facility - Answers-presents your entire healthcare organization. You will only have one
facility record per oganization
Service Area - Answers-used to separate distinct business entities (accounts
receivable) within an organization.
(Revenue) Locations - Answers-present the actual hospitals and clinics within the
organization.
Place of Service - Answers-represents a facility or organization that is not an actual part
of your organizations hierarchy and is financially separate from your organization.
Department/Units - Answers-places where users work and patients receive care.
True or False: A patient who has been seen multiple times at your hospital should have
multiple patient records in Epic. - Answers-False, the patient will have one patient
record with multiple contacts
Which entity is used to track changes to data over time?
A. Records
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