RPB102 RESOLUTE PROFESSIONAL BILLING
Prelude - Answers-Epic Application that holds the basic patient, guarantor account, and
coverage date. Also known as Enterprise Registration.
Cadence - Answers-Scheduling. Schedule and check-in visits. Collect visit-specific data.
Resolute Professional Billing - Answers-Billing for professional services. CMS and UB
claim forms.
Accident Related Visit? - Answers-Goes on WC or TPL guarantor account types.
Visit Guarantor and Visit Coverage - Answers-A patient can have multiple guarantor
accounts. Review that the correct guarantor account type is used for the visit.
Visit Filing Order - Answers-Which coverage to bill for a visit and in which order.
Guarantor - Answers-The person/entity who is financially responsible for the balance.
Coverage - Answers-Payer + Plan + Subscriber
Encounter Form Number - Answers-Created when the encounter is checked in.
Contact Serial Number (CSN) - Answers-Created when the encounter is created.
Revenue Cycle Area: System Automatic Actions - Answers-These automatic actions
help you free up staff time by automatically performing tasks such as sending letters,
managing bad debt visit accounts, and more.
Revenue Cycle Area: Payment Plans - Answers-Guarantor accounts have one payment
plan with one monthly amount and one due date, simplifying the repayment of their
overall balance including professional and hospital.
Revenue Cycle Area: Bad Debt and External AR - Answers-Manage the process of bad
debt and external AR at the visit level without writing off the balances. Your organization
can categorize AR as External to signify it's outsourced but not overdue and use Bad
Debt to remove the balance from your Active AR.
Payments and Payment Codes - Answers-Payment code examples: Co-Pay, Pre-
Payment, Guarantor payment. Payments from the front desk are posted to the account
immediately.
PB Charge Review - Answers-Review existing charge sessions with issues (defined
problems) and audit targeted % of clean charge sessions.
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