Exam (elaborations)
EPIC RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS FOR SINGLE BILLING OFFICE
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EPIC RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS FOR SINGLE BILLING OFFICE
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EPIC RESOLUTE PROFESSIONAL BILLINGFUNDAMENTALS FOR SINGLE BILLING OFFICE
critical errors in charge sessions - Answers-1. inactive procedure
2. missing guarantor account
3. missing hospital account
4. missing procedure code
5. missing provider
charge router functions - Answers-1. checks charge sessions for errors
2. routes charges from clinical applications to billing applications
3. contains workqueues to hold problem charge sessions
4. allows for manual entry of charges
charge review workqueue - Answers-a series of edit checks within Resolute PB. At this
point in the revenue cycle, charges are still temporary.
Delete (a charge session) - Answers-this is a function that is security controlled; might
be used if same encounter info is entered twice
force resubmit - Answers-forcing a charge session to post, regardless of its errors
claims queue - Answers-holds all of the transactions that are available to go out on a
claim. Posted charges are added here if they have insurance due and are set up to go
out on a claim.
tasks for registration/front desk staff - Answers--mark patients as arrived
-schedule walk-ins
-collect payments
-collect documentation
-balance cash
-refund POS payment
-verify/update info
two modules for manual charge entry - Answers-1. charge router charge entry
2. professional billing charge entry
procedure count - Answers-# of procedures to be entered
procedure hash - Answers-numerical sum of all the procedure codes to be entered
PB Charge Entry - Answers-method of PB charge entry where charges do not go
through charge router
Can view calculated prices
, user errors - Answers-issues that an end user fixes in Hyperspace
master file errors - Answers-corrected by IT staff or an application coordinator in the
build
resubmit selected - Answers-option that lets you choose specific charges and resubmit
only those charges
batch scheduler - Answers-a tool that automates many tasks in the system (like claims
and statement processing)
claim run - Answers-The first step in claims processing is the creation of this. This will
include transactions from the claims queue.
CDF (claim definition file) - Answers-internal scrubber which checks for errors and can
format a claim according to payor-specific requirements.
claim edit workqueue companion - Answers-box that pops up when error hyperlink is
clicked on claim edit workqueue.
claim edit workqueue assistant - Answers-pops up when a session is selected from the
claim edit workqueue companion. This shows information about the claim, such as
claim errors. Claim errors will disappear once corrected.
outstanding claim - Answers-claims that have not been paid properly and require follow-
up
follow-up workqueue assistant - Answers-provides further information about the charges
on an invoice; can be accessed by double-clicking on a line in the follow-up workqueue
resubmit claim - Answers-option that resubmits an entire claim to insurance. Sends
charges back to claims queue to process automatically overnight
cash management - Answers-creates records to represent what's being deposited to
validate that each check sent to the bank is posted in the system
cash control group - Answers-represents several checks grouped together for posting
purposes
cash record - Answers-represents one deposited check
payment posting batch - Answers-can be created from cash management if your
organization is using Enterprise Payment Posting.
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