FUNDAMENTALS CERTIFICATION PAPER
2026 FULL SOLUTION GRADED A+
● charge router functions. Answer: 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. Answer: a series of edit checks within
Resolute PB. At this point in the revenue cycle, charges are still
temporary.
● Delete (a charge session). Answer: this is a function that is security
controlled; might be used if same encounter info is entered twice
● force resubmit. Answer: forcing a charge session to post, regardless of
its errors
● claims queue. Answer: 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.
, ● batch scheduler. Answer: a tool that automates many tasks in the
system (like claims and statement processing)
● claim run. Answer: The first step in claims processing is the creation
of this. This will include transactions from the claims queue.
● CDF (claim definition file). Answer: internal scrubber which checks
for errors and can format a claim according to payor-specific
requirements.
● claim edit workqueue companion. Answer: box that pops up when
error hyperlink is clicked on claim edit workqueue.
● claim edit workqueue assistant. Answer: 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. Answer: claims that have not been paid properly
and require follow-up
● follow-up workqueue assistant. Answer: provides further information
about the charges on an invoice; can be accessed by double-clicking on a
line in the follow-up workqueue