GRPB102: RESOLUTE PROFESSIONAL
BILLING FUNDAMENTALS QUESTIONS
WITH 100% CORRECT ANSWERS /
VERIFIED / LATEST UPDATE
What is the difference between a patient record and a guarantor record? - Correct answer.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. - Correct answer.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? - Correct answer.Coverage.
True or False:
A PB HAR is always created manually by a user in a registration workflow. - Correct answer.False. PB
HARs are created automatically by the system whenever an encounter gets a PB filing order.
,Guarantor Record - Correct answer.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 - Correct answer.Information about the person responsible for the self-pay portion
of the visit.
Hospital Account - Correct answer.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 - Correct answer.A coverage record (at minimum) is the unique combination of a payor,
plan, and subscriber.
Patient Record - Correct answer.Patient-specific information, like the patient's address, phone numbers,
employment, PCP, and medical information are all stored in the patient record.
When checking in a patient, why might you click the Enterprise Pmt button? - Correct answer.In order to
collect a copay, pre-payment or previous balance payment at the front desk.
What status does the appointment change to once it has been checked in? - Correct answer.Arrived
Copay - Correct answer.The flat fee that a patient pays, usually at the time services are rendered
Check In - Correct answer.The Department Appointments Report (or DAR) is a list of scheduled
appointments and is commonly used to check a patient in when he arrives.
True or False:
When you schedule a walk-in appointment, the system automatically selects the first available time slot
for the physician. - Correct answer.True
You are updating a patient's registration information. That patient hands you her new insurance card.
You look for the insurance in the system but can't find it. What should you do?
, A) Select a coverage that has the closest name to what you have on the insurance card.
B) Do not enter her insurance information.
C) Select a generic coverage and enter information from the card.
D) Call somebody who has more security than you to do the search. - Correct answer.C) Select a generic
coverage and enter information from the card.
Walk In Appointment - Correct answer.The Walk-In functionality is used to schedule an appointment for
patients in the next available time slot. This workflow combines scheduling and check-in.
Generic Coverage - Correct answer.When you attempt to add coverage to a patient, you might not find
the patient's insurance if it isn't
already built in the system.
True or False:
It is possible to refund payments collected at the front desk the same day they are
collected. - Correct answer.True.
Refund a POS Payment - Correct answer.You can refund patient payments at the point of service. If you
cannot physically refund the payment (for example, because your cash drawer is closed), you can process
a refund request from the same workflow.
Note: That it is not possible to return part of a credit card payment or check, so the refund is all or
nothing. If a cash payment is paying for a copay as well as additional balances, a partial refund is
available.
What is the purpose of the cash drawer in the system? - Correct answer.To reconcile the physical money
you collected with the money that you posted in the system.
What must you do when the cash drawer is out of balance? - Correct answer.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.
BILLING FUNDAMENTALS QUESTIONS
WITH 100% CORRECT ANSWERS /
VERIFIED / LATEST UPDATE
What is the difference between a patient record and a guarantor record? - Correct answer.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. - Correct answer.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? - Correct answer.Coverage.
True or False:
A PB HAR is always created manually by a user in a registration workflow. - Correct answer.False. PB
HARs are created automatically by the system whenever an encounter gets a PB filing order.
,Guarantor Record - Correct answer.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 - Correct answer.Information about the person responsible for the self-pay portion
of the visit.
Hospital Account - Correct answer.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 - Correct answer.A coverage record (at minimum) is the unique combination of a payor,
plan, and subscriber.
Patient Record - Correct answer.Patient-specific information, like the patient's address, phone numbers,
employment, PCP, and medical information are all stored in the patient record.
When checking in a patient, why might you click the Enterprise Pmt button? - Correct answer.In order to
collect a copay, pre-payment or previous balance payment at the front desk.
What status does the appointment change to once it has been checked in? - Correct answer.Arrived
Copay - Correct answer.The flat fee that a patient pays, usually at the time services are rendered
Check In - Correct answer.The Department Appointments Report (or DAR) is a list of scheduled
appointments and is commonly used to check a patient in when he arrives.
True or False:
When you schedule a walk-in appointment, the system automatically selects the first available time slot
for the physician. - Correct answer.True
You are updating a patient's registration information. That patient hands you her new insurance card.
You look for the insurance in the system but can't find it. What should you do?
, A) Select a coverage that has the closest name to what you have on the insurance card.
B) Do not enter her insurance information.
C) Select a generic coverage and enter information from the card.
D) Call somebody who has more security than you to do the search. - Correct answer.C) Select a generic
coverage and enter information from the card.
Walk In Appointment - Correct answer.The Walk-In functionality is used to schedule an appointment for
patients in the next available time slot. This workflow combines scheduling and check-in.
Generic Coverage - Correct answer.When you attempt to add coverage to a patient, you might not find
the patient's insurance if it isn't
already built in the system.
True or False:
It is possible to refund payments collected at the front desk the same day they are
collected. - Correct answer.True.
Refund a POS Payment - Correct answer.You can refund patient payments at the point of service. If you
cannot physically refund the payment (for example, because your cash drawer is closed), you can process
a refund request from the same workflow.
Note: That it is not possible to return part of a credit card payment or check, so the refund is all or
nothing. If a cash payment is paying for a copay as well as additional balances, a partial refund is
available.
What is the purpose of the cash drawer in the system? - Correct answer.To reconcile the physical money
you collected with the money that you posted in the system.
What must you do when the cash drawer is out of balance? - Correct answer.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.
