RPB102: Resolute Professional Billing
Fundamentals Exam|177 Q’s and A’s
What is the difference between a patient record and a guarantor record? - -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. - -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? - -
Coverage.
- True or False:
A PB HAR is always created manually by a user in a registration workflow. - -
False. PB HARs are created automatically by the system whenever an
encounter gets a PB filing order.
- Guarantor Record - -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 - -Information about the person responsible for the self-
pay portion of the visit.
- Hospital Account - -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 - -A coverage record (at minimum) is the unique
combination of a payor, plan, and subscriber.
- Patient Record - -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? - -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?
- -Arrived
- Copay - -The flat fee that a patient pays, usually at the time services are
rendered
- Check In - -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. - -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. - -C)
Select a generic coverage and enter information from the card.
- Walk In Appointment - -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 - -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. - -True.
- Refund a POS Payment - -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? - -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? - -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.
- What do you do with a cash drawer before you go home? - -Count the
contents
Verify the money in the drawer matches the money posted in the system
Print a report about the money that was collected and reconciled
Turn in the money and the printed report to your supervisor
- Clicking which button automatically matches
the money you recorded from your cash drawer with the money posted in
the system? - -Select All
- True or False:
Each charge entry batch contains only one charge entry session. - -False.
Each charge entry batch can contain an unlimited number of charge entry
sessions.
- True or False:
Each charge entry batch only contains information for one patient's charges.
- -False. The batch can contain charges for an unlimited number of different
patients.
- True or False:
One charge ticket is the equivalent of one charge entry session. - -True.
- Name two conventions for entering a diagnosis code in the Code field on
the Charge Entry form. - -Enter the ICD code or the name and description of
the diagnosis.
Fundamentals Exam|177 Q’s and A’s
What is the difference between a patient record and a guarantor record? - -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. - -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? - -
Coverage.
- True or False:
A PB HAR is always created manually by a user in a registration workflow. - -
False. PB HARs are created automatically by the system whenever an
encounter gets a PB filing order.
- Guarantor Record - -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 - -Information about the person responsible for the self-
pay portion of the visit.
- Hospital Account - -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 - -A coverage record (at minimum) is the unique
combination of a payor, plan, and subscriber.
- Patient Record - -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? - -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?
- -Arrived
- Copay - -The flat fee that a patient pays, usually at the time services are
rendered
- Check In - -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. - -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. - -C)
Select a generic coverage and enter information from the card.
- Walk In Appointment - -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 - -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. - -True.
- Refund a POS Payment - -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? - -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? - -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.
- What do you do with a cash drawer before you go home? - -Count the
contents
Verify the money in the drawer matches the money posted in the system
Print a report about the money that was collected and reconciled
Turn in the money and the printed report to your supervisor
- Clicking which button automatically matches
the money you recorded from your cash drawer with the money posted in
the system? - -Select All
- True or False:
Each charge entry batch contains only one charge entry session. - -False.
Each charge entry batch can contain an unlimited number of charge entry
sessions.
- True or False:
Each charge entry batch only contains information for one patient's charges.
- -False. The batch can contain charges for an unlimited number of different
patients.
- True or False:
One charge ticket is the equivalent of one charge entry session. - -True.
- Name two conventions for entering a diagnosis code in the Code field on
the Charge Entry form. - -Enter the ICD code or the name and description of
the diagnosis.
