RESOLUTE PROFESSIONAL BILLING QUESTIONS
WITH CORRECT ANSWERS
What is the difference between a patient record and a guarantor record? -
ANSWER>>A patient record represents the person recieving 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.
Tue or False:
Hospital accounts contain the information about the person ultimately
responsible for the charges incurred during the visit. - ANSWER>>False. The HAR
is the hub for a visit that allpws a user to see information stored elsewhere. The
Guarantor Account record stores the information about a person or entity
ultimatley responsinble 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? -
ANSWER>>Coverage
True or False:
,A PB HAR is always created manually by a user in a regiatration workflow. -
ANSWER>>False. PB HARS are created automatically by the system whenever an
encounter gets a PB filing order.
Guarantor Record - 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 - ANSWER>>Information about the person responsible for the
self-pay portion of the visit.
Hospital Account - 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 - ANSWER>>A coverage record (at minimum) is the unique
combination of payer, plan, and subscriber.
Patient Record - 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? -
ANSWER>>In order to collect a co-pay, pre-payment, or previous balance
payment at the front desk.
,What status does the appointment change to once it has been checked in? -
ANSWER>>Arrived
Copay - ANSWER>>The flat fee that a patient pays, usually at the time services are
rendered.
Check In - ANSWER>>The Department Appointments Record (or DAR) is a list of
scheduled appointments and is commonly used to check a patient in when they
arrive.
True or False:
When you schedule a walk-in appointment, the system automatically selects the
first available time slot for the physicia. - ANSWER>>True
You are updating a patient's registration information. Thay 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 - ANSWER>>C
, Walk-In Appointment - ANSWER>>The Walk-In functionality is used to schedule
an appointment for patients in the next available time slot. This work flow
combines scheduling and check-in.
Generic Coverage - 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. - ANSWER>>True
Refund a POS Payment - ANSWER>>You can refund patient payments at the point
of service. If you cannot physically refund the cash payment (for example,
because your cash drawer is closed), you can process a refund request from the
same workflow.
Note: that 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? - ANSWER>>To reconcile
the physical money you collected with the money you posted in the system.
What must you do when the cash drawer is out of balance? - ANSWER>>First, try
to balance the cash drawer by re-counting and re-entering the contents of your
WITH CORRECT ANSWERS
What is the difference between a patient record and a guarantor record? -
ANSWER>>A patient record represents the person recieving 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.
Tue or False:
Hospital accounts contain the information about the person ultimately
responsible for the charges incurred during the visit. - ANSWER>>False. The HAR
is the hub for a visit that allpws a user to see information stored elsewhere. The
Guarantor Account record stores the information about a person or entity
ultimatley responsinble 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? -
ANSWER>>Coverage
True or False:
,A PB HAR is always created manually by a user in a regiatration workflow. -
ANSWER>>False. PB HARS are created automatically by the system whenever an
encounter gets a PB filing order.
Guarantor Record - 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 - ANSWER>>Information about the person responsible for the
self-pay portion of the visit.
Hospital Account - 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 - ANSWER>>A coverage record (at minimum) is the unique
combination of payer, plan, and subscriber.
Patient Record - 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? -
ANSWER>>In order to collect a co-pay, pre-payment, or previous balance
payment at the front desk.
,What status does the appointment change to once it has been checked in? -
ANSWER>>Arrived
Copay - ANSWER>>The flat fee that a patient pays, usually at the time services are
rendered.
Check In - ANSWER>>The Department Appointments Record (or DAR) is a list of
scheduled appointments and is commonly used to check a patient in when they
arrive.
True or False:
When you schedule a walk-in appointment, the system automatically selects the
first available time slot for the physicia. - ANSWER>>True
You are updating a patient's registration information. Thay 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 - ANSWER>>C
, Walk-In Appointment - ANSWER>>The Walk-In functionality is used to schedule
an appointment for patients in the next available time slot. This work flow
combines scheduling and check-in.
Generic Coverage - 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. - ANSWER>>True
Refund a POS Payment - ANSWER>>You can refund patient payments at the point
of service. If you cannot physically refund the cash payment (for example,
because your cash drawer is closed), you can process a refund request from the
same workflow.
Note: that 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? - ANSWER>>To reconcile
the physical money you collected with the money you posted in the system.
What must you do when the cash drawer is out of balance? - ANSWER>>First, try
to balance the cash drawer by re-counting and re-entering the contents of your
