RPB102 Resolute Professional Billing Questions with Correct Answers

Prelude Correct Answer Epic Application that holds the basic patient, guarantor account, and coverage date. Also known as Enterprise Registration. Cadence Correct Answer Scheduling. Schedule and check-in visits. Collect visit-specific data. Resolute Professional Billing Correct Answer Billing for professional services. CMS and UB claim forms. Accident Related Visit? Correct Answer Goes on WC or TPL guarantor account types. Visit Guarantor and Visit Coverage Correct Answer A patient can have multiple guarantor accounts. Review that the correct guarantor account type is used for the visit. Visit Filing Order Correct Answer Which coverage to bill for a visit and in which order. Guarantor Correct Answer The person/entity who is financially responsible for the balance. Coverage Correct Answer Payer + Plan + Subscriber Encounter Form Number Correct Answer Created when the encounter is checked in. Contact Serial Number (CSN) Correct Answer Created when the encounter is created. Payments and Payment Codes Correct Answer Payment code examples: Co-Pay, Pre-Payment, Guarantor payment. Payments from the front desk are posted to the account immediately. PB Charge Review Correct Answer Review existing charge sessions with issues (defined problems) and audit targeted % of clean charge sessions. PB Revenue Guardian Checks Correct Answer Review encounters for possibly missing charges: encounters w/o charges, encounters with current charges but not all expected charges, and encounters with HB charges but missing PB charges. Claim Definition File (CDF) Correct Answer Contains error-checking and claim formatting.