Epic Resolute PB Certification Practice Exam 2026
70 Questions with Detailed Answer Rationale | Professional Billing (Resolute PB)
Exam Information
This practice exam is designed for candidates preparing for the Epic Resolute Professional Billing
(PB) certification. It covers the core knowledge areas tested in the 2026 exam cycle: PB
foundations and terminology, charge capture and charge router, claim creation and editing,
payment posting and remittance processing, denial and follow-up workqueues, and reporting.
Each question includes four answer options and a fully rationaled answer key at the end of the
document.
Instructions
1. Answer all 70 questions. Each question has exactly one best answer (A, B, C, or D).
2. Recommended time: 105 minutes (90 seconds per question), matching typical certification
pacing.
3. A passing score on the real exam is commonly set at 70-75%. Aim for 56 or more correct
answers here.
4. Do not look at the Answer Key & Rationale section until you have finished. Use the rationales
to study every question you miss.
Score Tracker
Section Questions Correct Score %
Section 1: PB Q1-Q12
Foundations &
Terminology
Section 2: Charge Q13-Q28
Capture & Charge
Router
Section 3: Claims, Q29-Q44
Editing & Payer Rules
Section 4: Payments, Q45-Q60
Remittance & Denials
Section 5: Q61-Q70
Workqueues,
,Reporting & Security
TOTAL Q1-Q70
Section 1: PB Foundations and Terminology (Questions 1-12)
1. In Epic's revenue cycle, what does Resolute Professional Billing (PB) primarily manage?
A. Hospital inpatient facility billing only
B. Billing for professional (physician and clinician) services
C. Payroll and credentialing
D. Supply chain inventory
2. Which module is the facility-side counterpart to Resolute PB?
A. Resolute Hospital Billing (HB)
B. Cadence
C. Prelude
D. Willow
3. What is a 'charge' in Resolute PB?
A. A patient payment on account
B. A billable service or item recorded for a patient encounter, ready to be billed
C. An insurance eligibility check
D. A denial code from the payer
4. Which record stores the list of billable procedures and their billing-relevant settings (such as
CPT/HCPCS codes and default charge amounts)?
A. Procedure (EAP) record
B. Provider (SER) record
C. Department (DEP) record
D. Visit type record
5. What is the purpose of a billing area (billing entity) in Resolute PB?
A. It groups providers for scheduling purposes
B. It defines a group of providers and departments that are billed together, controlling claim
generation, statement cycles, and billing settings
C. It stores payer contracts
D. It tracks employee time off
6. Which term describes the process of verifying a patient's insurance coverage and benefits
before or at the time of service?
A. Charge capture
, B. Eligibility verification
C. Remittance processing
D. Coding audit
7. In PB terminology, what does 'self-pay' mean?
A. The patient has commercial insurance
B. The patient is financially responsible for the bill, with no payer covering the service
C. The provider waives all charges
D. Medicare is the primary payer
8. What is a 'guarantor'?
A. The insurance company paying the claim
B. The person financially responsible for the patient's account, who receives statements
C. The rendering provider
D. The coder assigning diagnosis codes
9. Which of the following best describes a 'coverage' record in Epic?
A. A record linking a patient to a specific payer plan, including member ID and effective dates
B. A list of procedures a provider performs
C. A template for charge capture
D. A type of workqueue
10. What is the difference between the rendering provider and the billing provider on a
charge?
A. There is no difference; they are always the same
B. The rendering provider performed the service; the billing provider is the one under whose
name or group the service is billed
C. The billing provider performs the service; the rendering provider signs the note
D. Only the billing provider needs credentials
11. Which code set is used to report diagnoses on professional claims?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. NDC
12. What is an 'encounter' in the context of Resolute PB?
A. A single charge line
B. A patient contact with the healthcare system, such as a clinic visit, that groups the charges
and clinical data to be billed
70 Questions with Detailed Answer Rationale | Professional Billing (Resolute PB)
Exam Information
This practice exam is designed for candidates preparing for the Epic Resolute Professional Billing
(PB) certification. It covers the core knowledge areas tested in the 2026 exam cycle: PB
foundations and terminology, charge capture and charge router, claim creation and editing,
payment posting and remittance processing, denial and follow-up workqueues, and reporting.
Each question includes four answer options and a fully rationaled answer key at the end of the
document.
Instructions
1. Answer all 70 questions. Each question has exactly one best answer (A, B, C, or D).
2. Recommended time: 105 minutes (90 seconds per question), matching typical certification
pacing.
3. A passing score on the real exam is commonly set at 70-75%. Aim for 56 or more correct
answers here.
4. Do not look at the Answer Key & Rationale section until you have finished. Use the rationales
to study every question you miss.
Score Tracker
Section Questions Correct Score %
Section 1: PB Q1-Q12
Foundations &
Terminology
Section 2: Charge Q13-Q28
Capture & Charge
Router
Section 3: Claims, Q29-Q44
Editing & Payer Rules
Section 4: Payments, Q45-Q60
Remittance & Denials
Section 5: Q61-Q70
Workqueues,
,Reporting & Security
TOTAL Q1-Q70
Section 1: PB Foundations and Terminology (Questions 1-12)
1. In Epic's revenue cycle, what does Resolute Professional Billing (PB) primarily manage?
A. Hospital inpatient facility billing only
B. Billing for professional (physician and clinician) services
C. Payroll and credentialing
D. Supply chain inventory
2. Which module is the facility-side counterpart to Resolute PB?
A. Resolute Hospital Billing (HB)
B. Cadence
C. Prelude
D. Willow
3. What is a 'charge' in Resolute PB?
A. A patient payment on account
B. A billable service or item recorded for a patient encounter, ready to be billed
C. An insurance eligibility check
D. A denial code from the payer
4. Which record stores the list of billable procedures and their billing-relevant settings (such as
CPT/HCPCS codes and default charge amounts)?
A. Procedure (EAP) record
B. Provider (SER) record
C. Department (DEP) record
D. Visit type record
5. What is the purpose of a billing area (billing entity) in Resolute PB?
A. It groups providers for scheduling purposes
B. It defines a group of providers and departments that are billed together, controlling claim
generation, statement cycles, and billing settings
C. It stores payer contracts
D. It tracks employee time off
6. Which term describes the process of verifying a patient's insurance coverage and benefits
before or at the time of service?
A. Charge capture
, B. Eligibility verification
C. Remittance processing
D. Coding audit
7. In PB terminology, what does 'self-pay' mean?
A. The patient has commercial insurance
B. The patient is financially responsible for the bill, with no payer covering the service
C. The provider waives all charges
D. Medicare is the primary payer
8. What is a 'guarantor'?
A. The insurance company paying the claim
B. The person financially responsible for the patient's account, who receives statements
C. The rendering provider
D. The coder assigning diagnosis codes
9. Which of the following best describes a 'coverage' record in Epic?
A. A record linking a patient to a specific payer plan, including member ID and effective dates
B. A list of procedures a provider performs
C. A template for charge capture
D. A type of workqueue
10. What is the difference between the rendering provider and the billing provider on a
charge?
A. There is no difference; they are always the same
B. The rendering provider performed the service; the billing provider is the one under whose
name or group the service is billed
C. The billing provider performs the service; the rendering provider signs the note
D. Only the billing provider needs credentials
11. Which code set is used to report diagnoses on professional claims?
A. CPT
B. ICD-10-CM
C. HCPCS Level II
D. NDC
12. What is an 'encounter' in the context of Resolute PB?
A. A single charge line
B. A patient contact with the healthcare system, such as a clinic visit, that groups the charges
and clinical data to be billed
