RPB102: RESOLUTE PROFESSIONAL BILLING FUNDAMENTALS | COMPLETE SOLUTIONS GRADED A+
6 views 0 purchase
Course
Rpb 102
Institution
Rpb 102
RPB102: RESOLUTE PROFESSIONAL BILLING
FUNDAMENTALS | COMPLETE SOLUTIONS
GRADED A+
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. T...
RPB102: RESOLUTE PROFESSIONAL BILLING
FUNDAMENTALS | COMPLETE SOLUTIONS
GRADED A+
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 mmust myou mdo mwhen mthe mcash mdrawer mis mout mof mbalance? m- m mFirst, mtry mto
mbalance mthe mcash mdrawer mby mre-counting mand mre-entering mthe mcontents mof myour
mphysical mmoney. mIf mit
still mdoes mnot mbalance, mcontact ma msupervisor mand menter ma mreason mwhy mthe mdrawer mis
mnot mbalanced.
What mdo myou mdo mwith ma mcash mdrawer mbefore myou mgo mhome? m- m mCount mthe mcontents
mVerify mthe mmoney min mthe mdrawer mmatches mthe mmoney mposted min mthe msystem
mPrint ma mreport mabout mthe mmoney mthat mwas mcollected mand mreconciled
mTurn min mthe mmoney mand mthe mprinted mreport mto myour msupervisor
Clicking mwhich mbutton mautomatically mmatches
the mmoney myou mrecorded mfrom myour mcash mdrawer mwith mthe mmoney mposted min mthe
msystem? m- m mSelect mAll
True mor mFalse: m
Each mcharge mentry mbatch mcontains monly mone mcharge mentry msession. m- m mFalse. mEach
mcharge mentry mbatch mcan mcontain man munlimited mnumber mof mcharge mentry msessions.
True mor mFalse: m
Each mcharge mentry mbatch monly mcontains minformation mfor mone mpatient's mcharges. m- m
mFalse. mThe mbatch mcan mcontain mcharges mfor man munlimited mnumber mof mdifferent
mpatients.
True mor mFalse: m
One mcharge mticket mis mthe mequivalent mof mone mcharge mentry msession. m- m mTrue.
Name mtwo mconventions mfor mentering ma mdiagnosis mcode min mthe mCode mfield mon mthe
mCharge mEntry mform. m- m m Enter mthe mICD mcode mor mthe mname mand mdescription mof mthe
mdiagnosis.
On mthe mprocedure mline, mwhat mpurpose mdoes mthe mDiagnosis mfield mserve? m- m mThe mentry
min mthis mfield massociates mthe mcharges mwith mthe mappropriate mdiagnosis mfrom mthe
mDiagnoses mtable.
What mis mthe mpurposes mof mprocessing myour mbatch? m- m mProcessing mthe mbatch mposts mthe
mcharges mand mmake mthem mavailable mfor mbilling.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mboffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
