FREE AND STUDY GAMES ABOUT PB RPB102 PB BILLING

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FREE AND STUDY GAMES ABOUT PB RPB102 PB BILLING

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -96 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: What does the Claim Edit Workqueue Companion do?

Answer:

Gives you instructions about how to correct claim errors.

Question 2: What is the purpose of creating a payment posting batch?

Answer:

It is used as a holding tank for the payment information you enter in the system.Question 3: Where are the charges located that are ready and waiting to process for claims?

Answer:

The claims queue Question 4: Which activity do you perform when you want to summarize all of the actions taken while working on a claim?

Answer:

Note

Question 5: What does the Transfer function do to the charge session?

Answer:

Removes session from this workqueue and sends it to a designated workqueue.Question 6: An allowed amount always automatically appears on the Insurance Payment Posting form.

Answer:

False Question 7: What should you do when the system allowed amount is different from the allowed amount on the EOB?

Answer:

Override the system amount by entering the amount from the EOB in the Allowed field.Question 8: If you want the chart and account to match, who needs to update the charge?

Answer:

The clinician (in the clinical encounter).Question 9: You can add new procedures when you access a charge session from charge review. True or False.

Answer:

True

Question 10: What type of Action does NAA stand for?

Answer:

Not Allowed Adjustment. Writes off the amount over the allowed amount.Question 11: Charges go through Charge Router Review workqueues after they enter the billing system. True or False.

Answer:

False. They go through Charge Router Review before they enter the billing systems.

Question 12: A batch must balance before you can process it. True or False.

Answer:

True.

Question 13: How do you prioritize your workqueue to work the claims with oldest service dates first?

Answer:

Click the Svc Date column heading

Question 14: Name one ay you can identify where you made a posting error.

Answer:

Run the Pending Payment Posting Batch report (click the Report button).Question 15: Which buttons in the reviewing and correcting charge errors workflow are security controlled?

Answer:

Delete and Force Resubmit

Question 16: Charge Entry Batch

Answer:

Creates a holding tank in the system into which all charge tickets are entered. Holding tank is called a batch (contains charge sessions).

Question 17: CVG

Answer:

Coverage (Payor, Subscriber). Contains information about a patient's insurance benefits.

Question 18: List the 3 steps to resolving duplicate charges

Answer:

1) Confirm (double-check) session is a duplicate

2) Transfer session to a supervisor

3) Supervisor deletes session.

Question 19: What Epic tool identifies claims with errors?

Answer:

CDF (Claim Definition File)

Question 20: What additional step is needed for electronic claims?

Answer:

Confirm that the electronic claims have been received by the clearinghouse.

Question 21: What is the purpose of the cash drawer in the system?

Answer:

To reconcile the physical $ you collected with the $ that you posted in the system

Question 22: Creating claims is mostly (manual/automatic) processes.

Answer:

Automatic.Question 23: After accepting a claim run, it is easy to reprint the claims if needed. True or False.

Answer:

False, once the run is accepted, it cannot be reprinted.Question 24: Payment posting batches can only be created from Cash Management if your organization is using Enterprise Payment Posting.

Answer:

The batch will only be available for use through Enterprise Payment Posting. Enterprise Payment Posting can be used to post both PB and HB payments in the same batch.

Question 25: When should you resubmit a charge session?

Answer:

You should resubmit a charge session when you believe it has been corrected.Question 26: How do you look up an invoice # in PB Insurance Payment Posting when you can't read it or it doesn't appear on the EOB?

Answer:

Use ".p" to look up by patient or ".a" to look up by guarantor account.Question 27: Which tool can you use to review the history and details of a cash control group?

Answer:

The Cash Control Group report.