Appendix F: Class Review Flashcards
During a visit, a provider documented that a 17000 was performed. That same code, 17000, should
post to the patient’s guarantor account. What is the record purpose of the 17000 procedure?
Choose only ONE answer.
A. Orderable
B. Orderable/Performable
C. Performable
D. Performable/Chargeable
D. Performable/Chargeable
Why are separate records in the procedure master file used for orders and charges? Choose ALL
that apply.
A. It allows orders that clinicians place to be distinguished from charges.
B. It allows linkages between orderables, performables and chargeables for automatic
charging to occur.
C. It facilitates the maintenance of records with different purposes by different groups of
analysts.
D. It automates the claim submission process for charges
A. It allows orders that clinicians place to be distinguished from charges
B. It allows linkages between orderables, performables and chargeables for automatic charging to occur
C. It facilitates the maintenance of records with different purposes by different groups of analysts
When the system searches for a price for a procedure it references multiple master files. Of the
master files listed, which does the system look to first? Choose only ONE answer.
A. Fee Schedule ﴾FSC﴿
B. Fee Schedule Group ﴾FSG﴿
C. Procedure ﴾EAP﴿
D. Modifier ﴾MOD﴿
B. Fee Schedule Group ﴾FSG﴿
If the system cannot find a price of a charge, what appears in the Amount field in Charge Entry? Choose only ONE answer. A. $0.00 B. An exclamation point icon C. Nothing, the field is blank D. The words "No price found"
C. Nothing, the field is blank
How many rules must a charge session qualify for to appear in this charge review workqueue? Choose only ONE answer. A. One B. Two C. Three
B. two
True or False: Using Adjustment review workqueues, you can require approval of Not Allowed
Adjustments entered through payment posting.
False
You are testing a new adjustment review workqueue that was built with one error rule and one
routing rule. True or False: For your test adjustment to qualify for this workqueue, it must meet the criteria of the error rule AND the routing rule
True
Which of the following are outcomes of the system automatically accepting the filing order
change for a visit? Choose ALL that apply.
A. If the primary coverage changed, charges are voided and reposted for that visit.
B. The visit is routed to a Retro Review workqueue.
C. The patient’s filing order in Registration is updated.
D. The proposed visit filing order becomes the current filing order for the visit.
A. If the primary coverage changed, charges are voided and reposted for that visit.
D. The proposed visit filing order becomes the current filing order for the visit.
Where do you attach a rule meant to place newly posted credit records into the appropriate credit
workqueue? Choose only ONE answer.
A. In the Automatic Activity Mapping section of the Credit Workqueue
B. In the Automatic Activity Mapping section of the Credit Workqueue Profile
C. In the Reroute section of the Credit Workqueue Profile
D. In the Workqueue Routing section of the Credit Workqueue Profile
D. In the Workqueue Routing section of the Credit Workqueue Profile
Which section of the Follow‐up Workqueue Profile allows you to define how long charges sent on
a claim are set aside before being moved to the Active tab of the workqueue? Choose only ONE
answer.
A. Automatic Activity Setup
B. Automatic Activity Mapping
C. Automatic Deferral and Reason Code Assignment
D. Reroute
C. Automatic Deferral and Reason Code Assignment
Which of the following are methods of applying a discount when using a self‐pay discount table?
Choose ALL that apply.
A. Discount fee schedule
B. Discount percentage by procedure component
C. Discount percentage based on Federal Poverty Level information
D. Flat fee by procedure component
A. Discount fee schedule
B. Discount percentage by procedure component
Which of the following are a type of Resolute Professional Billing security point? Choose ALL that apply. A. Error B. Permissive C. Restrictive D. Warning
B. Permissive
C. Restrictive
True or False: If a new self‐pay balance is posted to an account today, it is immediately eligible to
be included on a statement today.
False
On which form of the Enterprise Billing Profile can you configure the minimum balance to send a statement? Choose only ONE answer. A. Stmt Cycles B. Stmt Processing C. Miscellaneous D. Paperless Billing
B. Stmt Processing
