Chapters 10, 11, & 12

Question 1

If no rule is associated with an automatic activity mapping line, what credit records are eligible to
qualify for that line? Choose only ONE answer.
A. All credit records will qualify for the activity mapping line
B. All credit records that meet the Days/Since criteria of that line will qualify
C. No credit records will qualify for that activity mapping line

Answer 1

B. All credit records that meet the Days/Since criteria of that line will qualify

Question 2

A Follow-Up record is the combination of what?

Answer 2

Coverage and a charge. (ex. Follow up record/FOL = cvg + etr/charge)

Question 3

How many follow up records can be in a workqueue at a time?

Answer 3

One.

Question 4

True or False: If Locked Sort is turned on, a user

will only see one record at a time.

Answer 4

False

Question 5

A BDC ﴾Denial/Correspondence﴿ record is a combination of what?

Answer 5

A combination of a charge and denial code. (ex. BDC = ETR/charge + denial code)

Question 6

What are the options in the Group by field in Follow‐up Workqueue Maintenance? Choose ALL
that apply:
A. Transaction
B. Invoice
C. Visit
D. Account

Answer 6

A. Transaction
B. Invoice
C. Visit
D. Account
(all apply)

Question 7

What does the system use to determine how many days the claims should spend on the System
Deferred Tab? Choose only ONE answer:
A. Automatic Deferral section of the Profile
B. Automatic Activity Mapping
C. Defer activities performed by end‐users
D. Prevent Complete section of the Profile

Answer 7

A. Automatic Deferral section of the Profile

Question 8

True or False: The same rule can be used in more than one line of the Workqueue Routing section
of the Follow‐up Workqueue Profile

Answer 8

True

Question 9

True or False: A self‐pay discount updates the

original price of the charge.

Answer 9

False

Question 10

True or False: After building a rule to define which patients qualify for a discount, you apply the
rule by plugging it into the self‐pay discount table

Answer 10

False. Rules get plugged into the Discount Determination Table.

Question 11

2. In self‐pay discount tables, discounted rates can be specified using which of the following
   methods? Select all that apply.
   A. Fee Schedules
   B. Percentage discounts by procedure component
   C. BPAs
   D. Procedure categories

Answer 11

A. Fee Schedules

B. Percentage discounts by procedure component

Question 12

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

Answer 12

B. Permissive

C. Restrictive

Question 13

True or False: A user who needs to access multiple Epic applications needs a single security class
that contains the security points from each of those applications.

Answer 13

False. The person needs a separate security class for every Epic application they need to use.

Question 14

A Professional Billing security class has the following security point: 23 ‐ Transfer Transaction in
Account Inquiry and this security class is attached to User A. Which of the following statements are
true for this scenario? Choose ALL that apply.
A. 23 is a restrictive security point.
B. 23 is a permissive security point.
C. User A is able to Transfer a transaction in Account Inquiry.
D. User A is NOT able to Transfer a transaction in Account Inquiry.

Answer 14

A. 23 is a restrictive security point

D. User A is NOT able to Transfer a transaction in Account Inquiry.

Question 15

A user has the following modules and security points in a PB security class:
Modules:
106 ‐ Charge Review Workqueue
116 ‐ Follow‐up Workqueue
Security Points:
124 ‐ MAY Delete Charge Session in Charge Review Queue
174 ‐ MAY Access Others’ Follow‐up Workqueues in GUI
True or False: If you add security point 119 ‐ MAY Process Batch in Charge Entry in GUI to
the security class, a user will be able to process a charge entry batch

Answer 15

False. This user does not have access to the Charge Entry module.