Chapters 4, 5, 6, & 7

Question 1

True or False: one charge ticket is the equivalent of one charge entry session.

Answer 1

True

Question 2

One the charge line, what purpose does the Diagnosis field serve? Choose one.
A. Associates the charges with the appropriate diagnosis from the diagnosis table
B. The user enters the actual diagnosis code for the charge
C. The user does not put anything in that file

Answer 2

A. Associates the charges with the appropriate diagnosis from the diagnosis table

Question 3

What is the purpose of processing your charge entry batch? Choose all that apply. 
A. Matches the charges with payments
B. Posts the clean charges
C. Sends charges to charge the review 
D. Checks for validation messages

Answer 3

B. Posts the clean charges

C. Sends charges to charge the review

Question 4

What is the difference between a warning and an error? Choose one.
A. Both errors and warnings can be ignored
B. Both errors and warnings must be fixed
C. Errors can be ignored but warnings must be fixed
D. Warnings can be ignored but errors but be fixed

Answer 4

D. Warnings can be ignored but errors but be fixed

Question 5

True or False: users review charge sessions in charge review work queues after the system has posted the charges to the account.

Answer 5

False. Users review charges before the system posts them to the account.

Question 6

When should a user resubmit a charge session? Choose one.
A. When the user thinks all the issues are corrected
B. When the user cannot fix the issue(s) and wants to send it to the supervisor
C. When the user wants to skip a charge session

Answer 6

A. When the user thinks all the issues are corrected

Question 7

When are PB Revenue Guardian checks evaluated? Choose all that apply. 
A. During PB Change Review
B. When charges are posted
C. During nightly processing 
D. When an encounter is closed

Answer 7

A. During PB Change Review
B. When charges are posted
C. During nightly processing 
D. When an encounter is closed 
(All were correct)

Question 8

Where are the charges located that are ready and waiting to process for claims? Choose one. 
A. Charge entry batch 
B. Claims queue 
C. Claim edit work queue
D. Claim run

Answer 8

B. Claims Queue

Question 9

What tool in the system automates processes? Choose one. 
A. CDF (Claim Definition File)
B. PB Revenue Guardian 
C. Batch Scheduler 
D. Charge entry batch

Answer 9

C. Batch Scheduler

Question 10

True or False: Creating claims should be mostly an automated process.

Answer 10

True.

Question 11

How can you access the step by step instructions for how to fix a claim error? Choose one.
A. Click the error message link
B. Click the companion button available from the activity tool bar
C. The step by step instructions are always available

Answer 11

A. Click the error message link

Question 12

What does the refresh claim button in the sidebar do? Choose one.
A. Overrides existing errors the user didn’t fix
B. Voids and reposts the charges
C. Creates a paper claim real time
D. Tests claim errors against the CDF in real time

Answer 12

D. Tests claim errors against the CDF in real time

Question 13

What activity can be used to document your phone call with the payer? Choose one. 
A. Resubmit claim 
B. Reprint claim
C. Defer 
D. Call payer

Answer 13

D. Call payer

Question 14

True or False: when deferring a claim, the claim leaves your work queue for the days you defined.

Answer 14

False

Question 15

Which activity do you preform when the payer did not receive the claim and you need to send them a new claim?

Answer 15

Resubmit Claim

Question 16

Which activity do you preform when you can’t work the claim right now so it shouldn’t be on your active tab?

Answer 16

Defer

Question 17

What is the purpose of the claim edit work queue?

Answer 17

To correct claims with errors before sending to the payer

Question 18

Which button in the side bar or work queue lets you run the CDF edit checks on the claim in real time?

Answer 18

Refresh claim