Chapters 8, 9, & 10

Question 1

What is a cash control group?

Answer 1

A cash control group represents several deposited checks (cash records) grouped together for posting purposes, usually based on deposit date.

Question 2

What is a cash record?

Answer 2

A cash record represents one deposited check.

Question 3

True or False: Cash management tracks how much of a deposited payment is posted in Resolute.

Answer 3

True

Question 4

Which of the following does a single cash record represent? Choose one.
A. One days worth of payer checks deposited in the bank
B. A copayment collected during check in
C. A single payer check deposited in the bank

Answer 4

C. A single payer check deposited in the bank

Question 5

True or False: cash control groups must be created manually in Epic.

Answer 5

False. Cash control groups can be created automatically by the system using information from a bank deposit file.

Question 6

What is another name for invoice when posting a payment?

Answer 6

Patient account number on the CMS 1500 claim form = invoice number in system

Question 7

What is the function of the Action button? And what is an example?

Answer 7

Deals with liability of remaining balances. Next responsible party (moves remaining balance to next party) and not allowed adjustment (write off)

Question 8

What is the difference between New Payment and New Check?

Answer 8

New payment is used to post a new invoice from the same check. New Check is used when you are ready to post from another payer check.

Question 9

From where does the system pull in the allowed amount during Insurance Payment Posting?

Answer 9

Reimbursement Contract

Question 10

If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it?

Answer 10

Yes

Question 11

True or False: An allowed amount will always appear automatically on an insurance posting line.

Answer 11

False. One will only appear if that charge code is included in a reimbursement contract.

Question 12

What step in payment posting sends payments to guarantor accounts? Choose one. 
A. Closing the batch 
B. Confirm the batch 
C. Opening the batch 
D. Processing the batch

Answer 12

D. Processing the batch

Question 13

True or False: A batch must be balance before you can successfully process it.

Answer 13

True

Question 14

What kind of claims are in the follow up work queues?

Answer 14

1. outstanding claims that need follow up

2. claims that have been denied

Question 15

If a claim cannot be resubmitted to the payer for payment, which activity can you use to pass the balance on to the guarantor?

Answer 15

Next Responsible Party

Question 16

After performing the NRP activity, what do you need to do to remove the claim from your work queue?

Answer 16

Nothing, it is automatically removed or you may need to refresh then they will fall off the list

Question 17

What is a charge correct and when do you use it?

Answer 17

It updates a charge by voiding and reposting with edits. The purpose is to edit a charge after it has been posted to the account.

Question 18

What does the Demand Claims function do?

Answer 18

1. Creates a claim immediately
2. Only creates a paper claim
3. Bypasses error checking
4. Removes charges from claims queue

Question 19

Claims denials that should be reviewed are caught by the system and placed in which type of work queue? Choose one. 
A. Follow up work queue
B. Credit work queue 
C. Payer work queue 
D. Charge review work queue

Answer 19

A. Follow up work queue

Question 20

If a claim must be printed to paper right now, the user should preform which action? Choose one. 
A. Resubmit claim
B. Demand claims 
C. Charge correct 
D. Transfer claim to their supervisor

Answer 20

B. Demand claims

Question 21

If a denial cannot be corrected, how can you move the balance to the next payer or guarantor? Choose one. 
A. Resubmit Claim 
B. Next responsible party 
C. Write off Request 
D. Call payer

Answer 21

B. Next responsible party