RPB Fundamentals Practice Test

These questions are part of the practice quiz. Start practicing

• After locating the visit, what is the next step to process the NSF payment?
• What is the Plan-Do-Study-Act (PDSA) cycle and how is it applied in quality improvement projects?
• Which statement best describes how cash control groups are created?
• Regarding batch processing, which statement is correct?
• Which of the following is an engineering control used to reduce exposure to hazards?
• What is the role of the Plan-Do-Study-Act cycle in quality improvement?
• Which option is NOT listed as an example frequency for generating statements?
• Two approaches to resolve conflicts within a healthcare team without compromising patient safety.
• What does data minimization mean in privacy protection, and how should it be applied?
• What is the purpose of forming a denial workgroup?
• What is the purpose of establishing baseline data when defining metrics for quality improvement?
• NSF reversal is matched to the original NSF payment so both cancel each other out.
• What information should you consult and how should you handle hazardous chemicals in the work environment?
• What accommodations should be provided to patients with disabilities to ensure equitable access to care?
• How can you access the step by step instructions for how to fix a claim error?
• Which cybersecurity practice is specifically focused on preventing phishing attacks?
• True or False: Choosing a post method of 'Outstanding Charges' means the system will automatically apply the payment to all outstanding charges on the account.
• Which report contains notes related to Revenue Guardian?
• How should decisions be made when patient preferences conflict with safety considerations?
• What is a defining feature of standard of care compared to best practice?
• In workflow management, what action moves a claim out of the Active tab when it cannot be worked immediately?
• What type of adjustment is used to cancel an NSF payment?
• Where in the revenue cycle should edits be caught?
• If a new hospital opens in a service area, what type of record should represent the new hospital for service-area mapping?
• It is possible to refund payments collected at the front desk on the same day they are collected?
• On the charge line, what purpose does the Diagnosis field serve?
• What strategies support culturally competent care and reduce bias in practice?
• After performing the NRP activity, what must you do to remove the claim from your workqueue?
• How do you look up an invoice number in PB Insurance Payment Posting if it does not appear on the EOB?
• Which element indicates the legal authority to consent when the patient cannot provide consent themselves?
• When are PB Revenue Guardian checks evaluated?
• What is a risk matrix and how is it used to prioritize safety actions?
• Why is transition of care documentation critical, and what information should be included?
• Which sequence correctly represents the PDCA cycle?
• True or False: PB and HB charges can be entered in Charge Router Charge Entry.
• Which four principles are most commonly guiding professional practice and should inform decision making in patient care?
• True or False: A patient who has been seen multiple times at your hospital should have multiple patient records in Epic.
• When a privacy breach occurs, how should it be reported and what notifications are required?
• Which item is not part of the Score calculation factors for insurance follow-up prioritization?
• The Charge Router Reconciliation report can be used to ensure charges are flowing through the system.
• What is the purpose of processing your charge entry batch?
• Which actions can cause a visit to be evaluated in a Retro Review workqueue?
• NSF fee posting is a standalone debit adjustment and is not matched to any transactions.
• What does SMART in SMART metrics stand for?
• Which practice most directly reduces the risk of unauthorized disclosure of patient data?
• How should underpayments be handled?
• How should records be retained and archived to meet regulatory and organizational requirements?
• Is it true that a patient can have more than one guarantor account?
• Which action is part of resolving an NSF payment after locating the visit in Tx Inquiry?
• Where are the charges located that are ready and waiting to process for claims?
• An allowed amount will always appear automatically on an insurance posting line.
• How will you divide the insurance followup workload?
• How can a user limit the view to only their assigned charge sessions in a workqueue?
• In the Foundation System, which payment types can be partially refunded using the Patient Refund module?
• Cash control groups must be created manually in Epic.
• Which coverage change scenarios should be resolved in a Retro Review WQ?
• Define near miss and list two examples of near-miss reporting triggers.
• What is a purpose of the Enterprise Statement Run Report?
• A patient has two separate Personal/Family guarantor accounts after visits to different sites. What concept explains this?
• An estimate can be created through which methods?
• If a denial cannot be corrected, how can you move the balance to the next payer or guarantor?
• What is the difference between scope of practice and delegation, and why is it important for patient safety?
• Cash Management tracks how much of a deposited payment has been posted in Resolute.
• True or False: The system’s Charge Router primarily targets billing-system related errors.
• How can the users share work within a workqueue?
• How does the hierarchy of controls guide safety interventions, from most effective to least?
• Which payment source cannot be partially refunded?
• When should legal consultation be sought in a professional practice scenario?
• If a charge session is from a clinical source, do changes in the charge session update the clinical chart?
• Where can you identify the currently responsible payer from the Storyboard?
• What is the purpose of the Charge Router Reconciliation report?
• What is the first step to resolving an NSF payment?
• What is a key consequence of not following organizational policies?
• Define professional boundaries and explain why dual relationships can compromise care.
• Which field does not need to be filled out when posting a nonsufficient funds fee?
• Who should be the author of a patient record entry?
• Which entity is used to track changes to data over time?
• When should a user resubmit a charge session?
• In the Intergalactic Healthcare Systems system, at which facility level does a user login?
• During Charge Router Charge Entry, which items should be checked?
• Which option describes a use of the Enterprise Statement Run Report?
• What outcome occurs when an NSF reversal is applied?
• Which option describes all possible triggers for a Retro Review evaluation?
• Which statement about NSF payment reversal is correct?
• Which statement is true about batch processing in payment posting?
• Which action ensures that a charge session is ready for reprocessing after fixing issues?
• To determine the currently responsible payer for a claim, which interface area should you review?
• What rights do patients typically hold regarding access to and amendments of their medical records?
• PB and HB charges have different billing needs, affecting how validation checks should be configured.
• Provide examples of engineering controls that reduce exposure to hazards in the workplace.
• True or False: Creating claims should be mostly an automated process.
• If a patient is seen at multiple facilities, how does the system record the patient?
• Which statement best describes data minimization in privacy protection?
• Which option is NOT a method to create an estimate?
• Where can a user review encounters flagged by PB Revenue Guardian?
• The way to resolve a check with nonsufficient funds is to void the payment in the system.
• What is the purpose of zero energy verification before maintenance?
• Which statement best describes the relationship between guarantor accounts and visits in the Foundation System?
• What does the Refresh Claim button in the sidebar do?
• Explain why access controls and authentication are critical for safeguarding patient data.
• Which statement describes a core requirement of lockout/tagout procedures during maintenance?
• What is the primary purpose of an audit trail in electronic records?
• Where are denials that should be reviewed placed by the system?
• How can fatigue affect performance, and what measures support fatigue management?
• Which payment sources are allowed to be partially refunded?
• How does the PDSA cycle differ from PDCA?
• Which action helps locate an invoice not shown on the EOB?
• Which activity can be used to document your phone call with the payer?
• What is a root cause analysis and which method is commonly used to identify underlying causes after an event?
• What constitutes a confidential information breach and what general steps should be taken after discovery?
• What type of record represents the entire Intergalactic Healthcare Systems organization?
• If you want the chart and account to match, where should the charge update be made?
• Which are the essential components of informed consent that must be documented before performing a procedure?
• Which method is described for dividing the insurance follow-up workload by groups such as letters or codes?
• Which report contains notes related to Revenue Guardian flagged encounters?
• How should consent be addressed for vulnerable populations (minors, cognitively impaired) in practice?
• If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it?
• Which keystroke allows you to switch between the insurance and the selfpayment posting forms?
• How many guarantor accounts can be linked to a single visit?
• What action should you take if you discover an error in a patient record after signing and dating an entry?
• Which of the following is a lagging indicator?
• Which statement best describes a complete audit trail in electronic records?
• Claim denials that should be reviewed are caught by the system and placed in which type of workqueues?
• What tool in the system automates processes?
• Which statement best describes the role of the Batch Scheduler?
• What is the purpose of a claim edit workqueue?
• What gives you instructions about how to correct claim errors?
• Which of the following is an example of a leading indicator in quality improvement?
• To resolve an NSF payment, first locate the visit that contains the payment in Tx Inquiry. Then click the ____ button and select the ____ option.
• What factors will your organization use when calculating the 'Score' column?
• True or False: One charge ticket is the equivalent of one charge entry session.
• Which statement is true about an allowed amount appearing on a posting line?
• What is the primary purpose of encryption and secure transmission when handling patient data?
• Which statement describes the immediate result of processing a charge entry batch?
• The PB Charge Review workqueues and session issues are accessed through which UI area?
• Differentiate between a near miss and an actual incident and explain why near misses should be reported?
• Which of the following best describes how to handle a warning in the system?
• What is a primary reason to define responsibilities in a corrective action plan?
• How are underpayments routed in the system?
• What is the purpose of credentialing and ongoing competence activities, and how are they verified?
• When should edits be built to catch issues in the revenue cycle?
• How are quality improvement initiatives prioritized?
• How are validation checks classified for PB and HB charges?
• What type of record contains all information about the Platinum HMO Benefit Plan?
• Which of the following statements about the NSF Fee procedure is true?
• Which practice supports effective cross-cultural communication with patients and families?
• What elements should a corrective action plan include?
• In this system, which entity is used to capture historical data changes?
• Where can you view the issues associated with a PB charge session and a list of all the PB Charge Review workqueues a charge session is in?
• Which charge review staff should be able to delete and/or force resubmit charge sessions?
• Which of the following are the minimum elements you should include in a legible, auditable patient record?
• Which of the following best describes a complete and compliant audit trail in electronic records?
• Which conditions are listed as reasons to suppress statement generation for an account with a selfpay balance?
• In a Retro Review workqueue, a line corresponds to a guarantor account.
• What step in payment posting sends payments to guarantor accounts?
• Which record type represents the location of a hospital for revenue reporting within the organization?
• What protections exist for whistleblowers who report safety concerns, and why are they important?
• What is a defining feature of standard of care compared to best practice?
• True or False: The address field in a patient’s record is an example of an item.
• Stores the information for a benefit plan's coverage type?
• When creating a coverage record, which items must be chosen?
• What is the difference between a warning and an error?
• What does the 'Automatic to Oldest' post method do?
• Which activity do you perform when the payer did not receive the claim and you need to send them a new claim?
• When a patient requests a course of action that conflicts with policy, what is the recommended first step?
• In the refund workflow, refunds can be issued for payments collected on which of the following days?
• True or False: Users review charge sessions in charge review workqueues after the system has posted the charges to the account.
• From where does the system pull in the allowed amount during Insurance Payment Posting?
• Deferring a claim: which statement is accurate?
• True or False: The system can be configured to automatically create statement runs.
• What is the role of a professional advocate for patients and families?
• True or False: A patient’s address field is not part of the patient record.
• What is lockout/tagout and why is it essential for equipment safety?
• In the posting workflow, who selects the charges when using the 'Outstanding Charges' method?
• If a claim must be printed to paper right now, what action should the user perform?
• Which button in the sidebar or workqueue lets you run the CDF edit checks on the claim in realtime?
• Which statement best describes the relationship between the NSF payment and the NSF reversal?
• Which ethical decision-making framework can help resolve conflicts when principles diverge, and how is it applied?
• What are effective methods to assess and ensure practitioner competency and ongoing professional development?
• If a claim cannot be resubmitted to the payer for payment, which activity passes the balance to the guarantor?
• What action transfers responsibility to the next party in the filing order when a denial cannot be corrected?
• Which activity do you perform when you can't work the claim right now so it shouldn't be on your Active tab?
• Why is it important to distinguish between standard of care and best practice in clinical decision making?
• What is the role of policy adherence in governance and safe practice?
• True or False: The Charge Router looks for specific, billing system related errors.
• Regarding NSF fees, which statement is accurate about whether they are matched to specific transactions on an account?
• What is the primary purpose of incident reporting for improvement?
• During an incident investigation, which activity is performed after containing the event?
• What does SBAR stand for?
• What record contains all information about all benefit plans in your system?
• What should a fatigue management program include?
• Which role is typically authorized to delete and/or force resubmit charge sessions?
• True or False: By accepting the filing order change in the workqueue, you updated the filing order for all previous visits for the patient.
• What are best practices for documentation language to avoid ambiguity or bias in records?
• Do changes made in charge sessions affect charge review workqueues in real time?
• Which option best describes the role of interpreters in culturally competent care?
• The front desk user can issue refunds for a payment from last week using the Patient Refund module?
• Essential steps in an incident investigation after a safety event.
• If a user only has security for self-payment posting, do they need to jump to the SelfPayment Posting form from the Insurance Posting form?
• Which report helps reconcile generated statements with the actual outputs?
• Describe the difference between the 'Automatic to Oldest' post method and the 'Outstanding Charges' post method.
• In the SBAR framework, which component provides a concise summary of the current issue needing attention?
• Name three core infection prevention practices that should be observed in all patient encounters.
• How will users review PB Revenue Guardian checks?
• When a claim is deferred, where does it reside within the work queue system?
• Which statement about NSF fees and transaction matching is true?