Question 1
Which term describes an outstanding claim with no response, where payment and reason codes have been recorded?
Correct Answer:
No Response (Outstanding Claim)
Explanation:
The key idea is tracking claims that have been filed but haven’t received a decision from the payer yet. When a claim is outstanding because there has been no response from the payer, the label No Response (Outstanding Claim) is used. It signals that the claim is still in limbo and needs adjudication, not that a payment has been posted or that a denial has been issued. This distinguishes it from other states: a payment status would indicate money has been received, a denial means the payer issued an adverse decision, and a variance points to a mismatch between billed and allowed amounts. Even if payment and reason codes appear in the claim’s history, the defining factor here is the absence of a payer response, which is why this option best fits.
Question 2
What is a revenue center, and how does it affect charging in Resolute?
Correct Answer:
A revenue center is the department/service category used to group charges and drive reporting
Explanation:
A revenue center is the department or service category a charge belongs to, and in Resolute it’s used to group charges and drive reporting. By tagging each charge with a revenue center, the system can aggregate revenue by department, apply department-specific pricing or rules, and feed the correct data into financial and utilization reports. This tagging also supports accurate charge capture and the revenue cycle, because the department view determines how charges are posted, tracked, and reported for performance and budgeting. It isn’t a patient demographic field for eligibility, it isn’t used to schedule staff, and it isn’t the mechanism for the order of claim submission.
Question 3
Which term is the amount passed on to the patient. NRP to self-pay (or secondary coverage)?
Correct Answer:
Patient Responsibility (Posting Term)
Explanation:
The key idea here is understanding what gets charged to the patient after an insurance claim is processed. Once the payer adjudicates a claim, the amount the patient ultimately owes is the remaining balance after the insurer pays its part. In Resolute posting terms, that remaining balance is called the Patient Responsibility. This includes things like deductibles, coinsurance, copays, and any portions not covered by the plan. When the account shifts to self-pay or to secondary coverage, the amount that must be collected from the patient is precisely this patient responsibility. Not Allowed Amount refers to funds the payer will not cover due to contract limits, which isn’t the amount the patient pays in most standard scenarios. The Allowed Amount is the maximum the payer will reimburse under the contract, not the amount the patient owes. A Follow-Up Record is a tracking entry, not a money amount. So, the amount passed on to the patient under self-pay or secondary coverage is the Patient Responsibility.
Question 4
Balance has been communicated and the claim or statement has been sent
Correct Answer:
Outstanding
Explanation:
In accounts receivable, a balance that has been communicated and the claim or statement sent is still awaiting payment. This state is described as outstanding, signaling that money is due and follow-up is needed with the payer or patient. It isn’t just created (that would be the initial generation before any notification), nor is it closed (that would mean the balance is resolved or paid). HAR isn’t a standard status for this scenario. So the best fit is outstanding.
Question 5
What is DSO, and how is it calculated in hospital billing?
Correct Answer:
Days Sales Outstanding measures average days to collect payment; calculated as ending AR balance divided by average daily charges or payments.
Explanation:
DSO measures how long, on average, it takes to convert a service into cash in the hospital setting. It’s calculated by taking the ending accounts receivable balance and dividing it by the average daily net revenue (or average daily charges/payments) for the period. In practice, this shows how many days’ worth of revenue is tied up in receivables. A lower DSO means faster collections and better cash flow, while a higher DSO indicates slower payment collection and potential cash flow concerns. The other descriptions don’t fit because they describe cycle length, a revenue-to-charge ratio, or denial timing, none of which reflect the speed of collecting payments.
Question 1
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About this Exam

Prepare with the EPIC Resolute Hospital Billing Fundamentals Practice Test practice quiz. This question bank includes 10 questions covering claim, term, describes, revenue, and resolute. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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EPIC Resolute Hospital Billing Fundamentals Practice Test

This practice set contains 10 questions from the matching question bank and focuses on claim, term, describes, revenue, and resolute. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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