Billing Fundamentals EXAM 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
HAR Status - ,,,,answer,,,..HAR Status indicates where the account is in
the revenue cycle
Initiate Billing - ,,,,answer,,,..After min days, the system attempts to bill
the HAR during this process
Liability Buckets - ,,,,answer,,,..Buckets are used to track liability on
HARs. An HB HAR with single coverage might have three: prebilled,
insurance, and self-pay buckets.
Created (Bucket Status) - ,,,,answer,,,..This is the first status of any
liability bucket
Outstanding (Bucket Status) - ,,,,answer,,,..A claim or a statement has
been sent
Single Billing Office (SBO) - ,,,,answer,,,..A mode of billing which
combines the guarantor portion of the revenue cycle. This allows us to
send out a single statement per guarantor for both PB and HB.
Activities - ,,,,answer,,,..Different areas of workflows are called activities.
For instance, adding a note to an encounter would be a billing activity,
changing a guarantor would be a guarantor activity, etc.
,What two records must a HAR be linked to? - ,,,,answer,,,..Patient and
Guarantor Records
A HAR can be linked to or have no ________? - ,,,,answer,,,..Coverages
What records can be reused for future accounts? - ,,,,answer,,,..Patient,
Guarantor, Coverages
What is a CSN? - ,,,,answer,,,..Contact Serial Number. A visit or
admission specific identifier, specifically referencing the clinical portion.
A HAR would represent the financial portion.
What would you create to have multiple visits' charges sent on one claim?
- ,,,,answer,,,..A recurring HAR
How are the majority of hospital charges generated in Epic? -
,,,,answer,,,..through Clinical Workflow
If there are no errors, when does a charge post to the HAR? -
,,,,answer,,,..Immediately
When the charge posts to a HAR (without DNB Check) are they
immediately put into AR? - ,,,,answer,,,..Yes-Consider the difference
between pre-active and active AR.
How would you view individual charge details, including who did the
workflow that created the charge? - ,,,,answer,,,..TX Inquiry - or
transaction inquiry activity in the hospital account
The majority of HB charge review workqueues should be worked by
whom? - ,,,,answer,,,..Clinical Users
,If there is an error on a charge, users should fix the error where? -
,,,,answer,,,..The source / clinical documentation
If the source or clinical documentation is updated for the purpose of a
charge error, what will happen? - ,,,,answer,,,..It will fix the charge
Errors (DNB Checks) - ,,,,answer,,,..Hard stops that must be fixed before
a charge can leave the work queue
Warnings (DNB Checks) - ,,,,answer,,,..Soft stops that can be overridden
to push an item out of a work queue
Stop Bill - ,,,,answer,,,..Prevents a HAR from moving on in the revenue
cycle
When are DNB checks run? - ,,,,answer,,,..Initiate billing & Discharge
Can a DNB check be a warning? If so, can it be overridden? -
,,,,answer,,,..Yes, Yes
What is Revenue Guaradian? - ,,,,answer,,,..It identifies HARs with
missing charges
What would I find in an account work queue? - ,,,,answer,,,..Accounts
with DNB checks. These are triggered via nightly procceses.
What does coverage manager do? - ,,,,answer,,,..It manages which
coverages are attached to an HB HAR.
What is a target account? - ,,,,answer,,,..A target account is the account
that will continue in the revenue cycle when a combine account is
occurring or has occurred.
, Why would I combine HARs? - ,,,,answer,,,..When a payer has certain
requirements, or when a user created two HARs in error.
What status must a HAR have in order to do a combine? -
,,,,answer,,,..Open or DNB
What does CDF stand for? - ,,,,answer,,,..Claims Definition File
What does the CDF do? - ,,,,answer,,,..It formats the claims and does
error checking
What happens when you accept a claim run? - ,,,,answer,,,..It moved the
insurance bucket to an outstanding status
What kind of work queues do registration and billing claim errors appear
in? - ,,,,answer,,,..Claim Edit Work Queues
What kind of errors are fixed by those who caused them? -
,,,,answer,,,..User errors
What kind of errors are fixed by the build team? - ,,,,answer,,,..Master File
Errors
The claim edit assistant is used to do what? - ,,,,answer,,,..Correct claim
errors
When late charges occur, what liability bucket do they go into? -
,,,,answer,,,..Prebilled
When late charges occur, what is the HAR status? - ,,,,answer,,,..Billed
What is the term to generate a paper claim real-time? -
,,,,answer,,,..Demand a claim