EPIC COG230 Revenue Data Model Latest
Update 2026 Questions and Correct Answers
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Terms in this set (175)
Accounts Receivable Outstanding money we expect to receive in the
future
Three Transaction Types: Charges
Payments
Adjustments
Charges occur as a result of: Performing services
Payments are a result of: Receiving money
What are adjustments? Anything that changes AR (Credit Adjustments or
Debit Adjustments)
An example of a credit adjustment is: Contractual write-offs
An example of a debit adjustment is: A refund
Debits _______ AR Increase (Charges and Debit Adjustments)
,Credits ________ AR Decrease (Payments and Credit Adjustments)
What is the function of a Hospital Collects transactions related to an encounter and
Account (HAR)? centralizes encounters, transactions, insurance, etc.
Insurance coverage, is a unique Payer
combination of what 3 things? Plan
Subscriber
What is an insurance payer? The insurance company
What is an insurance plan? The set of benefits a patient receives
What is an insurance subsriber? The policy holder
What is a guarantor? The person ultimately responsible for payment. This
could be the patient or someone else (ie. the
subscriber)
Who is the insurance member? The member is who the insurance coverage is for.
For example, if a subscriber has children. The
children are members of the subscriber's plan.
If a patient has multiple coverages, Filing Order
the order in which they are billed is
called the:
True or False True
Every Hospital Account must be
connected to a guarantor
, True or False True
Every PB Transaction must be
connected to a guarantor
What are the two hospital 1. Resolute Professional Billing
applications used to track billing? 2. Resolute Hospital Billing
What services do Professional Billing Services performed by clinicians in inpatient or
cover? outpatient settings
What services do Hospital Billing Services and supplies related to hospital
cover? encounters, including: medications, lab charges,
imaging, room and bed charges and more.
True or False True
Hospital Billing doesn't need to
achieve the level of granularity that
Professional Billing needs and does
not need to match every payment to
each charge
PB transactions are stored in the ___ ETR
master file
HB transactions are stored in the ___ HTR
master file
Which system did EPIC have early on Professional Billing
in its' development, Professional or
Hospital Billing?
Update 2026 Questions and Correct Answers
Rated
Save
Terms in this set (175)
Accounts Receivable Outstanding money we expect to receive in the
future
Three Transaction Types: Charges
Payments
Adjustments
Charges occur as a result of: Performing services
Payments are a result of: Receiving money
What are adjustments? Anything that changes AR (Credit Adjustments or
Debit Adjustments)
An example of a credit adjustment is: Contractual write-offs
An example of a debit adjustment is: A refund
Debits _______ AR Increase (Charges and Debit Adjustments)
,Credits ________ AR Decrease (Payments and Credit Adjustments)
What is the function of a Hospital Collects transactions related to an encounter and
Account (HAR)? centralizes encounters, transactions, insurance, etc.
Insurance coverage, is a unique Payer
combination of what 3 things? Plan
Subscriber
What is an insurance payer? The insurance company
What is an insurance plan? The set of benefits a patient receives
What is an insurance subsriber? The policy holder
What is a guarantor? The person ultimately responsible for payment. This
could be the patient or someone else (ie. the
subscriber)
Who is the insurance member? The member is who the insurance coverage is for.
For example, if a subscriber has children. The
children are members of the subscriber's plan.
If a patient has multiple coverages, Filing Order
the order in which they are billed is
called the:
True or False True
Every Hospital Account must be
connected to a guarantor
, True or False True
Every PB Transaction must be
connected to a guarantor
What are the two hospital 1. Resolute Professional Billing
applications used to track billing? 2. Resolute Hospital Billing
What services do Professional Billing Services performed by clinicians in inpatient or
cover? outpatient settings
What services do Hospital Billing Services and supplies related to hospital
cover? encounters, including: medications, lab charges,
imaging, room and bed charges and more.
True or False True
Hospital Billing doesn't need to
achieve the level of granularity that
Professional Billing needs and does
not need to match every payment to
each charge
PB transactions are stored in the ___ ETR
master file
HB transactions are stored in the ___ HTR
master file
Which system did EPIC have early on Professional Billing
in its' development, Professional or
Hospital Billing?
