RHB102: Resolute Hospital Billing
Fundamentals Questions And Answers
History - ANS Use the _______________ tab to view an account's notes.
Claim Edit WQ Companion - ANS Use the _______________________________ to
correct claim errors.
HB HAR (HB Hospital Account) - ANS Stores HB charges, payments, and adjustments for
an encounter.
Min Days - ANS The minimum number of days between
discharge and when we attempt to bill the HB HAR.
Buckets - ANS They assign and track financial liability for an
HB HAR throughout the revenue cycle
Insurance - ANS When initiate
billing is successful and a coverage record
exists, the ____________ bucket is created.
Created - ANS The status all buckets start in. No communication to the payor yet.
Outstanding - ANS The status of a bucket when a balance has been communicated and
the claim or statement is out the door.
Closed - ANS A bucket status when no balance exists on the bucket.
Workqueue - ANS Worklist that identifies HARs, transactions, or
claims that need manual review.
DNB Check - ANS a form of error checking applied by the system, Automatically run at
Initiate Billing and can also
be run at Discharge
Candidate for Billing (CFB) - ANS Accounts Receivable dollars held in the system
due to Charge Review, DNB Errors, Stop Bills,
Claim Errors, etc (Money you could be asking someone to pay but are not)
, status - ANS HARs have a ______ which indicates where the account is in the revenue
cycle.
Initiate Billing - ANS After min days, the system attempts to bill the HAR in a moment
called ______ _________.
self-pay - ANS SBO is a mode of billing which combines the __________ portion of the
revenue cycle.
patient record - ANS A HAR has to be linked to a _________ and guarantor record.
CSN - ANS a visit or admission specific identifier
recurring HAR - ANS Create a ______________ to have multiple visits' charges sent on
one claim.
clinical workflows - ANS The majority of hospital charges in Epic are generated through
___________ ______________.
immediately - ANS When there are no errors, charges post to the hospital account
______________ and are in AR.
Tx Inquiry - ANS You can view individual charge details, including who did
the workflow that created the charge, in the ____________
activity in Account Maintenance.
correct the error - ANS If the edit responsible for a charge being held in a
charge review workqueue is an error, users must __________________
remain - ANS As long as the charge qualifies for the error, the
charge will ____________ in the workqueue.
override the warning - ANS If the edit responsible for a charge being held in a
charge review workqueue is a warning, users can _____________
Resubmit - ANS A button in charge review that tests the charge against the rules of the
workqueue.
Override Errors - ANS allows users to override errors charge by charge for the current
workqueue, while the charge remains in other WQ's.
Force Resubmit - ANS Bypasses all but system-defined critical
errors on a charge, Immediately removes the charge from all workqueues and posts the charge.
Fundamentals Questions And Answers
History - ANS Use the _______________ tab to view an account's notes.
Claim Edit WQ Companion - ANS Use the _______________________________ to
correct claim errors.
HB HAR (HB Hospital Account) - ANS Stores HB charges, payments, and adjustments for
an encounter.
Min Days - ANS The minimum number of days between
discharge and when we attempt to bill the HB HAR.
Buckets - ANS They assign and track financial liability for an
HB HAR throughout the revenue cycle
Insurance - ANS When initiate
billing is successful and a coverage record
exists, the ____________ bucket is created.
Created - ANS The status all buckets start in. No communication to the payor yet.
Outstanding - ANS The status of a bucket when a balance has been communicated and
the claim or statement is out the door.
Closed - ANS A bucket status when no balance exists on the bucket.
Workqueue - ANS Worklist that identifies HARs, transactions, or
claims that need manual review.
DNB Check - ANS a form of error checking applied by the system, Automatically run at
Initiate Billing and can also
be run at Discharge
Candidate for Billing (CFB) - ANS Accounts Receivable dollars held in the system
due to Charge Review, DNB Errors, Stop Bills,
Claim Errors, etc (Money you could be asking someone to pay but are not)
, status - ANS HARs have a ______ which indicates where the account is in the revenue
cycle.
Initiate Billing - ANS After min days, the system attempts to bill the HAR in a moment
called ______ _________.
self-pay - ANS SBO is a mode of billing which combines the __________ portion of the
revenue cycle.
patient record - ANS A HAR has to be linked to a _________ and guarantor record.
CSN - ANS a visit or admission specific identifier
recurring HAR - ANS Create a ______________ to have multiple visits' charges sent on
one claim.
clinical workflows - ANS The majority of hospital charges in Epic are generated through
___________ ______________.
immediately - ANS When there are no errors, charges post to the hospital account
______________ and are in AR.
Tx Inquiry - ANS You can view individual charge details, including who did
the workflow that created the charge, in the ____________
activity in Account Maintenance.
correct the error - ANS If the edit responsible for a charge being held in a
charge review workqueue is an error, users must __________________
remain - ANS As long as the charge qualifies for the error, the
charge will ____________ in the workqueue.
override the warning - ANS If the edit responsible for a charge being held in a
charge review workqueue is a warning, users can _____________
Resubmit - ANS A button in charge review that tests the charge against the rules of the
workqueue.
Override Errors - ANS allows users to override errors charge by charge for the current
workqueue, while the charge remains in other WQ's.
Force Resubmit - ANS Bypasses all but system-defined critical
errors on a charge, Immediately removes the charge from all workqueues and posts the charge.
