RHB102 Test Questions with Correct Answers 100% Pass
User Error - Answers User errors occur when users leave out information or enter incorrect information.
The users who create these types of errors should work them.
Master File Errors - Answers Master file errors occur when there is missing or incorrect background
information and build, such as missing National Provider Identifiers (NPIs), place of service codes, or
federal tax IDs. Administrators with access to system configuration work these types of errors.
User Error
Master File Error - Answers There are two types of claim edits:
Claim Edits - Answers During claims processing, the claim is compared against series of edit checks
called:
CDF - Answers Claim edits are stored in the
Claim Error Pool - Answers If a claim qualifies for a claim edit, the system separates it from the rest of
the claim run, assigns a specific error code to each issue on the claim, and stores the claim in the
Claim Edit Workqueue - Answers Users can follow up on claims in the error pool by accessing the
Resubmitted - Answers After the claims edits on a claim are fixed, the claim is
Claim Edit Assistant - Answers A user can get guidance on fixing a claim edit using the
Batch Job - Answers Hospital Billing automates claims processing with
True - Answers After a hospital account has successfully passed all DNB checks and reached a status of
Billed, an insurance bucket is created for the primary coverage on the account.
Batch Job - Answers Insurance buckets are held in the Claims Queue until a qualifying _________ _____
runs or a user manually creates a claim run including the claim.
CDF - Answers A claim run checks for payer or plan specific errors using the
Plan - Answers Claim Edits can be configured at the Payer or ______ Level.
Error Pool - Answers Claims with errors are sent to the:
Claim Edit Workqueues - Answers Users use _______________________________ to find and correct
the errored claims from the Error Pool.
Clean Run - Answers Claims with no errors are compiled into a
Claim Run - Answers It is critical to reconcile the number of paper claims printed against the
___________ report.
, Reprint - Answers If discrepancies exist when reconciling the number of paper claims printed against the
Claim Run Report - a user will need to investigate why those claims did not print and _______ the forms.
True - Answers Electronic claims are reconciled through an automated message from the clearinghouse.
The file indicates if claims were found clean (which causes them to be automatically accepted in Epic), or
if they were errored (which causes them to be removed from the clean run and sent to the error pool).
Outstanding - Answers Accepting the Claim Run, changes the insurance bucket to
Accepting the Run - Answers What action does the following:
Confirms that the claims were sent to the payer.
Updates Last Claim Sent Date
Insurance bucket status becomes Outstanding
Initiate Billing - Answers The process by which liability for a hospital account is assigned:
Min Days - Answers Initiate Billing happens at the end of:
Billed - Answers When an account is ready for billing, the account is evaluated against a series of checks
to make sure all necessary information is present and the account is eligible to be _______.
Initiate Billing - Answers DNB checks are evaluated when the system attempts to
Discharge - Answers DNB check are evaluated at Initiate Billing but can also be configured to evaluate at
System - Answers DNB Check are placed and removed by the
True - Answers DNB Checks can be errors or warnings.
Min Days - Answers The system first attempts to bill accounts when they reach
DNB Checks - Answers The system typically runs DNB checks on accounts when billing is initiated. When
billing is initiated, the system evaluates the accounts using
False - Answers Errors can be overridden
- Answers DNB checks are an integral part of how the Revenue Guardian feature catches accounts that
might be missing charges.
Revenue Guardian - Answers This is used to identify sources of potential missing revenue
True - Answers Stop Bills - Can be placed manually by a user or automatically by the system for various
reasons.
True - Answers Stop Bills Prevent the Revenue Cycle from progressing in 3 moments:
User Error - Answers User errors occur when users leave out information or enter incorrect information.
The users who create these types of errors should work them.
Master File Errors - Answers Master file errors occur when there is missing or incorrect background
information and build, such as missing National Provider Identifiers (NPIs), place of service codes, or
federal tax IDs. Administrators with access to system configuration work these types of errors.
User Error
Master File Error - Answers There are two types of claim edits:
Claim Edits - Answers During claims processing, the claim is compared against series of edit checks
called:
CDF - Answers Claim edits are stored in the
Claim Error Pool - Answers If a claim qualifies for a claim edit, the system separates it from the rest of
the claim run, assigns a specific error code to each issue on the claim, and stores the claim in the
Claim Edit Workqueue - Answers Users can follow up on claims in the error pool by accessing the
Resubmitted - Answers After the claims edits on a claim are fixed, the claim is
Claim Edit Assistant - Answers A user can get guidance on fixing a claim edit using the
Batch Job - Answers Hospital Billing automates claims processing with
True - Answers After a hospital account has successfully passed all DNB checks and reached a status of
Billed, an insurance bucket is created for the primary coverage on the account.
Batch Job - Answers Insurance buckets are held in the Claims Queue until a qualifying _________ _____
runs or a user manually creates a claim run including the claim.
CDF - Answers A claim run checks for payer or plan specific errors using the
Plan - Answers Claim Edits can be configured at the Payer or ______ Level.
Error Pool - Answers Claims with errors are sent to the:
Claim Edit Workqueues - Answers Users use _______________________________ to find and correct
the errored claims from the Error Pool.
Clean Run - Answers Claims with no errors are compiled into a
Claim Run - Answers It is critical to reconcile the number of paper claims printed against the
___________ report.
, Reprint - Answers If discrepancies exist when reconciling the number of paper claims printed against the
Claim Run Report - a user will need to investigate why those claims did not print and _______ the forms.
True - Answers Electronic claims are reconciled through an automated message from the clearinghouse.
The file indicates if claims were found clean (which causes them to be automatically accepted in Epic), or
if they were errored (which causes them to be removed from the clean run and sent to the error pool).
Outstanding - Answers Accepting the Claim Run, changes the insurance bucket to
Accepting the Run - Answers What action does the following:
Confirms that the claims were sent to the payer.
Updates Last Claim Sent Date
Insurance bucket status becomes Outstanding
Initiate Billing - Answers The process by which liability for a hospital account is assigned:
Min Days - Answers Initiate Billing happens at the end of:
Billed - Answers When an account is ready for billing, the account is evaluated against a series of checks
to make sure all necessary information is present and the account is eligible to be _______.
Initiate Billing - Answers DNB checks are evaluated when the system attempts to
Discharge - Answers DNB check are evaluated at Initiate Billing but can also be configured to evaluate at
System - Answers DNB Check are placed and removed by the
True - Answers DNB Checks can be errors or warnings.
Min Days - Answers The system first attempts to bill accounts when they reach
DNB Checks - Answers The system typically runs DNB checks on accounts when billing is initiated. When
billing is initiated, the system evaluates the accounts using
False - Answers Errors can be overridden
- Answers DNB checks are an integral part of how the Revenue Guardian feature catches accounts that
might be missing charges.
Revenue Guardian - Answers This is used to identify sources of potential missing revenue
True - Answers Stop Bills - Can be placed manually by a user or automatically by the system for various
reasons.
True - Answers Stop Bills Prevent the Revenue Cycle from progressing in 3 moments:
