EPIC Resolute Hospital Billing
Fundamentals questions with 100-
correct answers.
HAR - ,,,,answer,,,..Stores all HB charges, payments, and adjustments for a patient's
encounter
Min Days - ,,,,answer,,,..Minimum number of days between discharge and initiate
billing
Initiate Billing - ,,,,answer,,,..Moment we attempt to assign liability for the balance of
the HAR
Open Status - ,,,,answer,,,..All hospital accounts start in this status
DNB - ,,,,answer,,,..Edit checks run during this time. Allows for Min Days to occur
Billed - ,,,,answer,,,..Successfully initiated billing
Closed - ,,,,answer,,,..Balance is $0
Liability Buckets - ,,,,answer,,,..Assign and track financial liability for an HB HAR
throughout the revenue cycle
Created - ,,,,answer,,,..All buckets start in this status. No communication
Outstanding - ,,,,answer,,,..Balance has been communicated and the claim or
statement has been sent
User Error (Claim Edit) - ,,,,answer,,,..occur when end users leave out information or
enter incorrect information. The end-users who create these types of errors should
work them.
, Master File Error (Claim Edit) - ,,,,answer,,,..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.
Late Replacement Claim - ,,,,answer,,,..Creates a new claim that includes the new
charges and the old charges.
Late Charge Claim - ,,,,answer,,,..Creates a claim with just the late charges
Late Charge Write-Off - ,,,,answer,,,..Write-off just the late charges and create no
additional or new claim
Late Charge Addition - ,,,,answer,,,..Combines all of the charges on the current
claim. This option is only available if the late charges exist after the account has
been billed, but before a claim has been sent
Late Charges occur when... - ,,,,answer,,,..there are charges in the Prebilled bucket
and the HAR has a status of Billed.
No Response (Outstanding Claim) - ,,,,answer,,,..Claim aging sends HB HAR to WQ
Correct Payment (Outstanding Claim) - ,,,,answer,,,..Payment and reason codes
recorded.
Denial (Outstanding Claim) - ,,,,answer,,,..Follow-up record sends HB HAR to WQ
Variance (Outstanding Claim) - ,,,,answer,,,..Allowed amount different than what we
expected from contract.
Closed Status - ,,,,answer,,,..No balance exists on the bucket
Workqueue - ,,,,answer,,,..Worklist that identifies HARs, transactions, or claims that
need manual review.
Fundamentals questions with 100-
correct answers.
HAR - ,,,,answer,,,..Stores all HB charges, payments, and adjustments for a patient's
encounter
Min Days - ,,,,answer,,,..Minimum number of days between discharge and initiate
billing
Initiate Billing - ,,,,answer,,,..Moment we attempt to assign liability for the balance of
the HAR
Open Status - ,,,,answer,,,..All hospital accounts start in this status
DNB - ,,,,answer,,,..Edit checks run during this time. Allows for Min Days to occur
Billed - ,,,,answer,,,..Successfully initiated billing
Closed - ,,,,answer,,,..Balance is $0
Liability Buckets - ,,,,answer,,,..Assign and track financial liability for an HB HAR
throughout the revenue cycle
Created - ,,,,answer,,,..All buckets start in this status. No communication
Outstanding - ,,,,answer,,,..Balance has been communicated and the claim or
statement has been sent
User Error (Claim Edit) - ,,,,answer,,,..occur when end users leave out information or
enter incorrect information. The end-users who create these types of errors should
work them.
, Master File Error (Claim Edit) - ,,,,answer,,,..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.
Late Replacement Claim - ,,,,answer,,,..Creates a new claim that includes the new
charges and the old charges.
Late Charge Claim - ,,,,answer,,,..Creates a claim with just the late charges
Late Charge Write-Off - ,,,,answer,,,..Write-off just the late charges and create no
additional or new claim
Late Charge Addition - ,,,,answer,,,..Combines all of the charges on the current
claim. This option is only available if the late charges exist after the account has
been billed, but before a claim has been sent
Late Charges occur when... - ,,,,answer,,,..there are charges in the Prebilled bucket
and the HAR has a status of Billed.
No Response (Outstanding Claim) - ,,,,answer,,,..Claim aging sends HB HAR to WQ
Correct Payment (Outstanding Claim) - ,,,,answer,,,..Payment and reason codes
recorded.
Denial (Outstanding Claim) - ,,,,answer,,,..Follow-up record sends HB HAR to WQ
Variance (Outstanding Claim) - ,,,,answer,,,..Allowed amount different than what we
expected from contract.
Closed Status - ,,,,answer,,,..No balance exists on the bucket
Workqueue - ,,,,answer,,,..Worklist that identifies HARs, transactions, or claims that
need manual review.
