Exam 2026 Actual Complete Real Exam Questions And Correct
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Why are hospital accounts important? - ANSWER-Contain
charges, payments,
adjustments. Assigns the guarantor. Assigns the payor to bill.
Linked to 1 EPT,
one EAR but CVG
optional
Stop Bill - ANSWER-Holds the HB HAR in 3 places of the revenue
cycle: Initiate
Billing, Claims processing, Statement Processing. Also holds
PB HARs from
statement processing. They can be placed on the HAR
manually or
automatically.
Revenue Guardian - ANSWER-Can identify HARs with missing
charges
, Coverage Manager - ANSWER-controls which coverages are
attached to an HB
HAR
Claim Definition File (CDF) - ANSWER-formats claims and does
error checking
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