update} QUESTIONS AND ANSWERS 100%
CORRECT
When are buckets created? - correct answer Pre-billed and self-pay are created
automatically when HAR is created.
Insurance Buckets are created when INITIATE BILLING is successful and there is a
coverage record valid for the encounter.
Bucket Types - correct answer PRE-BILLED
INSURANCE
SELF-PAY
How are buckets used in the revenue cycle? - correct answer They assign and track
financial liability for an HB HAR
,Hospital Account Statuses - correct answer Open, DNB (discharged not billed), Billed,
Closed
Hospital Account (HAR) - correct answer HARs store all HB charges, payments, and
adjustments for an encounter
Min Days - correct answer Minimum number of days between discharge and when we
attempt to assign liability for the HB HAR
Initiate Billing - correct answer The point in the Revenue Cycle when we attempt to bill
the HAR
Bucket statuses - correct answer Created
Outstanding
Closed
,What holds the hospital charges for a hospital-based encounter?
A. Guarantor account
B. Coverage record
C. Hospital account - correct answer C. Hospital account
True or False: All liability buckets are created when you initiate billing on the hospital
account. - correct answer False. The Self-pay and Pre-billed buckets are created
when the hospital account is created. The primary insurance bucket is created when
you initiate billing. Non-primary insurance buckets are created after an NRP (next
responsible party) action performed on the previous insurance bucket.
A hospital account must have a status of what to be considered for claims processing?
Chose only ONE answer.
A. Open
, B. Created
C. DNB
D. Billed
E. Outstanding
F. Closed - correct answer D. Billed
Allowed Amount - correct answer the total amount allowed as sent by the payer
Expected Amount - correct answer the total amount allowed as calculated by your
contract
Follow-up Records - correct answer When you receive remittance from a payer,
underpayments,
overpayments, and denials are automatically flagged by the system