EPIC RHB102 RESOLUTE HOSPITAL
BILLING FUNDAMENTALS
QUESTIONS AND CORRECT ANSWERS
What happens when you accept a claim run? - ✔✔✔ Correct Answer >
It moved the insurance bucket to an outstanding status
What kind of work queues do registration and billing claim errors appear in? -
✔✔✔ Correct Answer > Claim Edit Work Queues
What kind of errors are fixed by those who caused them? - ✔✔✔ Correct
Answer > User errors
What kind of errors are fixed by the build team? - ✔✔✔ Correct
Answer > Master File Errors
The claim edit assistant is used to do what? - ✔✔✔ Correct Answer >
Correct claim errors
Page 1 of 61
,When late charges occur, what liability bucket do they go into? - ✔✔✔ Correct
Answer > Prebilled
When late charges occur, what is the HAR status? - ✔✔✔ Correct Answer >
Billed
What is the term to generate a paper claim real-time? - ✔✔✔
Correct Answer > Demand a claim
What tab would I use to view an account's notes? - ✔✔✔ Correct
Answer > History
What do payers use to send updates about the status of a claim? - ✔✔✔ Correct
Answer > Claim status codes
The _________ is made up of the paid amount and patient responsibility -
✔✔✔ Correct Answer > Allowed Amount
__________ Indicate why a payer is not paying an amount on the claim. Give
some examples. - ✔✔✔ Correct Answer > Reason Codes. ex. Contractual
Obligations, Deductible, Copay, Medical Necessity
Page 2 of 61
,HAR Status - ✔✔✔ Correct Answer > HAR Status indicates where the account
is in the revenue cycle
Initiate Billing - ✔✔✔ Correct Answer > After min days, the system attempts to
bill the HAR during this process
Liability Buckets - ✔✔✔ Correct Answer > Buckets are used to track liability
on HARs. An HB HAR with single coverage might have three: prebilled,
insurance, and self-pay buckets.
Created (Bucket Status) - ✔✔✔ Correct Answer > This is the first status of any
liability bucket
Outstanding (Bucket Status) - ✔✔✔ Correct Answer > A claim or a statement
has been sent
Single Billing Office (SBO) - ✔✔✔ Correct Answer > A mode of billing which
combines the guarantor portion of the revenue cycle. This allows us to send out
a single statement per guarantor for both PB and HB.
Activities - ✔✔✔ Correct Answer > Different areas of workflows are called
activities. For instance, adding a note to an encounter would be a billing
activity, changing a guarantor would be a guarantor activity, etc.
Page 3 of 61
, What two records must a HAR be linked to? - ✔✔✔ Correct Answer >
Patient and Guarantor Records
A HAR can be linked to or have no ________? - ✔✔✔ Correct Answer >
Coverages
What records can be reused for future accounts? - ✔✔✔ Correct
Answer > Patient, Guarantor, Coverages
What is a CSN? - ✔✔✔ Correct Answer > Contact Serial Number. A visit or
admission specific identifier, specifically referencing the clinical portion. A
HAR would represent the financial portion.
What would you create to have multiple visits' charges sent on one claim? -
✔✔✔ Correct Answer > A recurring HAR
How are the majority of hospital charges generated in Epic? -
✔✔✔ Correct Answer > through Clinical Workflow
If there are no errors, when does a charge post to the HAR? -
✔✔✔ Correct Answer > Immediately
Page 4 of 61
BILLING FUNDAMENTALS
QUESTIONS AND CORRECT ANSWERS
What happens when you accept a claim run? - ✔✔✔ Correct Answer >
It moved the insurance bucket to an outstanding status
What kind of work queues do registration and billing claim errors appear in? -
✔✔✔ Correct Answer > Claim Edit Work Queues
What kind of errors are fixed by those who caused them? - ✔✔✔ Correct
Answer > User errors
What kind of errors are fixed by the build team? - ✔✔✔ Correct
Answer > Master File Errors
The claim edit assistant is used to do what? - ✔✔✔ Correct Answer >
Correct claim errors
Page 1 of 61
,When late charges occur, what liability bucket do they go into? - ✔✔✔ Correct
Answer > Prebilled
When late charges occur, what is the HAR status? - ✔✔✔ Correct Answer >
Billed
What is the term to generate a paper claim real-time? - ✔✔✔
Correct Answer > Demand a claim
What tab would I use to view an account's notes? - ✔✔✔ Correct
Answer > History
What do payers use to send updates about the status of a claim? - ✔✔✔ Correct
Answer > Claim status codes
The _________ is made up of the paid amount and patient responsibility -
✔✔✔ Correct Answer > Allowed Amount
__________ Indicate why a payer is not paying an amount on the claim. Give
some examples. - ✔✔✔ Correct Answer > Reason Codes. ex. Contractual
Obligations, Deductible, Copay, Medical Necessity
Page 2 of 61
,HAR Status - ✔✔✔ Correct Answer > HAR Status indicates where the account
is in the revenue cycle
Initiate Billing - ✔✔✔ Correct Answer > After min days, the system attempts to
bill the HAR during this process
Liability Buckets - ✔✔✔ Correct Answer > Buckets are used to track liability
on HARs. An HB HAR with single coverage might have three: prebilled,
insurance, and self-pay buckets.
Created (Bucket Status) - ✔✔✔ Correct Answer > This is the first status of any
liability bucket
Outstanding (Bucket Status) - ✔✔✔ Correct Answer > A claim or a statement
has been sent
Single Billing Office (SBO) - ✔✔✔ Correct Answer > A mode of billing which
combines the guarantor portion of the revenue cycle. This allows us to send out
a single statement per guarantor for both PB and HB.
Activities - ✔✔✔ Correct Answer > Different areas of workflows are called
activities. For instance, adding a note to an encounter would be a billing
activity, changing a guarantor would be a guarantor activity, etc.
Page 3 of 61
, What two records must a HAR be linked to? - ✔✔✔ Correct Answer >
Patient and Guarantor Records
A HAR can be linked to or have no ________? - ✔✔✔ Correct Answer >
Coverages
What records can be reused for future accounts? - ✔✔✔ Correct
Answer > Patient, Guarantor, Coverages
What is a CSN? - ✔✔✔ Correct Answer > Contact Serial Number. A visit or
admission specific identifier, specifically referencing the clinical portion. A
HAR would represent the financial portion.
What would you create to have multiple visits' charges sent on one claim? -
✔✔✔ Correct Answer > A recurring HAR
How are the majority of hospital charges generated in Epic? -
✔✔✔ Correct Answer > through Clinical Workflow
If there are no errors, when does a charge post to the HAR? -
✔✔✔ Correct Answer > Immediately
Page 4 of 61
