RHB303 Hospital Billing Exam Questions with Verified Answers Latest Update 2025 Graded A+
Override Communication Templates contain __________________ - Answers The message content sent
to patients
The actions the system will take when a variance occurs is based on what? - Answers Payer Contract
Which of the following can you use an import spreadsheet to do? Choose all that apply.
A) Create new records
B) Update existing records
C) Test the build of existing records
D) Prevent users from updating build - Answers A) Create new records
B) Update existing records
The grey rows in an import spreadsheet are used to read item ______ and ______? - Answers Help text
& category list option
When importing records, your flat file must be on an epic server before importing? - Answers TRUE
A payer defines that for recurring visits the hospital accounts should be billed monthly and always on
the last day of the month. What value should go in the LENGTH field to accomplish this? Choose one.
A) Monthly
B) 31
C) L - Answers C) L
By setting the value to L, the system will calculate the last date in that month dynamically
A billing activity must be listed in the ___________ in order for users to find it - Answers HSD
Variance Threshold: Suppress
How much will be written off?
,Billed = 100
Expected Allowed = 90
Payer Allowed = 70 - Answers Nothing is written off
What is an HTT record? - Answers When a charge is caught in an HB Charge Review
What do estimates use to determine the price of the service? - Answers Fee Schedules
What are the three types of system action queues? - Answers Bucket, Account, Guarantor
Revenue Guardian Check: Account criteria is defined by _________ &OR ___________ - Answers CER
Rule & Current Charges
True or False: action defaults can be configured and locked to prevent users from changing the behavior
of an activity? - Answers TRUE
A payer defines consecutive accounts as the following: inpatient account following an emergency
account for the same issue that happens within two days of each other.
True or False: three rows of the consecutive accounts table are needed to define this:
> One row for 0 days between
> Second row for 1 days between
> Third row for 2 days between - Answers FALSE. Only one row of the table is needed as the number of
days specified is the maximum number of days, not the total number of days
Day properties use which of the following operator & value combination?
A) < or <= & T-# (DAY <= T-1)
B) > or >= & T-# (DAY >= T-1)
C) < or <= & # of Days (DAY <= 1)
D) > or >= & # of Days (DAY >= 1) - Answers D) > or >= & # of Days (DATE >= 1)
DNB Checks are (not rules) _____________ built in the LPP master file? - Answers Extensions
Actionable notifications expect a guarantor to what? - Answers Take action
,True or False: Account system action queues are performed before bucket system action queues. -
Answers FALSE. Bucket system actions are evaluated before HAR system actions.
IH received a payment from Select health that triggered an underpayment follow up record.
Billing Amount = 5000
Expected Amount = 4000
Allowed Amount = 3000
Posted Write Off = 2000
Which write off option is being used for this variance. Choose one.
A) Write off payer
B) Suppress write off
C) Write off expected
D) Write off expected and variance separately - Answers A) Write off payer. The difference between the
billed and allowed amount is $2000 which matches the posted write off.
What is LPP? - Answers Extensions. Extensions contains code that the system uses to do something.
True or False: policy driven workflows not requiring user discretion should be completed by a system
action queue? - Answers TRUE
The Discount Rate Table in the HSD and the PrePay Discount form in the SSD are used to apply what to
HARs? - Answers Self Pay Discounts
Rule to Rule Relationship: Routing Rule to Routing Rule
A) AND
B) OR - Answers A) AND
What is FPL? - Answers Federal Poverty Level
, Epic recommends creating a scoring column, what is its purpose? - Answers To assign priorities to
records in the queue so the most important appear at the top.
What is a CER? - Answers A Rule
When building an activity, what do synonyms allow end users to do? - Answers Search for the activity
based on certain key terms: complaint, patient relations, disputed.
True or False: You can only use existing charges when creating/updating a fee schedule import - Answers
TRUE
Rule Type: Used for claim edit work queues
A) Account
B) Adjustment Review
C) Bucket & Guarantor
D) Charge Review
E) Claim Edit - Answers E) Claim Edit
What are two reasons that HB HARs are combined? - Answers Payer requirement, duplicate HARs in
error
When creating a billing activity, what does this setting do: Self pay or insurance - Answers Defines
whether the activity is reported as self pay or insurance
Variance Threshold: Write Off Payer
How much will be written off?
Billed = 100
Expected Allowed = 90
Payer Allowed = 70 - Answers 30
When reading the variance threshold table in a payer record, each row evaluates true if the variance
amount matches or is what? - Answers Higher
Override Communication Templates contain __________________ - Answers The message content sent
to patients
The actions the system will take when a variance occurs is based on what? - Answers Payer Contract
Which of the following can you use an import spreadsheet to do? Choose all that apply.
A) Create new records
B) Update existing records
C) Test the build of existing records
D) Prevent users from updating build - Answers A) Create new records
B) Update existing records
The grey rows in an import spreadsheet are used to read item ______ and ______? - Answers Help text
& category list option
When importing records, your flat file must be on an epic server before importing? - Answers TRUE
A payer defines that for recurring visits the hospital accounts should be billed monthly and always on
the last day of the month. What value should go in the LENGTH field to accomplish this? Choose one.
A) Monthly
B) 31
C) L - Answers C) L
By setting the value to L, the system will calculate the last date in that month dynamically
A billing activity must be listed in the ___________ in order for users to find it - Answers HSD
Variance Threshold: Suppress
How much will be written off?
,Billed = 100
Expected Allowed = 90
Payer Allowed = 70 - Answers Nothing is written off
What is an HTT record? - Answers When a charge is caught in an HB Charge Review
What do estimates use to determine the price of the service? - Answers Fee Schedules
What are the three types of system action queues? - Answers Bucket, Account, Guarantor
Revenue Guardian Check: Account criteria is defined by _________ &OR ___________ - Answers CER
Rule & Current Charges
True or False: action defaults can be configured and locked to prevent users from changing the behavior
of an activity? - Answers TRUE
A payer defines consecutive accounts as the following: inpatient account following an emergency
account for the same issue that happens within two days of each other.
True or False: three rows of the consecutive accounts table are needed to define this:
> One row for 0 days between
> Second row for 1 days between
> Third row for 2 days between - Answers FALSE. Only one row of the table is needed as the number of
days specified is the maximum number of days, not the total number of days
Day properties use which of the following operator & value combination?
A) < or <= & T-# (DAY <= T-1)
B) > or >= & T-# (DAY >= T-1)
C) < or <= & # of Days (DAY <= 1)
D) > or >= & # of Days (DAY >= 1) - Answers D) > or >= & # of Days (DATE >= 1)
DNB Checks are (not rules) _____________ built in the LPP master file? - Answers Extensions
Actionable notifications expect a guarantor to what? - Answers Take action
,True or False: Account system action queues are performed before bucket system action queues. -
Answers FALSE. Bucket system actions are evaluated before HAR system actions.
IH received a payment from Select health that triggered an underpayment follow up record.
Billing Amount = 5000
Expected Amount = 4000
Allowed Amount = 3000
Posted Write Off = 2000
Which write off option is being used for this variance. Choose one.
A) Write off payer
B) Suppress write off
C) Write off expected
D) Write off expected and variance separately - Answers A) Write off payer. The difference between the
billed and allowed amount is $2000 which matches the posted write off.
What is LPP? - Answers Extensions. Extensions contains code that the system uses to do something.
True or False: policy driven workflows not requiring user discretion should be completed by a system
action queue? - Answers TRUE
The Discount Rate Table in the HSD and the PrePay Discount form in the SSD are used to apply what to
HARs? - Answers Self Pay Discounts
Rule to Rule Relationship: Routing Rule to Routing Rule
A) AND
B) OR - Answers A) AND
What is FPL? - Answers Federal Poverty Level
, Epic recommends creating a scoring column, what is its purpose? - Answers To assign priorities to
records in the queue so the most important appear at the top.
What is a CER? - Answers A Rule
When building an activity, what do synonyms allow end users to do? - Answers Search for the activity
based on certain key terms: complaint, patient relations, disputed.
True or False: You can only use existing charges when creating/updating a fee schedule import - Answers
TRUE
Rule Type: Used for claim edit work queues
A) Account
B) Adjustment Review
C) Bucket & Guarantor
D) Charge Review
E) Claim Edit - Answers E) Claim Edit
What are two reasons that HB HARs are combined? - Answers Payer requirement, duplicate HARs in
error
When creating a billing activity, what does this setting do: Self pay or insurance - Answers Defines
whether the activity is reported as self pay or insurance
Variance Threshold: Write Off Payer
How much will be written off?
Billed = 100
Expected Allowed = 90
Payer Allowed = 70 - Answers 30
When reading the variance threshold table in a payer record, each row evaluates true if the variance
amount matches or is what? - Answers Higher
