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EPIC RHB102 EXAM AND STUDY GUIDE
LATEST 2025 ACTUAL EXAM| COMPLETE
350 QUESTIONS WITH CORRECT VERIFI ED
ANSWERS/ ALREADY GRADED A+|
RESOLUTE HOSPITAL BILLING
FUNDAMENTALS EXAM 2025 (NEWEST!!)
What records can be reused for future accounts? - ANSWER - Patient, Guarantor, Coverages
What is a CSN? - 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? - ANSWER - A recurring HAR
How are the majority of hospital charges generated in Epic? - ANSWER
- through Clinical Workflow
When the charge posts to a HAR (without DNB Check) are they immediately put into AR? - ANSWER - Yes-Consider the difference between pre-active and active AR.
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pg. 2 How would you view individual charge details, including who did the workflow that created the charge? - ANSWER - TX Inquiry - or transaction inquiry activity in the hospital account
What four things are assigned to a HAR & what do they mean? - ANSWER - Type, Account Class, Base Class, Financial Class
Type = how the HAR is used - i.e. recurring / non-recurring Account Class = based on the patient class of the encounter Base Classes = Inpatient, Outpatient or Emergency Financial Class = represents the primary coverage for the HAR
When are prebilled and self-pay buckets created? - ANSWER - As soon as the HB HAR exists
When are insurance buckets created? - ANSWER - When liability is assigned to that insurance, this is done during initiate billing
How are buckets used in the revenue cycle? - ANSWER - To assign and track financial liability for an HB HAR
What does Billed - Created mean? - ANSWER - A claim hasn't been sent
What does an Insurance HAR status & Liability Bucket of "Billed - Outstanding" mean? - ANSWER - A claim has been sent 2 / 4
pg. 3 What is the Epic equivalent of Ops Jobs & Olympus? - ANSWER - Batch Scheduler
Closed (Bucket Status) - ANSWER - No balance exists on the bucket
What is a work queue? Name some examples. - ANSWER - A list of accounts or HARs, transactions, or claims, that need manual review. ex.Referral Queues, Claim Edit Queues, Adjustment Approval Queues
Candidate for Billing (CFB) is what? - ANSWER - A subset of AR that's not currently outstanding but ready to be sent on a claim or a statement.
What is a billing activity? - ANSWER - A group of actions that can be used to complete workflows
When a HAR is put on an active payment plan, it resets the self-pay follow up level to what? - ANSWER - BASE (0)
Financial assistance cases are specific to what level? i.e. HAR, Patient, Claim, Guarantor, etc. - ANSWER - Patient What in the HAR can I use to review all of a guarantor's balances, payments, etc.? - ANSWER - Guarantor Summary
What in the HAR can I use to review HB charges? What about PB charges? - ANSWER - Hosp TX Inquiry, Prof TX Inquiry
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pg. 4 When a coverage record is added, what record(s) is it automatically linked to? - ANSWER - Patient & Guarantor
What is the purpose of coverage manager (HB)/Retrodajudication (PB)?
- ANSWER - Coverage Manager & Retrodajudication are used on the
HB, PB, respectively, side to review HARs when a coverage record is added. Coverage Manager & Retrodajudication will determine when to add the coverage or flag it for review.
What option would I use in the account summary to swap a hospital account from one existing guarantor to another existing guarantor account? - ANSWER - Change Guarantor
What will happen when the existing guarantor on a HAR is replaced with a new guarantor in the change guarantor workflow? - ANSWER - It will deactivate the guarantor account that is no longer valid & the self- pay follow up level will reset to base (0)
If I swap the guarantor account connected to a hospital account, what will reset? - ANSWER - The Self Pay Follow Up Level
What would I send for an itemized list of charges? - ANSWER - Detail Bill
What status would I add to a HAR to flag it for follow up and hold it from statement processing? - ANSWER - Contested Status
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