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RHB303 RESOLUTE HOSPITAL BILLING
ADMINISTRATION
The ______ stores your organization's hospital billing settings - HSD
_________________ is automatically linked to your facility record, but you can link _________________-level hospital billing profiles to use the rule of specificity - HSD 1, Service Area
The _____________________________________ stores your organization's combined PB and HB settings including Single Billing Office. - Enterprise Billing Profile
Configure _______________ to determine the actions the system takes on an HB HAR when its coverage list is modified. - Coverage Manager
HB Charges are build in the ____________ or procedure master file. This master file is shared by many applications, and includes both billing and _________ procedures. - EAP, Clinical
The _________ field can be used to include an industry-standard code on a claim. - Code
The ____________ field controls which industry-standard code on a claim. The ______________ field controls whether that code appears on a UB claim. - Code Type, Show on UB?
Set the Hospital claim procedure type to ______________ to indicate your charge should be routed to HB. - Technical
In an import spreadsheet, use the gray rows to read item ________________ and ___________________. - Help Text, Category List Options
________________ are records used by HB to determine revenue attribution. They are determined by the _______________________________ which is typically linked at the parent location level. - Cost Centers, Cost Center Assignment
Charges caught in HB Charge review are ___________ records. - HTT
Rules should always be ______________ after they are built with a minimum of _______________ test cases, one _____________ and one __________________. - Tested, Two, Positive, Negative
An HB workqueue's _______________ rules act as filters since they are evaluated first and _______ must be true in order for a record to qualify for the workqueue. - Routing, All
An HB workqueue's ___________________ rules identify the issues with a record and in order to qualify for a workqueue, __________________ must be true. - Workqueue, At least one WQ rule
Use the Access and Ownership section of a workqueue to determine which __________ should use and supervise the workqueue and which ____________________ the workqueue belongs to. This is important for workqueue _____________________. - Users, Owning Area, Monitoring
Determine if a ____________ is an error or warning in your ____________. - DNB Check, HSD
DNB Checks are _______________ built in the LPP master file and might have an associated _____________. - Extensions, Rule
Use the _______________________ column to determine if your check should run at discharge. - Run Before Min Days
To vary the CPT or Revenue Codes beyond the defaults, use the ______________ form - Alternate Codes
A _____________________ is a list of procedures and their _______________. - Fee schedule, Prices
A ______________________________ determines which fee schedule is used for each charge. - Fee Schedule Group
To ___________ records from a spreadsheet, you must use a macro to create a ___________________ and then put that on the Epic server. - Import, Flat File
A ______________________ can determine if an encounter is missing expected charges. - Revenue Guardian Check
To look at clinical encounter data in your check, use a ______________________ record. - Best Practice Advisory
The records listed on the ____________________ form of a Revenue Guardian check are expected and should be linked to the encounter being evaluated. - Expected Charges
The ____________________ tab determines which actions to automatically perform and their order when a record qualifies for the system action queue. - Action Setup
_______________________ determines the order in which system actions are performed. - Queue Priority
______ are used to determine which HARs qualify for flat-rate discounts - Rules
Rules and __________________ are used to determine which HARs qualify for income- based discounts. A _________________ determines the amount of discount the HAR receives. - Percent of FPL, Sliding Scale Table
The system will use the configuration in the Discount Rate Table in the _________ and the Prepay Discount form in the _______ to apply self-pay discounts to HARs automatically. - HSD, SSD
Set defaults for ______________ on the Payment Plan form in the HSD. - Payment Plans
Adjustments caught in HB Adjustment review are __________ records. - HTT
HB Security Classes (ECL records) are build in _______. - Text
To test HB security, you need to build a _________ record - User (EMP)
To easily maintain groups of similar users, build a ______________________ record. - Linkable template
