RHB 303 Questions And Answers 100% Guaranteed Success.
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RHB303
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RHB303
RHB 303 Questions And Answers 100% Guaranteed Success.
Hospital Systems Definition (HSD) - correct answer. Also called the Hospital Billing Profile, the HSD is a record that contains configuration settings for Hospital Billing and applications that use the Hospital Billing framework (HB...
RHB 303 Questions And Answers 100%
Guaranteed Success.
Hospital Systems Definition (HSD) - correct answer. Also called the Hospital Billing
Profile, the HSD is a record that contains configuration settings for Hospital Billing and
applications that use the Hospital Billing framework (HB-specific). A single HSD record
exists at the facility level and is automatically created and connected to the facility
record.
Enterprise Billing Profile (SSD) - correct answer. Contains configuration settings that
apply to enterprise features in the system. It is only service area-level, but contains
settings that are shared between HB and PB.
Rule of Specifity - correct answer. The system will use the most specific setting
available. If a setting is not found at the most specific level, it will continue looking up
until a setting is found.
Coverage Manager - correct answer. Determines the actions that can take place on
HB HARs due to late coverage changes. Can only be set at the Facility or Service Area-
Level HSDs.
Restrict Coverages to Guarantor field - correct answer. A setting in Coverage
Manager that makes sure actions are performed only if the coverage is on the guarantor
account associated with the hospital account. If set to No, Coverage Manager also will
review late coverage changes for coverages that are connected to the patient record as
well.
What status must a HAR have in order to make coverage changes? - correct answer.
Open or DNB. If a coverage change is on a patient with a HAR with a Billed status, then
either a stop bill should be placed on the HAR, or the HAR will be worked from a denials
workqueue once the payer response is received.
,Tables with a capital T - correct answer. These tables evaluate from the top down.
This means that any exceptions to the default need to be higher in the table than the
default option.
What are the Hospital Billing Profiles and Enterprise Billing Profiles connected to in
Text? - correct answer. They are both connected to the service area record.
True or False: The facility EAF record and facility HSD record are automatically linked. -
correct answer. True
True or False: A service area record and service area HSD are automatically linked. -
correct answer. False
True or False: Professional Billing settings are configured in the HSD record. - correct
answer. False. Hospital Billing settings are configured in the HSD record.
Where should you set a Hospital Billing setting that you want to only apply to one
service area at an organization? - correct answer. At the service area-level HSD. HSD
records can be attached at the Facility, Service Area, and Location Level.
True or False: Some HSD settings are configured in Hyperspace and some are
configured in Text. - correct answer. True
How is Single Billing Office enabled? - correct answer. It is set in the Enterprise Billing
Profile and then linked to a service area.
True or False: The order of the lines in the Coverage Manager table does not matter. -
correct answer. False. The table (because it is a table with a capital T) reads from the
top down and the first row that matches the scenario is the action the system will take.
True or False: Coverage Manager can add a stop bill to an HB HAR when there is a
coverage change for the guarantor connected to that account. - correct answer. True
Extension (LPP) - correct answer. Extensions contain code that the system uses to do
something. Epic releases many standard extensions that can be used to customize the
system. It is generally recommended to create a custom copy of an existing extension
whenever you need to use an extension.
Rule (CER) - correct answer. CER rules are logical expressions that identify records
that meet (or do not meet) criteria you configure.
Where are DNB checks plugged in? - correct answer. They plug into the Hospital
System Definitions (HSD).
, When are hospital accounts evaluated against DNB checks? - correct answer. Initiate
Billing. Additionally, some may be configured to run at Discharge and each night
through Min Days. If an account fails a DNB check, it does not get billed and a DNB
error or warning flag is applied to the account.
DNB checks - correct answer. Built using extension (LLP) records. Many are Epic-
released records , so they can be used as-is. If a custom DNB check is needed, then a
Foundation System rule-based DNB check extension can be duplicated to create a
custom rule.
DNB check extension - correct answer. Can either hold the logic of the edit directly in
the extension or be blank. If the extension holds the logic, then a rule is not required
unless filtering is desired. If the extension is blank, then a rule is required.
Epic-released Extension (LPP) - correct answer. The Extension Record defines the
problem, and is used when a standard-released DNB check matches the edit checking
needed with no modifications necessary.
Epic-released Extension (LPP) + Rule (CER) - correct answer. The Extension Record
defines the problem, and is used when a standard-released DNB check matches the
edit checking needed but you want to limit which hospital accounts are evaluated.
Shell Extension (custom copy or Foundation System LPP) + Rule (CER) - correct
answer. The Rule Record (CER) defines the problem. Used when a custom edit check
is needed that is not already handled by any of the standard or Foundation System
extensions.
HSD-1 is automatically linked to the facility record, but what level hospital billing profile
can be linked to use the rule of specificity? - correct answer. Service area-level
How can you identify whether an extension is Epic-released or Foundation System? -
correct answer. Epic-released DNB Check extensions will have five digit IDs, while
Foundation System extensions will have 10 digit IDS.
Owning area - correct answer. Allows for reporting on DNBs by ownership and
efficient workqueue build.
DNB check 41404 (Stop Bill) - correct answer. Needs to be listed in the DNB check
field, or else accounts with stop bills could still successfully initiate billing and change to
a Billed account status.
Shell DNB checks - correct answer. These should always use a rule to define only a
subset of accounts to hold for a specific reason. If no rule is entered, all HARs will
qualify for the DNB check.
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