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RHB 102 - Resolute Hospital Billing Fundamentals for Single Billing Office correctly answered
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RHB 102 - Resolute Hospital Billing Fundamentals for Single Billing Office correctly answered
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RHB 102 - Resolute Hospital BillingFundamentals for Single Billing Office
What is the purpose of Hospital Billing, and where is it used? - correct answer ✔✔Hospital Billing is how
we bill for the services provided and resources used by patients at a hospital. Hospital billing charges are
often technical charges. Most of the time, Resolute Hospital billing is only used to bill for charges that
accrue in a hospital though it can be used for any technical charges used in the organization.
is Hospital billing how we bill for Physicians? - correct answer ✔✔while it is possible, we typically do not
use Hospital billing to bill for Physicians. Fees for Physicians time and expertise - often called professional
fees - are billed through professional billing. Professional building is most often used in the clinic setting.
Physicians working in a hospital are often part of a Medical Group, which uses professional billing to bill
for the Physicians time and expertise.
what is accounts receivable? - correct answer ✔✔accounts receivable refers to a facilities outstanding
dollars that are due from patients, insurance companies, third party payers, Etc. These dollars are most
often categorized by patient, payor, and third party.
what is single billing office? - correct answer ✔✔Single Billing Office (SBO) is an operational model that
combines PB and HB self-pay and guarantor related work flows into a single workflow. Areas of the
revenue cycle that are operationally combined include customer service, statements, self pay
Collections, and self pay credit resolution.
HB HAR - correct answer ✔✔store HB charges, payments and adjustments for an encounter
Min Days - correct answer ✔✔set number of days between discharge and attempting to build a HB HAR
HAR (Hospital Account Records) - correct answer ✔✔records are used as containers for charges in both
Hospital billing and professional billing.
HB HAR - correct answer ✔✔the hospital billing revenue cycle Begins the moment an HB hospital
account (HB HAR) is created during pre-admission, admission, appointment scheduling, or check in. a
patient must have an HB Hospital account to be admitted or checked in.
, HB HAR - correct answer ✔✔holds all technical charges, payments, and adjustments for the hospital
encounter
HB HARs - correct answer ✔✔are manually created during the admission process
HB Hospital account - correct answer ✔✔gets a type, account class, and financial class.
HB Hospital account Type - correct answer ✔✔how the HAR is used:
Initiate Billing (liability assigned) - correct answer ✔✔Moment we attempt to bill the balance on the HB
HAR
how are buckets used in the revenue cycle? - correct answer ✔✔to assign and track Financial liability for
an HB HAR throughout the revenue cycle
the three most common types of buckets - correct answer ✔✔pre-build, insurance, self-pay
Pre-Billed (created) - correct answer ✔✔holds charges before they are signed to another bucket. (All
charges from hospital stay)
insurance - correct answer ✔✔holds charges, payments, and adjustments assigned to a specific
insurance
self-pay - correct answer ✔✔holds charges, payments, and adjustments assigned to the guarantor
created - correct answer ✔✔all bucket start in the status. No communication with entity that owes has
been made
outstanding - correct answer ✔✔balance of that bucket has been communicated. For insurance buckets
this means the claim was accepted in Epic. For self-pay buckets the balance is an accepted statement
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