Hospital Billing Cycle

Question 1

MC: What Status can an HB HAR have? (Choose All that apply)
A. Open
B. Created
C. DNB
D. Outstanding
E. Billed
F. Closed

Answer 1

A,C,E,F

Question 2

A(n) ______ stores all HB charges, payments and adjustments for an encounter

Answer 2

HB HAR

Question 3

True/False: Min Days in the number of days between discharge and when we attempt to bill the HB HAR

Answer 3

True

Question 4

The moment we attempt to assign liability for the balance of the HB HAR is _____.

Answer 4

Initiate Billing

Question 5

True/False: A Single Billing Office (SBO) is an operational model that keeps PB and HB Self-Pay and guarantor related workflows separated.

Answer 5

False

Question 6

True/False: HB HARs are manually generated during the admission process

Answer 6

True

Question 7

MC: What Status can a liability bucket have? (Choose All that apply)
A. Open
B. Created
C. DNB
D. Outstanding
E. Billed
F. Closed

Answer 7

B, D, F

Question 8

MC: What liability buckets are created at HB HAR creation?
A. Insurance and Self-Pay
B. Pre-Billed and Insurance
C. Pre-Billed and Self-Pay

Answer 8

C

Question 9

MC: At what point in the revenue cycle are liability buckets created?
A. Admission
B. Discharge
C. Min Days
D. Initiate Billing
E. Claims Processing
F. Statement Processing

Answer 9

A

Question 10

A worklist that identifies HARs, transactions or claims that need manual review is a ____.

Answer 10

Workqueue

Question 11

_____ refers to a facility’s outstanding dollars that are due from patients, insurance companies, third-party payers, etc.

Answer 11

Accounts Receivable (AR)

Question 12

MC: The amount of money patients must pay each year to cover medical care expenses before their health insurance policy starts paying.
A. Copay
B. Coinsurance
C. Deductible
D. Non-Covered

Answer 12

C.

Question 13

MC: The flat fee a patient pays, usually at the time services are rendered.
A. Copay
B. Coinsurance
C. Deductible
D. Non-Covered

Answer 13

A

Question 14

MC: What is the Status of the HB HAR based on the bucket statuses (Choose all possibilities): Pre-Billed: Closed, Insurance: Created, Self-Pay: Created. 
A. Open
B. Created
C. DNB
D. Outstanding
E. Billed
F. Closed

Answer 14

E

Question 15

MC: What is the Status of the HB HAR based on the bucket statuses (Choose all possibilities): Pre-Billed: Created, Self-Pay: Created. 
A. Open
B. Created
C. DNB
D. Outstanding
E. Billed
F. Closed

Answer 15

A,C