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How to enter charges in epic

07/01/2021 Client: saad24vbs Deadline: 3 days

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Resolute


Hospital Billing


Epic 2017


RHB101


RHB101 Resolute Hospital


Billing Fundamentals


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Epic Systems Corporation


1979 Milky Way • Verona, WI 53593 • Voice: (608) 271 -9000 • Fax: (608) 271-7237


www.epic.com


documentation@epic.com


Last Revision: August 11, 2017


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RHB101 Resolute Hospital Billing


Fundamentals


Introduction: Hospital Billing Fundamentals ...................................... 1•3


Introduction to the Hospital Billing Revenue Cycle .......................... 2•3


Linking Records in Registration........................................................... 3•3


Scheduling and Checking In a Patient in an HOD ........................... 4•3


Entering Charges from a Fee Ticket ................................................... 5•3


Correcting and Reviewing Charge Errors .......................................... 6•3


Reporting on Revenue ........................................................................ 7•3


Correcting Prebilling Edits................................................................... 8•3


Combining Consecutive Accounts.................................................... 9•3


Sending Claims ................................................................................. 10•3


Correcting Claim Errors..................................................................... 11•3


Processing Late Charges .................................................................. 12•3


Following Up on Outstanding Claims ............................................... 13•3


Posting Basic Insurance Payments .................................................. 14•3


Managing Denials ............................................................................. 15•3


Resolving Underpayments................................................................ 16•3


Sending Guarantor Statements ........................................................ 17•3


Researching Balance and Statement Inquiries............................... 18•3


Accessing Accounts for Follow-up .................................................. 19•3


Updating Guarantor Information...................................................... 20•3


Updating Coverage Information ...................................................... 21•3


Posting Guarantor Payments ............................................................ 22•3


Managing Credit Balances .............................................................. 23•3


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Reviewing Adjustments ..................................................................... 24•3


Contacting Guarantors about Unpaid Balances............................. 25•3


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Introduction: Hospital Billing Fundamentals 1•1


RHB101 Resolute Hospital Billing Fundamentals Resolute Hospital Billing Epic 2017


Lesson 1: Introduction: Hospital Billing


Fundamentals Introduction.................................................................................................................... 1•3


Prerequisites and Assumptions ................................................................................... 1•3


How to Use This Training Companion......................................................................... 1•3


Certification ................................................................................................................... 1•5


Class Attendance ...................................................................................................... 1•5


Exams .......................................................................................................................... 1•5


Failed Exams............................................................................................................ 1•6


How to Study for Your Epic Exams .......................................................................... 1•6


Project......................................................................................................................... 1•7


Maintaining a Certification ........................................................................................ 1•7


Proficiency .................................................................................................................. 1•8


Contact Information .................................................................................................. 1•8


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1•2 Introduction: Hospital Billing Fundamentals


Resolute Hospital Billing Epic 2017 RHB101 Resolute Hospital Billing Fundamentals


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Introduction: Hospital Billing Fundamentals 1•3


RHB101 Resolute Hospital Billing Fundamentals Resolute Hospital Billing Epic 2017


Introduction: Hospital Billing Fundamentals


Introduction


Welcome to Resolute Hospital Billing Fundamentals! In this class we'll explore the hospital revenue


cycle and the end user features the software supports to address it.


We'll discuss account creation, charge entry, and the charge editing tools in the software. Next we'll


discuss claims processing and claim editing, followed by insurance payment posting. We'll also


touch on guarantor statement processing and guarantor payment posting. For balances that remain


after payment posting we'll address adjustment posting, and self-pay follow-up.


During the class, keep in mind that we'll primarily discuss end user functions, and not


administrative system configuration, which is covered in the Resolute Hospital Billing


Administration class.


Prerequisites and Assumptions


Before undertaking the course of study within this class, it is recommended that you complete pre-


requisite e-learning lessons. The list of lessons is found on the UserWeb Course Catalog.


How to Use This Training Companion


This training companion is intended as a tool for learning the material presented in class. Please use


it as a place for notes on the topics and additional details covered in class.


Recommendations for certification success:


 Practice in the system.


 Take thorough notes during class in your companion.


 Review your companion and lecture notes.


 Review questions at the end of each chapter.


Informative text boxes throughout the companion will draw your attention to content of particular


interest. Here are examples of types of text boxes you might encounter:


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1•4 Introduction: Hospital Billing Fundamentals


Resolute Hospital Billing Epic 2017 RHB101 Resolute Hospital Billing Fundamentals


Critical information for the setup or use of a particular feature. For example: a particular


feature is only available if application X is installed.


Setup information related to the current feature. This provides basic information about the


system build required to get a feature to work properly.


Extra information related to a given topic. You do not need to know this information for


certification.


Foundation System information or recommendations. You do not need to know this


information for certification.


The Foundation System is regularly updated and improved based on lessons learned


and customer feedback. Log in to the Foundation Hosted environment to see our current


setup.


Our documents include Epic's standard copyright statement. Do not remove it.


If you create new materials, include: "This material contains confidential and copyrighted


information of Epic Systems Corporation" whenever that document contains Epic's screen shots or


other content based on our materials. You should also consider adding your own copyright


statement.


Be sure not to post Epic-related e-learning or documentation on an unprotected website that can be


accessed by the general public. This includes both materials that Epic has written and that you have


written.


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Introduction: Hospital Billing Fundamentals 1•5


RHB101 Resolute Hospital Billing Fundamentals Resolute Hospital Billing Epic 2017


Certification


The requirements to achieve certification are listed below for the Resolute Hospital Billing


Administration and Single Billing Office Administration certifications. If you are attending HB


Fundamentals as a pre-req to another certification (such as Resolute Hospital Billing Claims


Administration) then please reference the certification requirements contained in those courses.


Class Attendance


To achieve certification you must attend class at Epic. Attending class at Epic allows you to


network and experience the culture of Epic, all while getting the most up to date and accurate


information about an application directly from an application trainer. You are required to attend:


 RHB101 Resolute Hospital Billing Fundamentals


 REV201 Shared Revenue Administration


 RHB302 Resolute Hospital Billing Administration


Class attendance never expires.


Exams


Certification requires the taking and passing of various exams as a demonstration of content


knowledge. There is one exam per class attended.


Exams:


 RHB101 Resolute Hospital Billing Fundamentals


 NOTE: Use caution when requesting your exam. The Resolute Hospital Billing


Fundamentals for Single Billing Office (RHB102) exam is NOT the correct exam.


 Minimum passing score required is 80%.


 REV201 Shared Revenue Administration


 NOTE: You do not need a proctor for this exam and the exam can be taken an unlimited


number of times without returning to class.


 Minimum passing score required is 80%.


 RHB302 Resolute Hospital Billing Administration


 NOTE: Use caution when requesting your exam. The Resolute Hospital Billing


Administration for Single Billing Office (RHB303) exam is NOT the correct exam.


 Minimum passing score required is 80%.


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1•6 Introduction: Hospital Billing Fundamentals


Resolute Hospital Billing Epic 2017 RHB101 Resolute Hospital Billing Fundamentals


All exams are formatted to be True/False or Multiple Choice questions only. You can see an


example of this format at the end of each chapter in this book (the Reviewing the Chapter - Review


Questions section). All questions are worth one (1), three (3), or five (5) points each unless


otherwise noted for that exam. The higher the point value the more challenging the question. Five


point questions are almost entirely scenario based questions, which require providing multiple


responses. Exams are proctored and have a two (2) hour time limit unless otherwise noted per


exam.


Score expiration


If you pass an exam the score is valid to be used toward achieving certification for a limited time. If


you do not finish your certification before the expiration date your exam score will no longer be


valid. For exam expiration dates, follow these steps:


1. Go to the User Web.


2. Click the Training Home link along the left-hand side in the Training section (scroll down if


necessary).


3. Expiration dates are along the right-hand side in the Important Dates Section.


Failed Exams


There are considerations on the number of times you can fail an exam. Please consider, and verify


your understanding of, these considerations before you take your first exam.


 All exam attempts you make are tracked by exam, regardless of version.


 After your third (3rd) fail on an exam you must return to Epic and retake the associated class


before you can make another attempt to pass that exam. This attendance is considered refresher


training.


 If you fail the same exam five (5) times you must return to Epic and retake the associated class


before you can make another attempt to pass that exam. This training is not considered


refresher training and will be charged to your organization.


 Every subsequent failing score beyond five (5) fails will require re-attendance at Epic for the


associated class before you can make another attempt to pass the exam.


 The limitations described above will be enforced into the future.


This limit is also documented in Epic's Training Guide - Epic Community Member and Epic's


Training Guide - Consultant on the UserWeb.


How to Study for Your Epic Exams


https://documentation.epic.com/Redirect.aspx?DocumentID=2904903&Version=Epic%202017

https://documentation.epic.com/Redirect.aspx?DocumentID=2904905&Version=Epic%202017

https://documentation.epic.com/Redirect.aspx?DocumentID=2904905&Version=Epic%202017

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Introduction: Hospital Billing Fundamentals 1•7


RHB101 Resolute Hospital Billing Fundamentals Resolute Hospital Billing Epic 2017


Whether you have recently taken exams or have not taken an exam in quite some time, you will


want to make sure that your study techniques will work for your long-term learning.


To that end, Epic training has developed a piece of documentation, How to Study for Your Epic


Exams that you can access through Galaxy or through the hyperlink.


Project


You are required to complete one project for the Resolute Hospital Billing Administration


certification. The project details will be introduced in your Administration class as the project


cannot be started until after that class.


Project Grading:


You will receive a score back within three business days of submitting as well as the high-level


areas where you missed points. You may resubmit your project for a higher score considering the

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