RHB 303 Questions And Answers Rated A+ .
True or False: The price of a charge is stored with the procedure in the Charge Record (EAP) - correct answer. False, it is stored in a FSC (Fee Schedule Record)
True or False: A fee schedule group indicates what the price will be - correct ...
True or False: The price of a charge is stored with the procedure in the Charge Record
(EAP) - correct answer. False, it is stored in a FSC (Fee Schedule Record)
True or False: A fee schedule group indicates what the price will be - correct answer.
False, the The FSC (Fee Schedule) stores *what* the price will be, BFG (Fee Schedule
Group) indicates *when* the price will be used
Base Charge - correct answer. Flat rate dollar amount portion of the charge.
Unit Charge - correct answer. Price per quantity of one. Each time the quantity is
increased the price will increase as well
Timed Pricing - correct answer. The option to price based on the length of time it took
to provide the charge or service
Interval length - correct answer. The time determination of units. Each period of time
represents one unit
True or False: The base charge can be impacted by the charge quantity - correct
answer. False
True or False: Fee schedules are always created manually - correct answer. False,
they are typically done through import but can also be done manually
True or False: The algorithim field can be left blank - correct answer. True, in fact it is
common to leave blank since the default algorithm is units and for most charges the
number of units is the quantity used.
, True or False: The rounding method of "standard" is to round down to the nearest 10
minute interval to avoid medicaid audit flags - correct answer. False, standard rounds
to the nearest whole based on over/under half the difference
Name two elements of an HB Fee schedule group - correct answer. 1) Charge
characteristics (made up of eligibility requirements)
2) Any associated fee schedules
True or False: You can re-use fee schedule groups over time - correct answer. False,
each must be unique
When the system searches fee schedule groups, where is the search precedence
specified? - correct answer. The HSD
True or False: The relationship between the same eligibility requirements ("same box")
in the fee schedule group is "or" - correct answer. True
True or False: The relationship between the different eligibility requirements ("different
box') in the fee schedule group is "or" - correct answer. False, the relationship
between two different requirements in the fee schedule group is "and"
What price is used if a charge is not found in any of the qualifying Fee Schedule
Groups? - correct answer. $0.00
What does the first active bucket outstanding property do? - correct answer. It
evaluates only the first active insurance bucket in each account
Under what conditions is a bucket considered active (3 responses)? - correct answer.
1) It is and insurance, RAP or Hospital bucket
2) It is not rejected or replaced
3) It has a balance
what operator and value would you use to look back for a date before today? - correct
answer. < T- x
What operator and value would you use to look count forward from a specific date (i.e
days since something occurred) - correct answer. > x (number of days)
Why would you add a routing rule to this type of workqueue? - correct answer.
Efficiency
Why would you apply a lock sort to a workqueue? - correct answer. To prevent users
from working items in a less than ideal order (i.e. easiest first)
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