Appendix E Review Flashcards
A statement (bill) is sent to the \_\_\_\_\_\_ address recorded in Registration. Choose ONE. A. Patient B. Guarantor C. Subscriber D. Member
B. Guarantor
Visit Filing Order is a list of \_\_\_\_\_ for the visit. Claims are sent based on this order. Choose one. A. Patients B. Guarantor Accounts C. Coverages D. Providers
C. Coverages
You collected a patient payment at the front desk. When is that payment posted to the guarantor account? Choose one.
A. Immediately
B. After supervisor authorization
C. After closing and processing the batch
D. After an overnight batch process is completed
A. Immediately
Which of the following charge sources can be used to generate charges for professional billing? Choose all the apply.
A. Epic Clinical Application
B. Charge Router Charge Entry
C. Interfaces
A. Epic Clinical Application
B. Charge Router Charge Entry
C. Interfaces
(All were correct)
True or False: charges in a charge review work queue contribute to your organizations accounts receivable total.
False. Charge review is pre-AR.
When reviewing a charge session in a PB Charge Review Work queue, when can a user see the current errors/warnings associated with the charge session? Choose one. A. Errors tab of the side bar B. Reports tab of the side bar C. Charge Table D. Diagnosis Table
A. Errors tab of the side bar
A user needs to review clinical documentation related to a charge session in a PB Charge Review work queue. Where can a user find the documentation from the work queue. Choose one. A. Errors tab of sidebar B. Reports tab of sidebar C. Charges table D. Storyboard
B. Reports tab of sidebar
What is the purpose of Revenue Guardian? Choose one.
A. Review claims before sending
B. Review charges while they are in the Charge Router
C. Review encounters for possible missing charges
C. Review encounters for possible missing charges
Which of the following are functions of the Claim Definition File (CDF)? Choose all that apply. A. Claim formatting B. Claim printing C. Claim run creation D. Error checking
A. Claim formatting
D. Error checking
Where are the charges that are ready to be sent out on a claim run stored? Choose one. A. Claims queue B. Claim edit work queues C. Claim definition file D. Charge review work queue
A. Claims queue
For a Claim Edit work queue, what can a supervisor do from the Manage WQ button? Choose all that apply. A. Add users B. Remove users C. Update the owning area D. Update the WQ status
A. Add users B. Remove users C. Update the owning area D. Update the WQ status (All are correct)
Where in the system do you find the list of outstanding claims awaiting payment from the payer? Choose one. A. Charge review work queue B. Claim edit work queue C. Follow up work queue D. Charge router review work queue
C. Follow up work queue
What is the purpose of creating a cash control group in epic? Choose all that apply.
A. Creates invoices to payments against
B. Tracks and records deposited payments in the bank
C. Sets control amounts for payment posting batches
D. Posts payments
B. Tracks and records deposited payments in the bank
C. Sets control amounts for payment posting batches
True or False: You finished posting an insurance payment from Cigna to an invoice. There is another EOB from that same Cigna check that must be posted next. To continue posting, you will click New Check.
False. You click next payment to continue.
A denial was legitimate and the balance should be passed on to the next entity in the filing order. In a follow-up work queue, which activity would you perform? Choose one. A. Resubmit claim B. Transfer C. Next responsible party D. Defer
C. Next responsible party
