Chapters 2 & 3 Flashcards
True or False: When creating a coverage record in the system, you must choose the correct Payer and Group Number listed on the subscribers insurance card.
False. Payer and Plan.
True or False: A patient can have more than one guarantor account.
True. However only one guarantor account can be linked to a specific visit.
True or False: The purpose of the Cash Drawer in epic is to reconcile the physical money you collected with the money that you posted in the system.
True
What epic application is explained below and what’s their purpose? Enterprise Registration, holds the basic patient, guarantor account and coverage data.
Prelude
What epic application is explained below and what’s their purpose? Scheduling, schedule and check in visits. Collect visit specific data.
Cadence
What epic application is explained below and what’s their purpose? Billing for professional services, UB and CMS claim forms available.
Resolute Professional Billing
What is a guarantor?
A person/entity that is financially responsible
What is a subscriber?
The person whom the insurance coverage is under. (Ex. Cardholder)
What is a member?
Others covered under the subscribers insurance. (Ex. Spouse, child, etc)
What 3 parts of insurance are there?
Payer
Plan
Subscriber
What kind of accounts are used during an accident related visit?
Worker’s compensation and/or third part liability
What is a Visit Filing Order?
Puts coverage(s) in the correct order to be billed (ex. Primary, secondary etc)
What number is created when an encounter is check in?
Encounter form number
What number is created when an encounter is created?
Contact Serial Number (CSN)
When are payments from the front desk posted to the account?
Immediately