Chapters 2, 3, 4, & 5 Flashcards
what is a procedure number?
an internal record ID in Epic. This is typically the same ID as the Code field.
What is a billing status?
it determines whether the procedure is allowed to be brought into the billing system such as professional billing. This field is required.
What is a Patient Friendly Name?
It holds a patient friendly name that your organization can display to patients in mychart or on statments.
What is a Code?
Holds the code to be displayed in the system and sent on clams and statements
What is a code type?
Determines the type of charge, such as CPT or HCPS
What is a procedure type?
Indicates the procedure should be used as a charge (not a payment or adjustment) This is a required field.
What does Debit/Credit do under the charge information?
Determines how the procedure will impact the balance on a patients account.
what is a claim procedure type?
Determines if a charge is considered a professional or technical charge for claims purposes
Based on a setup in a charge procedure, which of the following allows a user to override their values in Charge Entry? Choose all that apply. A. Procedure category B. Procedure description C. Procedure price D. Procedure type
B. Procedure description
C. Procedure price
Which of the following fields stores the procedure name displayed to patients on their statements
and from MyChart? Choose only ONE answer.
A. Name
B. Short name
C. Clinical display name
D. Patient‐friendly name
D. Patient‐friendly name
Which of the following record purposes could be associated with a charge procedure intended for use in billing? Choose ALL that apply. A. Performable B. Performable/Chargeable C. Chargeable D. Orderable
B. Performable/Chargeable
C. Chargeable
You are testing integrated procedure setup with the clinical team. They enter orders in EpicCare
Ambulatory and you check the account. The charges are not there. Which report could you use to
track where in the charging flow these orders or charges might be? Choose only ONE answer.
A. Revenue Guardian Encounter report
B. Charge Router Reconciliation report
C. Charge Entry Activity report
D. Charge Review Activity report
B. Charge Router Reconciliation report
A physician documents a 17000 during an office visit. When the encounter is closed, the procedure is sent to billing. How is this procedure's record purpose configured? Choose only ONE answer. A. Orderable B. Performable/Chargeable C. Orderable/Performable D. Performable
B. Performable/Chargeable
A physician places a referral for a patient to go see a dermatologist. How should the record
purpose of the procedure be configured? Choose only ONE answer.
A. Orderable
B. Orderable/Performable
C. Performable
D. Chargeable
A. Orderable
True or False: The procedure master file contains charge codes along with their prices
False
Where is the order of precedence for fee schedule group requirements set? Choose ALL answers that apply. A. Department B. Location C. Service Area D. Facility
C. Service Area
D. Facility
True or False: A modifier always affects the price of a charge.
False
Which if the following are stored in the PAT master file? Choose ALL that apply. A. Service provider effective dates B. Billing provider effective dates C. Provider specialty D. Provider's departments for scheduling
A. Service provider effective dates
B. Billing provider effective dates
True or False: Bill area is associated with patient payments.
False
Which of the following are true about charges stored in the TAR master file? Choose ALL that apply.
A. Charges are temporary transactions
B. Charges are posted to the account
C. Charges are pending in a PB Charge Entry batch or in a Charge Review workqueue
D. Charges are on a claim
A. Charges and temporary transactions
C. Charges are pending in a PB Charge Entry batch or in
a Charge Review workqueue
What must be activated for a charge review workqueue to function? Choose ALL that apply. A. Batch Scheduler B. Workqueue C. Owning Area D. Rules in the workqueue
B. Workqueue
D. Rules in the workqueue
What is the purpose of the Auto Process field in a charge review workqueue? Choose only ONE
answer.
A. Activates the workqueue
B. Processes claims for the charge sessions in the workqueue when the Batch Scheduler runs
C. Automatically resubmits charge sessions in the workqueue when the 1154 template runs in
the Batch Scheduler
D. Assigns a user to the charge sessions in the workqueue
C. Automatically resubmits charge sessions in the workqueue when the 1154 template runs in the
Batch Scheduler
What does the “price” refer to in the bill area?
It refers to its original posted amount, prior to any write offs or discounts that may adjust the outstanding balance.
How is the total amount calculated?
Amount = Base Charge + Unit Charge Quantity
What is a Provider (SER)?
Departments for scheduling/Charging
Provider Bill Areas
What is a Provider Attribute (PAT)?
Service provider effective dates
Billing provider effective dates
True or False: Errors have to be fixed by an end user and warnings can be skipped
True.
