Entering charges manually Flashcards

1
Q

Why would customers need to enter manually enter charges?

A

Clinicians are not placing orders in an EMR, Clinicians perform services at outside place of service, interim clinical staff might not be trained on how to enter orders in an EMR, charges might be entered manually by analyzing a providers documentation to determine what services he performned

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2
Q

Why are there multiple charge entry modules?

A

Different features for different workflows

Different organizational needs when entering charges

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3
Q

What is generated when a patient’s visit is checked in?

A

encounter form number

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4
Q

What are examples of an encounter?

A

office visits, nurses visits and procedure visits

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5
Q

What modules might you use to enter charges manually?

A

Charge router charge entery
Professional Billing Charge entry
Anasthesia Charge Entry

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6
Q

What is a procedure count?

A

number of procedures to be entered

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7
Q

What is a procedure hash?

A

Numerical sum of all of the procedure codes to be entered

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8
Q

What is the “holding tank” in the system into which all charge tickets are entered?

A

Charge entry Batch

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9
Q

What is the difference between an error and a warning?

A

Errors must be fixed before going forward ; Warnings should be reviewed but do not need to be changed.

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10
Q

What is a claim?

A

a paper or electronic submission to an insurance company requesting payment for services rendered to a patient.

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11
Q

Define a claim information record

A

used within the system to hold additonal information that is needed in order to produce an accurate claim, ie. accident date and body part injured for a workers comp claim.

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12
Q

When do you use the new session button?

A

missed entering a charge ticket

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13
Q

When do you use the pencil >edit button?

A

when a charge session is entered incorrectly

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14
Q

Pencil>Delete Session

A

Added a charge session in error

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15
Q

When do you use the Edit Batch button?

A

entered control amounts incorrectly

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16
Q

What options does the edit session allow you to do?

A

access charge sessions you already entered, in case you made a mistake while entering the session information.

17
Q

What does the delete session option allow you to do?

A

lets you remove a charge entry session if it was added in error.

18
Q

Where does a charge go if it is pending?

A

PB Charge review workqueue.

19
Q

T/F? Each charge entry batch contains only one charge entry session?

A

False. Each charge entry batch can contain an unlimited number of charge entry sessions.

20
Q

T/F? Each charge entry batch only contains information for one patient’s charges?

A

False. The batch can contain charges for an unlimited number of different patients.

21
Q

Name two conventions for entering a diagnosis code in the code field on the charge entry form.

A

Enter the ICD code or the name and description of the diagnosis.

22
Q

On the procedure line, what purpose does the diagnosis field serve?

A

the entry in this field associates the charges with the appropriate diagnosis from the diagnosis table.

23
Q

What is the purpose of processing your batch?

A

Processing the batch posts the charges and makes them available for billing.