IX: Configuring Charge Review

Question 1

What are the two types of transaction master files are involved before and after charge review?

Answer 1

TAR and ETR

Question 2

What does TAR stand for?

Answer 2

Temporary Transaction Master File (TAR Record)

Question 3

What does ETR stand for?

Answer 3

Permanent Transaction Master File (ETR Record)

Question 4

What are the two types of charge review WQs?

Answer 4

Front end and Back End

Question 5

True or False: Charges that come through the Charge Router from a non-charge entry sources don’t receive front-end edits.

Answer 5

True. They are entered automatically.

Question 6

By checking the Auto Process field under the detail section of the Charge Review WQ, what does this indicate?

Answer 6

That you would like a batch job to review charges in this WQ to see if they still qualify for the rules of the queue.

Question 7

What are the three types of rules?

Answer 7

Warning, Error and Routing

Question 8

To appear in a WQ using routing rules a charge session must Qualify for at least ______routing rule AND Qualify for at least ________ error or warning.

Answer 8

1 and 1

Question 9

True or False: A workqueue is associated with a service area when it is created.

Answer 9

True.

Question 10

How many rules can you have for a Back End WQ?

Answer 10

Unlimited per service Area

Question 11

Back-End WQs use rules to:

Answer 11

Qualify a charge session for review

Question 12

When setting “Auto Process Field” to Yes when configuring a WQ, what does this mean?

Answer 12

It indicates that you would like a batch job to review charges in this WQ to see if they still qualify for the rules of the queue.

Question 13

You will most likely want to replicate all or most of your front-end rules in your back-end workqueues. what is the recommendation so you do not have to do a lot of duplicative work?

Answer 13

Add the foundation system rule 82: Front-End Errors Exist to your back-end WQ.

Question 14

What are exclusive workqueues used for?

Answer 14

They catch clean charges for review. These are generally used to audit charges that the system thinks are clean.

Question 15

Clean charges for review can be overwhelming. How does Epic deal with this issue?

Answer 15

Epic provides rules designed to catch a percentage of charges from the clinical applications.

Question 16

What is the default for exclusive WQ? Yes or No

Answer 16

Yes.

Question 17

A WQ can be exclusive only when the Type Field is set to ________________, and the Type for each rule is set to ________________.

Answer 17

Type field: Back End

Rule is set to: Warning

Question 18

What security point allows a user to see all workqueues regardless of what “authorized users” field says.

Answer 18

141-May Access Others’ Charge Review WQs

Question 19

What is the difference between a charge stored in TAR and a charge stored in ETR

Answer 19

A charge stored in TAR is still temporary while a charge stored in ETR is a permanent transaction that is posted on the guarantor account.

Question 20

Explain the difference between a front-end and a back-end charge review WQ

Answer 20

Front-end charge review WQ cause validation messages when trying to accept the session if it qualifies for the rules of the charge review WQ. charges in the Back-end review WQ are evaluated after the charge session leaves the charge entry process.

Question 21

What two things must be activated for a charge review WQ to function?

Answer 21

WQ itself (in the detail) and the rules.

Question 22

Which report can you run to get a summary of WQ build for a service area?

Answer 22

Charge review maintenance report

Question 23

What is the purpose of using routing rules with back-end charge review WQs

Answer 23

Limits the number of sessions that can qualify for a WQ

Question 24

True or False: You can add an end user to multiple workqueues at once

Answer 24

True.