PB Billing Admin App

Question 1

Cash mgmt help your organization……

Answer 1

Reconcile Cash in the bank with payments posted in Epic

Question 2

What is a cash record?

Answer 2

Is matched to a corresponding payment in Epic to ensure that all payments posted in Epic correspond to $ in the Bank

Also represents 1 deposit check

Question 3

What is a cash control group?

Answer 3

Represents multiple deposited checks grouped together 4 posting purposes.

Question 4

What is a visiting filing order?

Answer 4

Refers to the order in which claims are sent for a particular visit. (there is a systems configuration that determines exactly which coverages from a patient’s filing order are used in the visit’s filing order

Question 5

The visit filing order is finalized when……

Answer 5

The visit is checked in

Question 6

What is retroadjucation?

Answer 6

The review and resolution of changes made to an existing visit’s filing order

Question 7

Retroadjudication is triggered when…

Answer 7

When an update to a patient’s filing order creates. a new proposed filing order

Question 8

Manual Retro occurs…..

Answer 8

When a billing user with a security directly edits a visiting filing order

Question 9

Retro Logic (VFO) -Nightly Batch Job can…

Answer 9

Automatically accept changes

Question 10

HB HAR is

Answer 10

Manually created, for admission or during check in

Question 11

PB HAR is

Answer 11

System automatically creates the HAR

Question 12

True or False in SBO statements are generated for guarantor accounts, statements will include all HARS with a self pay balance linked to a guarantor account that are eligible to appear on a statement based on organizational polices

Answer 12

True

Question 13

True or False, Balances Will Not be eligible to appear on. statement the day after they are assigned to self pay liability

Answer 13

False, the balances will appear on the statement.

Question 14

True or False, A guarantor account can only be included in 1 statement run @ a time

Answer 14

True

Question 15

True or False, in charge review WQFs a rule still needs to qualify for a routing rule and error/warning

Answer 15

True, Routing rules cannot catch charges on its own.

Question 16

When set with foundation system settings what will happen to self pay payments that were associated with a. charge voided and reposted after retroadjudcation?
A. Voided
B. Transferred to a clearing account
C. Reapplied to the charge
D. Left Unistrubuted.

Answer 16

C.) Reapplied to the charge.

Question 17

What is a temporary record created by the system whenever a payment is posted in PB that does not fully match the outstanding debit

Answer 17

A credit record

Question 18

A credit record is created automatically in the system when a PB payment

Answer 18

is left undistributed
creates a credit balance of the charge

Question 19

True or false, a credit record is moved to the completed tab of the WQF when the balance is 0.00

Answer 19

True

Question 20

Is where you set the timing and order of activities you listed in the set up section of a credit WQF

Answer 20

Automatic Activity Mapping.