PB Billing Admin App Flashcards
Cash mgmt help your organization……
Reconcile Cash in the bank with payments posted in Epic
What is a cash record?
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
What is a cash control group?
Represents multiple deposited checks grouped together 4 posting purposes.
What is a visiting filing order?
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
The visit filing order is finalized when……
The visit is checked in
What is retroadjucation?
The review and resolution of changes made to an existing visit’s filing order
Retroadjudication is triggered when…
When an update to a patient’s filing order creates. a new proposed filing order
Manual Retro occurs…..
When a billing user with a security directly edits a visiting filing order
Retro Logic (VFO) -Nightly Batch Job can…
Automatically accept changes
HB HAR is
Manually created, for admission or during check in
PB HAR is
System automatically creates the HAR
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
True
True or False, Balances Will Not be eligible to appear on. statement the day after they are assigned to self pay liability
False, the balances will appear on the statement.
True or False, A guarantor account can only be included in 1 statement run @ a time
True
True or False, in charge review WQFs a rule still needs to qualify for a routing rule and error/warning
True, Routing rules cannot catch charges on its own.
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.
C.) Reapplied to the charge.
What is a temporary record created by the system whenever a payment is posted in PB that does not fully match the outstanding debit
A credit record
A credit record is created automatically in the system when a PB payment
is left undistributed
creates a credit balance of the charge
True or false, a credit record is moved to the completed tab of the WQF when the balance is 0.00
True
Is where you set the timing and order of activities you listed in the set up section of a credit WQF
Automatic Activity Mapping.
