Reviewing and Correct Charge errors

Question 1

True or False: Deleting a charge session from a WQF is the same as resubmitting the charge.

Answer 1

False. Delete removes the charge record completely.

Question 2

A charge counts towards active accounts receivable under which of the following conditions? Select ALL that apply?
A.) When it is in a Charge Review WQF
B.) When it is in a hospital billing charge review WQF
C.) When it is pending on the HB HAR
D.) When it is posted to the HB HAR

Answer 2

D.) When it is posted to the HB HAR

Charges do no impact AR until they are permanent posted transactions.
Any charge caught in a charge review or charge router review WQF is not yet posted to the HB HAR.

Question 3

While reviewing a charge in your WQF you determine that the mistake originated in the clinical documentation for that encounter. IN order to get the revenue posted, where should the correction be made? Chose only ONE answer
A.) Override the information directly in the charge in your WQF. The changes made in the WQF will be reflected in the clinical documentation.
B.) Update the clinical information since the clinical documentation should be the source of truth. Updates that affect charges will flow from the clinical documentation to the charges.

Answer 3

B.) Update the clinical information since the clinical documentation should be the source of truth. Updates that affect charges will flow from the clinical documentation to the charges.

Updates that affect billing will flow from the clinical documentation to billing

Question 4

True or False: If a charge is in a charge review WQF, it means it must be modified in order to post to the HAR.

Answer 4

False; The charge may be in a the WQF because of the warning, and it may be appropriate to override the warning and not modify the charge.