Reviewing and Correcting Charge Errors

Question 1

What is the name of the module in the system that automatically creates claim runs?

Answer 1

Batch Scheduler

Question 2

Where do end users find the list of claims with errors that need to be worked before they are sent to payors?

Answer 2

Claim edit Workqueue

Question 3

Which type of claim error can be fixed by an end user?

Answer 3

User file errors

Question 4

When you are working in a claim edit workqueue, you can ccess the………, a tool that helps you fix the errors on the claim, by clicking on the error hyperlink.

Answer 4

Claim edit workqueue companion.

Question 5

Which type of claim error needs to be fixed by an application coordinator or IT person?

Answer 5

Master file errors

Question 6

What’s the difference between clicking New Detail and New Check on the insurance payment posting form?

Answer 6

New detail is the same check new invoice and new check is a different check

Question 7

Why are cash control groups created in epic?

Answer 7

Only posting money you have actually received

Question 8

What are the final two steps of insurance payment posting that allow the payments to be posted to the account?

Answer 8

Close and Process

Question 9

T/F? The only difference between posting a recoupment and a regular payments is that when you post the recoupment you should enter a negative paid amount.

Answer 9

False.

Question 10

Where in the system do you find the list of outstanding claims that require follow up?

Answer 10

Follow-up workqueue

Question 11

In a follow-up workqueue, which activity would you perform in each of the following circumstances?

a) a denial was legitimate and the balance should be passed on to the next entity in the filing order
b) You want to record a summary of all the actions you took while working the claim

Answer 11

a) NRP (next responsible party)

b) note

Question 12

What is the purpose of a charge review workqueue?

Answer 12

to review pb charges for errors

Question 13

When does the charge review workqueue review the charges?

Answer 13

while charges are still temporary

Question 14

If a charge session qualifies for multiple workqueues, how do you know what to fix in order to remove the charge session from your workqueue?

Answer 14

Look at the system comments section to fix issues associated with your workqueue

Question 15

If a charge session is from a clinical source, do changes in the charge session update the clinical chart?

Answer 15

no

Question 16

If you want the chart and account to match, who needs to update the charge?

Answer 16

the provider

Question 17

What does defer do?

Answer 17

moves the session to the deferred tab-comes back to the active tab when the session closes

Question 18

What are a few reasons you might use force resubmit?

Answer 18

timely filing, not a duplicate claim, error is not an error

Question 19

Which buttons in correcting charge errors are security controlled?

Answer 19

delete and force resubmit.

Question 20

T/F? When deleting a session in a charge review workqueue, the charge session is removed from your wq, but can still be worked on by others?

Answer 20

False

Question 21

What is the difference between a warning and an error?

Answer 21

A warning is a soft stop that you can ignore. An error is a hard stop that you have to fix.

Question 22

What does the transfer button in a charge review workqueue do?

Answer 22

It moves the charge session from the current wq to a designated wq

Question 23

T/F? Users review charges in charge review wq’s after the system has posted charges to the account?

Answer 23

False. Users review charges before the system posts them to the account, while the charges are still considered temporary and editable.

Question 24

When should you resubmit a charge session?

Answer 24

When you beleive it has been corrected.

Question 25

Why are duplicate charge sessions sent to a supervisor?

Answer 25

The delete button is security controlled and isnt available to every user.