Transactions: Basics Flashcards
List the Epic released Radar dashboards that help your organization track charge review, transactions, workqueues, and more in PB and HB.
- PB Revenue Integrity Dashboard
- HB Revenue Integrity Dashboard
(Aug. 2021, 2.5)
What type of transactions are stored in the ETR master file and may track many details that show a record of how that ETR has changed over time?
PB transactions
Aug. 2021, 2.6
What type of transactions are stored in the HTR master file and are considered the most granular level of tracking changes to AR in Hospital Billing?
HB transactions
Aug. 2021, 2.6
What type of transactions carry with them many details about the events and changes to those transactions, including voids, matching, and attempts at collection payment?
PB transactions
Aug. 2021, 2.10
___ records are stored on a hospital account.
(Hospital accounts contain buckets (HLB records) that organize balances assigned to payers and the payments received from those payers.)
HTR records
Aug. 2021, 2.10
Where are HTR records stored?
On a hospital account (HAR)
Aug. 2021, 2.10
ETR records are stored on a _______ _______.
Guarantor account (EAR)
Aug. 2021, 2.10
When are ETR records and HARs connected?
When they are generated for organizations using SBO or VFO.
Aug. 2021, 2.10
True or False:
Regardless of how a payment is entered into the system, they populate the same columns when extracted to Clarity and Caboodle.
True
Aug. 2021, 2.11
What are 5 characteristics all transactions have?
- Service date/ Deposit date
- Post date
- Procedure code
- Guarantor account
- Hospital account (HAR)
(Aug. 2021, 2.13-14)
What is the difference between service date and deposit date?
- Service Date - services performed
- Deposit Date - money recorded in the bank (payment deposited)
(Aug. 2021, 2.13)
What type of transaction could the service date be the same as the post date or it could be in the past?
Charge
Aug. 2021, 2.13
For what type of transaction will the service date be the same as the post date?
Adjustments.
Exceptions:
Contractual write-offs, whose deposit date will match the deposit date on the corresponding payment.
(Aug. 2021, 2.13)
Define post date.
The date a transaction is recorded on the account (guarantor, hospital) and changes the accounts receivable amount.
(Aug. 2021, 2.13)
Procedure records used for payments and adjustments are frequently referred to as what?
AR codes
Aug. 2021, 2.13
What is a record in the EAP master file and stores information about the transaction?
A procedure code.
Aug. 2021, 2.13
What are PB transactions attached to?
A guarantor account and cannot exist without it.
Aug. 2021, 2.14
What are HB transactions attached to?
A hospital account, which is then attached to a guarantor.
Aug. 2021, 2.14
True or False:
Every transaction is attached to a hospital account.
True.
As of Epic 2018, every transaction is attached to a hospital account.
(Aug. 2021, 2.14)
In Epic, what kind of ADJUSTMENTS are refunds?
Debit adjustments
Aug. 2021, 2.14
What would an organization do if a guarantor or payer pays more than they need to?
The organization can send them a refund for the extra amount.
(Aug. 2021, 2.14)
What type of transaction has the equal and opposite amount of the original?
A reversal.
Sometimes, a transaction is posted in error. In this case, a reversal is posted to “undo” the previously posted transaction.
(Aug. 2021, 2.14)
Are voids new transactions?
No, voids are simply updates to existing transactions.
Aug. 2021, 2.14
True or False:
PB only uses reversals for credits, and only when the reversal takes place after the day the transaction was posted.
True.
Aug. 2021, 2.14
What type of transaction does Hospital Billing use for reversals?
The same type of transaction as the original.
For example, to reverse a charge, another charge transaction is posted with the opposite amount.
(Aug. 2021, 2.14)
Is BillingTransactionFact a core revenue table?
Yes
Aug. 2021, 2.16
List the groups for PB charge transactions.
- Financial Divisions
- Financial Subdivisions
- Bill areas
(Aug. 2021, 2.19)
How does Hospital Billing group charge transactions?
Cost Centers
Aug. 2021, 2.19
Why are charge transactions grouped and then stamped on the charge?
To create custom sets of departments or providers that make sense together.
(Aug. 2021, 2.19)
Define relative value unit (RVU).
A form of measurement used to determine the value of a procedure.
(Aug. 2021, 2.20)
Why are RVUs only stamped on charge transactions?
Because they are part of the procedure’s record.
Aug. 2021, 2.20
List the 3 components that RVUs are broken down into.
- Work: the time, skill, intensity needed to provide a service/perform a procedure
- Overhead: the cost of maintaining a practice (rent, non-physician staff costs, and so on)
- Malpractice: the cost of malpractice insurance premiums
(Aug. 2021, 2.20)
Which billing system stores RVUs on the transaction level?
Both billing systems do.
Aug. 2021, 2.20
What does Epic need from your organization to report on cost data?
An import of your organizations cost data from the cost accounting system into Epic.
The cost information can be stored in a fee schedule and then applied to charges as they are generated.
(Aug. 2021, 2.20)
