VI: Charge Sources and Procedures

Question 1

What does GUI stand for?

Answer 1

Graphic User Interface

Question 2

Name the three Record Purpose

Answer 2

Orderable, Performable and Chargeable (OPC)

Question 3

Charge codes that are performed an entered by a provider is: Orderable, Performable or Chargeable?

Answer 3

P/C (performable and chargeable)

Question 4

What are the two Type of Codes that could trigger to a billing system?

Answer 4

CPT or Custom

Question 5

What are orderable procedure record?

Answer 5

Orders that should never trigger charges

Question 6

What are orderable/performable procedures?

Answer 6

Procedure that the provider is not performing herself but instead ordered to an RN for example. When the RN completes the order, it will trigger a charge.

Question 7

What are the differences between Orders and Charges?

Answer 7

Orders: Billing status is inactive, Code is three alpha and a numeric, Code type is Custom.
Charges; Billing status active; code is CPT or HCPS; code type is CPT

Question 8

What does the charge router do?

Answer 8

Check for errors; routes charges to billing; modify charges, assign a billing destination (PB or HB)

Question 9

Where do you link orderable and performable procedures to charges?

Answer 9

OPC button

Question 10

If you select Link Type of Charge Router, what does this mean under “Linked Chargeables” in OPC

Answer 10

This means that this chargeable should always be linked with this Orderable/performable which is the job of the charge router

Question 11

If you select Charge Type of “Professional” under “Linked Chargeables” in OPC, what does this mean?

Answer 11

This means that the chargeable should be sent to professional billing instead of hospital billing

Question 12

Why should orderable procedure records always be separate from chargeable procedure records?

Answer 12

Easier to maintain and build based on their workflows. Besides, billing must occur based on what was actually performed.

Question 13

What is a charge interface.

Answer 13

A link between two systems where charges continuously flow form interface into epic.

Question 14

Which part of Epic receives the charge information from the clinical applications and sends it to billing?

Answer 14

Charge Router.

Question 15

True or False: You can require the control amount of procedure has is entered in PB Charge Entry

Answer 15

True

Question 16

Which report could you use to track where in the charging flow orders or charges might be if you’re testing integrated procedure set up?

Answer 16

Charge router reconciliation report