procedures ranging from clinical orders and procedural documentation (CPT HCPCS & ASA Codes) -
CORRECT ANSWER what does the procedure (EAP) master file store?
holds a number of basic charge configuration settings - CORRECT ANSWER what does the general
information form hold:
procedure # - CORRECT ANSWER Internal Record ID in EPIC. This is typically the same ID as the code
field.
Billing Status - CORRECT ANSWER determines whether the procedure is allowed to be brought into the
billing system, such as professional billing. This is a required field
patient friendly name - CORRECT ANSWER Holds a patient-friendly name that your organization can
display to patients in MYChart or on statements
code - CORRECT ANSWER Holds the code to be displayed in the system and sent on claims and
statements
code type - CORRECT ANSWER Determines the type charge, such as CPT or HCPCS
procedure type - CORRECT ANSWER Indicates the procedure should be used as a charge (not a payment
or adjustment) this is a required field
debit/credit - CORRECT ANSWER Determines how the procedure will impact the balance on a patients
account
hospital claim procedure type - CORRECT ANSWER determines if a charge is considered a professional
or technical charge for claims purposes
,to initiate, trigger, and eventually post a charge to an account. - CORRECT ANSWER why do charge
sources use records in the procedure master file?
- a procedure is signed/performed
- an immunization is performed
- a medication is administered
- a charge is manually selected
- an order is resulted (such as labs) - CORRECT ANSWER clinical applications send PB charge information
to the charge router when:
it helps define how the procedure is used in workflows. it also establishes how a procedure can be
linked to other procedures. - CORRECT ANSWER what does assigning a record purpose to a procedure
record do?
the procedures in the master file allow providers to document what happens clinically and for those
procedures to be billed out appropriately. - CORRECT ANSWER How do procedures help providers?
search procedure in EPIC - CORRECT ANSWER Where can you find basic charge configuration settings
for procedures
they determine whether all users in PB Charge Entry.Charge Review are able to override the price or
description of a charge. - CORRECT ANSWER What do "Allow price override" and " "Can enter
description" determine
True - CORRECT ANSWER T/F: most charge sources use record in the procedure master file to initiate,
trigger, and eventually post a charge account.
when
- a procedure is signed/performed
- an immunization is performed
- a medication is administered
- a charge is manually selected
, - an order is resulted (such as labs)
- or when the encounter is closed - CORRECT ANSWER When do clinical applications send PB charge info
to the charge router
Charge Router - CORRECT ANSWER a tool for communicating charge information from clinical
applications and interfaces to your billing systems.
helps define how the procedure is used in workflows. it also establishes how a procedure can be linked
to other procedures - CORRECT ANSWER what does assigning a record purpose to a procedure do?
referrals, orders placed for documentation purposes or to satisfy preventative care measures. these
procedure records are billing inactive, have custom codes, and a record purpose of only orderable. -
CORRECT ANSWER give examples of orderable procedures
orderable: "someone please do this"
performable: "this has been done"
chargeable: "let's get paid for it" - CORRECT ANSWER define orderable, performable and chargeable
billing status - CORRECT ANSWER allows a procedure to be used in Resolute professional billing.
true - CORRECT ANSWER T/F: the charge router an only route billing active procedures to RPB
all of the above. - CORRECT ANSWER select all that apply: clinical users can use :
- orderable
- orderable chargeable
- preformable chargeable
performable chargeable - CORRECT ANSWER select all that apply: billing staff and billing systems can
use :