EPIC Training - CHG201 Resolute Hospital Billing Charging Part 2: Administration and Reconciliation Exam Questions And Answers

EPIC Training - CHG201 Resolute Hospital Billing Charging Part 2: Administration and Reconciliation Exam Questions And Answers The Pricing Analysis tab in the CDM Matrix - ANSWER -is a pivot table that helps you plan how many fee schedules are needed. On this tab, you can see when a charge is listed with multiple prices in the same fee schedule. A fee schedule is - ANSWER -a single record that contains items with multiple responses An asterisk (*) - ANSWER -in the ID column tells the system to create a new record EAP RECORD - ANSWER -EAPs (PROCEDURE RECORDS DEFINE THE CHARGE FOR EACH PROCEDURE) FSC RECORD - ANSWER -Fee schedule records define the dollar amounts for procedure-, medication-, or diagnosis-related group codes When importing records from the CDM - ANSWER -you should import EAPs before any FSCs The department flagged on every HB charge as the most important department for HB is the - ANSWER -Cost Center Department The cost center department is dynamically assigned by the - ANSWER -Cost Center Department Selection Table The cost center department - ANSWER -Is NOT the cost center Every HB charge is assigned a Cost Center by the Cost Center Assignment table - ANSWER -using combinations of BILLING CATEGORY AND COST CENTER DEPARTMENT When a charge is evaluated by the Cost Center Assignment Table - ANSWER -it starts at the top and works its way down . The first row that matches is the cost center assigned. If a charge does not match any row in the Cost Center Assignment Table - ANSWER -the charge will be assigned the Error/Unassigned Cost Center (listed as the Default) The Cost Center Assignment Tab in the CDM Matrix is - ANSWER -a pivot table that helps plan and organize cost center assignment Every HB charge is checked for errors in - ANSWER -the Charge Router and in Hospital Billing If the problem originated in the clinical documentation - ANSWER -then the clinical documentation should be corrected. Correcting the clinical documentation will correct the charge. Clinical staff should work charge review workqueues for charges - ANSWER where the issue originates in the clinical documentation Charges can be held in charge review workqueues by - ANSWER -warnings (soft stops) or errors (hard stops) Deleting a charge from a charge review workqueue - ANSWER -will delete the HTT Hospital Temporary Transaction records The HB Posted Charges Summary report - ANSWER -is run to verify high-level charge capture volumes, including total charges, late charges, and charge lag by cost center(s). The Revenue Guardian Encounter report - ANSWER -is run to reconcile charges at the encounter level. Cost center owners use it to to verify charges generated align with clinical services performed recommendations for each service line can be found in - ANSWER -the Charge Reconciliation Tip Sheets Charge review workqueues are used to identify and fix charges with - ANSWER the default (usually called unassigned or error) cost center The Associated Cost Centers for a charge code is - ANSWER -the list of all cost centers that could make sense for that charge code The HB Cost Center Revenue report - ANSWER -identifies charges with unassociated cost centers. The Hospital Transaction report - ANSWER -allows you to search for posted charges by any criteria, and make large-scale changes to posted charges, such as fixing the cost center. Revenue Guardian Checks identify - ANSWER -expected charges based on clinical documentation and hospital account characteristics Revenue Guardian Checks assess - ANSWER -the entire hospital account for charging completeness Revenue Guardian checks - ANSWER -run at Initiate Billing If a hospital account has the charges listed on the Expected Charges form - ANSWER -it WILL NOT be charged for review Account class - ANSWER -Identifies Inpatient or Outpatient Charge code is - ANSWER -used to refer to records built in the EAP master file specifically for billing When charges are in the router they are - ANSWER -UCL Universal Charge Line records When charges are held in HB Charge Review workqueues they are - ANSWER HTT Hospital Temporary Transaction records When a charges post to the account, they are - ANSWER -HTR Hospital Transaction Records A charge in the CDM is fully consolidated when it has one - ANSWER -charge code, Description, Rev Code, HCPC's and billing category The tab of the CDM matrix that is populated by the CDM pivot tab - ANSWER EAP import tab