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Exam (elaborations)

From routine to complex cases, understand each patient’s needs and surface the most important information

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EPIC TRAINING QUICK PASS 2023//2024 What is the NPI Number? - ANSWER Where do you find a patient? - ANSWER Account Maintenance What is the TAX ID - ANSWER What is the surcharge for New York? - ANSWER 9.63% What is New York's domestic payer for BCBS? - ANSWER Excellus What does DOR stand for? - ANSWER Designation of an authorized representative Do Guarantor records hold insurance info? - ANSWER No Personal, Dental, ________, No fault, Dental are all types of Guarantor Records - ANSWER Behavioral Health What is the blue link under words? - ANSWER Hyperlink Under what can you term insurance coverage. Subscriber info, Coverage info, or Guarantor info? - ANSWER Coverage Info What is the last step before sending a claim to the clearing house? - ANSWER Claim Edit What is user error 100? - ANSWER Registration Error What is user error 200? - ANSWER Biller Error What is user error 300? - ANSWER Coder Error What is user error 400? - ANSWER General master File Errors. What is user error 500? - ANSWER Credentialing Errors What does HAR stand for? - ANSWER Hospital account record Where do you store information for charges? - ANSWER HAR Where do generate invoices? - ANSWER HAR What HAR status is when a patient first comes in for services? - ANSWER Open What HAR status is when the patient has been discharged from the facility and the claim is generated? - ANSWER DNB What does DNB stand for? - ANSWER Do not bill What stores information including charges, adjustments, payments, refunds? - ANSWER HAR Where do you update the patients information? - ANSWER Registration Can you pull demographic information from another account? - ANSWER Yes Where do you find the insurance information? - ANSWER Coverage info Can you term insurance - ANSWER What is min days? - ANSWER Min. number of days between discharge and initiate billing. What point in the billing cycle will you attempt to bill the HAR? - ANSWER Initiate Billing Does a patient need a hospital account to check in? - ANSWER Yes What HAR status is when a patient is admitted? - ANSWER Open What charges are posted after the HAR is billed? - ANSWER Late Charges After a patient is discharged the HAR status changes from open to _________ - ANSWER DNB A series of checks to make sure all necessary information is present and the account is eligible to bill is called? - ANSWER Claim Edits The ____ bucket holds chatges before they are assigned to another bucket? - ANSWER Prebilled The ___ bucket holds charges, payments, and adjustments assigned to a specific insurance? - ANSWER Insurance The ___ bucket holds charges, payments, and adjustments assigned to a specific insurance. - ANSWER Insurance The ____ bucket holds charges, payments, and adjustments assigned to the guarantor - ANSWER Self-Pay When are prebilled and self pay buckets created? - ANSWER As soon as the HAR exists Insurance buckets are created when - ANSWER liability is assigned to that insurance All buckets start is what status? - ANSWER Created No balance exist on the bucket? - ANSWER Closed Where do you follow up on HARS, Claims and transactions? - ANSWER Workqueue Where can you create a stop bill? - ANSWER Initiate billing What holds the hospital charges for a hospital based encounter - ANSWER Hospital Account Who is financially responsible for a patient? - ANSWER Guarantor? How many patient records can be assigned per patient in EPIC? - ANSWER One How many guarantor accounts may one patient have? - ANSWER Multiple Every patient needs to have how many guarantor accounts before being admitted? - ANSWER One Is insurance information stored in the guarantor account - ANSWER No Payer, plan, and subscriber equal? - ANSWER Coverage Record T/F coverage's must have 2 subscribers? - ANSWER False

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From Routine To Complex Cases
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From routine to complex cases









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Institution
From routine to complex cases
Course
From routine to complex cases

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