WITH SOLUTIONS GRADED A+
✔✔How does Hyperspace alert you when a coverage eligibility response has been
received? - ✔✔A notification appears in the Checklist
✔✔What best describes the purpose of coverage records? - ✔✔They store information
about where to send claims.
✔✔Plan - ✔✔A set of specific benefits offered by a payer.
✔✔Payer - ✔✔The insurance company.
✔✔Subscriber - ✔✔The policy-holder for the insurance.
✔✔Coverage - ✔✔Represents a subscriber's insurance used to pay for visit charges.
✔✔Member - ✔✔Anyone covered by the plan.
✔✔Guarantor - ✔✔The entity ultimately responsible for visit charges and where visit
charges are posted.
✔✔Patient - ✔✔The person for whom care will be given.
✔✔Dependent - ✔✔Other individuals who will be covered under one's insurance.
(Spouse, children, etc.)
✔✔Generic Coverage - ✔✔Created when payer does not exist in the system yet.
✔✔Why is it important to search for existing patient records before creating new ones? -
✔✔To avoid creating duplicate accounts.
✔✔What is the purpose of a guarantor account? - ✔✔It is required before a patient can
be checked in or admitted.
Guarantor records are required for all patients (but coverage record is not)
✔✔What is the purpose of creating generic coverages? - ✔✔To create an entry if a
payer does not exist in your system.
✔✔What is the purpose of verifying registration information with the checklist - ✔✔To
ensure all the necessary information is collected and correct at the time of registration.
✔✔True or False:
, Hospital outpatient departments see only outpatients for treatment. - ✔✔False
✔✔When registering in a hospital outpatient department, the __________ identifies the
insurance that will receive the claim and the guarantor that will receive the bill. -
✔✔Hospital Account
✔✔From which section can you see and change the coverages attached to the hospital
account? - ✔✔Encounter Guarantor and Coverage Section.
✔✔True or False:
Based on the answers to a decision tree, the visit type could change. - ✔✔True
✔✔Pool - ✔✔A predefined group of providers or resources that the system
automatically pulls from when scheduling specific types of visits.
✔✔Hospital Account - ✔✔Tracks charges, payments, and other transactions in a
hospital setting.
Defines the guarantor account and coverage to be used for the date or admission.
Are usually specific to a single date or admission.
✔✔Patient Class - ✔✔Describes the type of care the patient is going to receive during
an encounter.
The information determines the way an account is billed.
✔✔Decision Tree - ✔✔Helps users schedule appropriately in complex situations.
Handles advanced logic to offer a consistent scheduling experience for both schedulers
and patients.
✔✔What Orders can be scheduled in Cadence? - ✔✔Procedures
Follow Ups
Consults
etc.
✔✔What Orders cannot be scheduled in Cadence? - ✔✔Prescriptions
Supplies
Admissions
Surgeries (OpTime)
etc.
✔✔True or False:
The Recur button in Book It allows you to schedule a series of appointments - ✔✔True
✔✔True or False:
All orders are schedulable in Cadence - ✔✔False