EPIC COG230 Revenue Data Model
__________ is the hub of billing interest and presents a vital area to find the
top notch AR for any encounter, the form of come upon it was, and who is answerable for the
modern
stability. - ANS-HAR (Hospital Account)
2. To locate the overall amount of all HB and PB charge transactions, what column need to
you sum?
A. BillingTransactionFact.Amount
B. BillingTransactionFact.PaymentAmount
C. BillingTransactionFact.OutstandingAmount
D. BillingAccountFact.TotalSelfPayPaymentAmount -
ANS-B.BillingTransactionFact.PaymentAmount
3. Which of the subsequent can also your company use to organize Hospital Billing
transactions? ﴾Select all that apply.﴿
A. Bill Area
B. Financial Division
C. Financial Subdivision
D. Cost Center - ANS-D. Cost Center
4. You are operating in a billing office and receive and submit a payment from a guarantor.
Later, you comprehend that the guarantor become charged wrong and did not need to pay
us at all. What do you do to the payment to restoration the error?
A. Send a reimbursement
B. Post a reversal
C. Write off the amount of the check
D. None of those - ANS-A. Send a refund
five. A PB charge with TX_ID 50055 is posted and paired to two costs. How many rows may
be created in CLARITY_TDL_TRAN with TX_ID of 50055?
A. 1
B. Three
C. Five
D. 7
B. Three - ANS-B. 3. One for the fee and for the bills to match the fees (detail kind 32)
A ___ _____ is an extension used to verify that the HAR billing has been documented nicely.
- ANS-DNB Check
A price is published to an HB hospital account, then a charge is published to the equal
hospital
account. How many lines in HSP_TRANSACTIONS will this generate?
,A. 2
B. Three
C. Four
D. 6 - ANS-A. 2
A guarantor accrues individual fees of $60, then $one hundred, then $40. She sends in a
take a look at for $a hundred. Which account receives the price first? - ANS-The oldest one
receives paid first ($60)
A HB claim with 3 carrier strains gets 2 service lines denied with 1 reason code, what
number of BDC statistics are created? - ANS-1 BDC (One consistent with every remittance
code)
A affected person has a health center visit that involves a prevent by the lab. This go to
generates one expert rate and one health center rate. If the company is using both VFO and
SBO inside the medical institution's service location, what HARs may be generated?
A. One PB SBO HAR with each expenses
B. One VFO HAR with the PB charge and one HB SBO HAR with the HB rate
C. One VFO HAR with the submitting order, one PB SBO HAR with the PB rate, and one HB
SBO HAR with the HB price
D. None of the above - ANS-D. None of the above. One PB SBO HAR and one HB SBO
HAR.
A charge with an ID of 84884 is posted and then modified over the years. Which of the
following detail sorts might have the TX_ID of the payment? ﴾Select all that apply.﴿
A. 2
B. 6
C. 20
D. 23
E. 32
F. 33 - ANS-A. 2 (The price itself)
E. 32 (The charge when it is matched to the rate)
F. 33 (A payment being matched to a debit adjustment)
A PB claim with five carrier lines is denied with 3 motive codes for every service. How many
rows will be brought to BillingDenialFact as a end result?
A. 1
B. 3
C. Five
D. 8
E. 15
F. Not enough facts to decide - ANS-E. 15
A PB price is published, then voided on the identical day. What detail type is the void and
what is the ORIG_SERVICE_DATE of the void?
A. 10, the date the provider was performed
B. Eleven, the date the service changed into accomplished
C. 5, the date the payment become deposited
, D. Eleven, the date the price become deposited - ANS-D. The date the payment become
deposited.
A refund in EPIC is a _____ adjustment - ANS-Debit
A document request calls for which you show the billed quantity, denied amount, and the
service date for the provider line for each denied line on HB claims. What expression need to
you operate to filter to the road‐stage facts?
A. HSP_BDC_DENIAL_DATA.LINE_ON_EOB = ‐1
B. HSP_BDC_DENIAL_DATA.LINE_ON_EOB > 0
C. HSP_BDC_DENIAL_DATA.LINE_COUNT = 1
D. V_ARHB_BDC.BDC_TYPE = 1 - ANS-B. HSP_BDC_DENIAL_DATA.LINE_ON_EOB > 0
A file requires you to show the monetary magnificence and primary payer on medical
institution debts as of the day a HAR is closed. Which table might assist you to find this
subset of HARs and overseas keys
to the specified information?
A. HSP_HAR_SNAPSHOT
B. HSP_ACCOUNT
C. HSP_ACCOUNT and ACCOUNT
D. None of those - ANS-A. HSP_HAR_SNAPSHOT
Account economic magnificence on any transaction ﴾HTR 196﴿ comes from the? - ANS-The
primary payer at the HAR
Accounts Receivable - ANS-Outstanding cash we count on to receive in the future
All ETR (Professional) data are stored on what kind of account (Hospital v Guarantor)? -
ANS-Guarantor
All transactions include which which 5 basic traits: - ANS-Service/deposit date
Post Date
Procedure Code
Guarantor account
Hospital Account
An instance of a credit score adjustment is: - ANS-Contractual write-offs
An instance of a debit adjustment is: - ANS-A refund
An HB fee for $220 is first of all posted as $2 hundred. When the person fixes the mistake,
they accidentally restoration it for $2220. Seeing this mistake, the user fixes the transaction
one extra time for $220. After all of the fixes and reposts, how many transactions were
delivered to HSP_TRANSACTIONS, and how
many are lively?
A. 1, and it's far lively
B. 5, and 1 is energetic
C. Five, and three are energetic
__________ is the hub of billing interest and presents a vital area to find the
top notch AR for any encounter, the form of come upon it was, and who is answerable for the
modern
stability. - ANS-HAR (Hospital Account)
2. To locate the overall amount of all HB and PB charge transactions, what column need to
you sum?
A. BillingTransactionFact.Amount
B. BillingTransactionFact.PaymentAmount
C. BillingTransactionFact.OutstandingAmount
D. BillingAccountFact.TotalSelfPayPaymentAmount -
ANS-B.BillingTransactionFact.PaymentAmount
3. Which of the subsequent can also your company use to organize Hospital Billing
transactions? ﴾Select all that apply.﴿
A. Bill Area
B. Financial Division
C. Financial Subdivision
D. Cost Center - ANS-D. Cost Center
4. You are operating in a billing office and receive and submit a payment from a guarantor.
Later, you comprehend that the guarantor become charged wrong and did not need to pay
us at all. What do you do to the payment to restoration the error?
A. Send a reimbursement
B. Post a reversal
C. Write off the amount of the check
D. None of those - ANS-A. Send a refund
five. A PB charge with TX_ID 50055 is posted and paired to two costs. How many rows may
be created in CLARITY_TDL_TRAN with TX_ID of 50055?
A. 1
B. Three
C. Five
D. 7
B. Three - ANS-B. 3. One for the fee and for the bills to match the fees (detail kind 32)
A ___ _____ is an extension used to verify that the HAR billing has been documented nicely.
- ANS-DNB Check
A price is published to an HB hospital account, then a charge is published to the equal
hospital
account. How many lines in HSP_TRANSACTIONS will this generate?
,A. 2
B. Three
C. Four
D. 6 - ANS-A. 2
A guarantor accrues individual fees of $60, then $one hundred, then $40. She sends in a
take a look at for $a hundred. Which account receives the price first? - ANS-The oldest one
receives paid first ($60)
A HB claim with 3 carrier strains gets 2 service lines denied with 1 reason code, what
number of BDC statistics are created? - ANS-1 BDC (One consistent with every remittance
code)
A affected person has a health center visit that involves a prevent by the lab. This go to
generates one expert rate and one health center rate. If the company is using both VFO and
SBO inside the medical institution's service location, what HARs may be generated?
A. One PB SBO HAR with each expenses
B. One VFO HAR with the PB charge and one HB SBO HAR with the HB rate
C. One VFO HAR with the submitting order, one PB SBO HAR with the PB rate, and one HB
SBO HAR with the HB price
D. None of the above - ANS-D. None of the above. One PB SBO HAR and one HB SBO
HAR.
A charge with an ID of 84884 is posted and then modified over the years. Which of the
following detail sorts might have the TX_ID of the payment? ﴾Select all that apply.﴿
A. 2
B. 6
C. 20
D. 23
E. 32
F. 33 - ANS-A. 2 (The price itself)
E. 32 (The charge when it is matched to the rate)
F. 33 (A payment being matched to a debit adjustment)
A PB claim with five carrier lines is denied with 3 motive codes for every service. How many
rows will be brought to BillingDenialFact as a end result?
A. 1
B. 3
C. Five
D. 8
E. 15
F. Not enough facts to decide - ANS-E. 15
A PB price is published, then voided on the identical day. What detail type is the void and
what is the ORIG_SERVICE_DATE of the void?
A. 10, the date the provider was performed
B. Eleven, the date the service changed into accomplished
C. 5, the date the payment become deposited
, D. Eleven, the date the price become deposited - ANS-D. The date the payment become
deposited.
A refund in EPIC is a _____ adjustment - ANS-Debit
A document request calls for which you show the billed quantity, denied amount, and the
service date for the provider line for each denied line on HB claims. What expression need to
you operate to filter to the road‐stage facts?
A. HSP_BDC_DENIAL_DATA.LINE_ON_EOB = ‐1
B. HSP_BDC_DENIAL_DATA.LINE_ON_EOB > 0
C. HSP_BDC_DENIAL_DATA.LINE_COUNT = 1
D. V_ARHB_BDC.BDC_TYPE = 1 - ANS-B. HSP_BDC_DENIAL_DATA.LINE_ON_EOB > 0
A file requires you to show the monetary magnificence and primary payer on medical
institution debts as of the day a HAR is closed. Which table might assist you to find this
subset of HARs and overseas keys
to the specified information?
A. HSP_HAR_SNAPSHOT
B. HSP_ACCOUNT
C. HSP_ACCOUNT and ACCOUNT
D. None of those - ANS-A. HSP_HAR_SNAPSHOT
Account economic magnificence on any transaction ﴾HTR 196﴿ comes from the? - ANS-The
primary payer at the HAR
Accounts Receivable - ANS-Outstanding cash we count on to receive in the future
All ETR (Professional) data are stored on what kind of account (Hospital v Guarantor)? -
ANS-Guarantor
All transactions include which which 5 basic traits: - ANS-Service/deposit date
Post Date
Procedure Code
Guarantor account
Hospital Account
An instance of a credit score adjustment is: - ANS-Contractual write-offs
An instance of a debit adjustment is: - ANS-A refund
An HB fee for $220 is first of all posted as $2 hundred. When the person fixes the mistake,
they accidentally restoration it for $2220. Seeing this mistake, the user fixes the transaction
one extra time for $220. After all of the fixes and reposts, how many transactions were
delivered to HSP_TRANSACTIONS, and how
many are lively?
A. 1, and it's far lively
B. 5, and 1 is energetic
C. Five, and three are energetic
