EPIC COG230 Revenue Data Model Exam Questions And Answers Verified 100% Correct

EPIC COG230 Revenue Data Model Exam Questions And Answers Verified 100% Correct ETR (professional) records can be connected to a HAR if the organization has a ___ or a ___. - ANSWER -SBO or VFO All transactions contain which which 5 basic characteristics: - ANSWER Service/deposit date Post Date Procedure Code Guarantor account Hospital Account A refund in EPIC is a _____ adjustment - ANSWER -Debit True/False. Debit adjustments do not get a new transaction ID. - ANSWER -False. When a transaction is posted in error, a ______ is posted to undo the previously posted transaction - ANSWER -Reversal True/False Only professional billing uses reversals - ANSWER -False. Both systems use reversals but only PB uses them for credits (p.40). BillingTransactionFact contains transactions from: a. Hospital Billing b. Professional Billing C. Both - ANSWER -C. Both To group charge transactions by facilities/service areas, professional billing uses _____ ___ and hospital billing uses ____ _____. - ANSWER -Bill areas and cost centers Which three components make up an RVU: - ANSWER -Work, overhead, malpractice Which two clarity tables contain cost transaction information? - ANSWER ARPB_TX_COST and HSP_TX_COST If you are looking to display the date a payment was deposited, but cannot find any column for the deposit date, what column should you investigate next? A. Post Date B. Service Date C. Procedure Date D. Payments do not have deposit dates - ANSWER -B. Service Date 2. To find the total amount of all HB and PB payment transactions, what column should you sum? A. BillingTransactionFact.Amount B. BillingTransactionFact.PaymentAmount C. BillingTransactionFact.OutstandingAmount D. BillingAccountFact.TotalSelfPayPaymentAmount - ANSWER B.BillingTransactionFact.PaymentAmount 3. Which of the following may your organization use to organize Hospital Billing transactions? ﴾Select all that apply.﴿ A. Bill Area B. Financial Division C. Financial Subdivision D. Cost Center - ANSWER -D. Cost Center 4. You are working in a billing office and receive and post a payment from a guarantor. Later, you realize that the guarantor was charged wrong and did not need to pay us at all. What do you do to the payment to fix the mistake? A. Send a refund B. Post a reversal C. Write off the amount of the check D. None of these - ANSWER -A. Send a refund What is the purpose of matching and which billing system does it apply to? - ANSWER -Matching is unique to PB, and allows payments from guarantors and insurance companies to be connected to the providers who performed the services What is the granularity of ARPB_TRANSACTIONS? - ANSWER -one row per PB transaction ﴾ETR) Historical tracking of transactions is found in which Clarity table? - ANSWER CLARITY_TDL_TRAN A guarantor accrues individual charges of $60, then $100, then $40. She sends in a check for $100. Which account receives the payment first? - ANSWER -The oldest one gets paid first ($60) What is the granularity of CLARITY_CDL_TRAN? - ANSWER -One row for every PB transaction and everything that happens to those transactions: their details True/False. Each row added to CLARITY_CDL_TRAN represents either a newly posted transaction or a modification/action on a previously posted transaction - ANSWER -True What are the two ways to document payment reversals in Professional Billing? - ANSWER -Positive payments or debit adjustments What filter could make a CLARITY_TDL_TRAN report more efficient by getting rid of the detail types that are not typically used? - ANSWER -WHERE DETAIL_TYPE < 40 What represents the ORIG_SERVICE_DATE for a payment? - ANSWER -The deposit date. Payments are a new transaction with a new transaction ID and its own post/service dates.