EPIC Training Identity HIM105 HIM and Identity
Curriculum Test Exam Questions And Answers Verified
100% Correct
What is unique about coding ED accounts? - ANSWER Coders add charges to the
account in addition to codes.
The Abstracting activity is used for productivity tracking.
What is interim coding? When is it typically used? Why? - ANSWER Interim coding is
coding an account before the patient is discharged.
It is typically used for high dollar or long stay accounts to expedite the billing and
reimbursement process.
When patient whose account has been through interim billing is discharged. The
account is then ready for final coding and billing. - ANSWER the account goes to the
HIM ‐Uncoded Inpatient Accounts workqueue.
How do you access the ED Charge Capture navigator? - ANSWER ED Charging
What criteria are commonly used to determine whether interim billing should be initiated
for an
account? - ANSWER Payer, length of stay, and account balance.
What is the difference between an initial interim uncoded account and a subsequent
interim
uncoded account? - ANSWER Initial accounts appear for coding and billing for the first
time. Subsequent accounts have been billed
previously, but need to be coded and billed again based on date range or new
dollar amount. New diagnoses or procedures may apply.
Claim - ANSWER A request for payment sent to a patient's insurer(ers).
Episode - ANSWER a central place to house deficiencies associated with the patient's
visit. (to-do-list for deficiencies)
Binder that stores all hospital deficiencies per visit.
Episode closes once all deficiencies are complete.
Episode Based Deficiencies - ANSWER Tracked by accrediting bodies. Stored in an
episode.
Analysts monitor and notify physicians to ensure
,they are completed on time.
Chartless Deficiencies - ANSWER Stored directly in the chart.
Not tracked by accrediting bodies.
Outstanding Deficiencies - ANSWER display in
normal, black text.
Overdue Deficiencies - ANSWER display in
bold, red tex
Due Date and Time - ANSWER When should this be complete?
Set by organization.
Delinquency Date and
Time - ANSWER Last possible date to complete. Set
by regulatory group.
Assigned Staff Provider - ANSWER Provider that is responsible.
Assigned Pool Group - ANSWER Group of users that is responsible.
Staff Category - ANSWER Provider that is responsible (determined based
on relationship to patient).
Deficiencies are held inside an episode - ANSWER True
Many deficiencies are created automatically based on system events - ANSWER True
When patients are discharged , the system automatically creates the
Analysis Needed deficiency. - ANSWER True
The Note Reassignment workqueue captures individual deficiencies
that need reassignment. - ANSWER True
Marking a deficiency as verified indicates an analyst has reviewed the note and it meets
organizational policies. - ANSWER True
Once all deficiencies within an episode are completed , the system will automatically
close the episode. - ANSWER True
, Deficiencies button - ANSWER use to access an episode for any patient. In the
Deficiencies activity you can see the entire list of outstanding and, if desired, complete
deficiencies for that encounter.
Storyboard - ANSWER Contains key pieces of information about the episode, including
the patient's discharge date episode status, and department, the deficiency delinquency
date, and members of the patient's care team.
Wrench icon - ANSWER is used to categorize the deficiencies into groups.
Episode status - ANSWER indicates if this chart is still being reviewed and has
outstanding deficiencies or if it is closed and all review is complete. The episode status
of inpatient encounters is automatically Open upon admission.
Deficiency status: Open - ANSWER -This allows deficiencies to be created and
updated automatically.
-Additionally, an Open status allows analysts to add deficiencies for any missing
documentation
Initial analysis - ANSWER Analysts review the chart to verify that outstanding
deficiencies are assigned to the appropriate clinicians, to reassign deficiencies
currently assigned to HIM staff, and to add any new deficiencies that still exist in the
chart
Goals of Initial Analysis: - ANSWER -Verify that outstanding deficiencies are assigned
appropriately
-Reassign deficiencies initially assigned to the HIM pool -Manually add new
deficiencies if needed
Analysis Needed Workqueue - ANSWER The first step of initial analysis is locating
discharged patients' episodes. The Analysis Needed deficiency is created when the
patient is discharged. It is not assigned to a provider.
Deficiency tab - ANSWER contains deficiency workqueues.
Analysis Needed deficiency is: - ANSWER -Used to trigger the Initial Analysis workflow.
-What causes episodes to appear in the Analysis Needed workqueues.
-Not based on orders or notes.
-Automatically created when the patient is discharged.
-Assigned to and completed by deficiency analysts.
Document/Dictate status - ANSWER means that a provider needs to write the note in
Epic or dictate it in a transcription system.
Curriculum Test Exam Questions And Answers Verified
100% Correct
What is unique about coding ED accounts? - ANSWER Coders add charges to the
account in addition to codes.
The Abstracting activity is used for productivity tracking.
What is interim coding? When is it typically used? Why? - ANSWER Interim coding is
coding an account before the patient is discharged.
It is typically used for high dollar or long stay accounts to expedite the billing and
reimbursement process.
When patient whose account has been through interim billing is discharged. The
account is then ready for final coding and billing. - ANSWER the account goes to the
HIM ‐Uncoded Inpatient Accounts workqueue.
How do you access the ED Charge Capture navigator? - ANSWER ED Charging
What criteria are commonly used to determine whether interim billing should be initiated
for an
account? - ANSWER Payer, length of stay, and account balance.
What is the difference between an initial interim uncoded account and a subsequent
interim
uncoded account? - ANSWER Initial accounts appear for coding and billing for the first
time. Subsequent accounts have been billed
previously, but need to be coded and billed again based on date range or new
dollar amount. New diagnoses or procedures may apply.
Claim - ANSWER A request for payment sent to a patient's insurer(ers).
Episode - ANSWER a central place to house deficiencies associated with the patient's
visit. (to-do-list for deficiencies)
Binder that stores all hospital deficiencies per visit.
Episode closes once all deficiencies are complete.
Episode Based Deficiencies - ANSWER Tracked by accrediting bodies. Stored in an
episode.
Analysts monitor and notify physicians to ensure
,they are completed on time.
Chartless Deficiencies - ANSWER Stored directly in the chart.
Not tracked by accrediting bodies.
Outstanding Deficiencies - ANSWER display in
normal, black text.
Overdue Deficiencies - ANSWER display in
bold, red tex
Due Date and Time - ANSWER When should this be complete?
Set by organization.
Delinquency Date and
Time - ANSWER Last possible date to complete. Set
by regulatory group.
Assigned Staff Provider - ANSWER Provider that is responsible.
Assigned Pool Group - ANSWER Group of users that is responsible.
Staff Category - ANSWER Provider that is responsible (determined based
on relationship to patient).
Deficiencies are held inside an episode - ANSWER True
Many deficiencies are created automatically based on system events - ANSWER True
When patients are discharged , the system automatically creates the
Analysis Needed deficiency. - ANSWER True
The Note Reassignment workqueue captures individual deficiencies
that need reassignment. - ANSWER True
Marking a deficiency as verified indicates an analyst has reviewed the note and it meets
organizational policies. - ANSWER True
Once all deficiencies within an episode are completed , the system will automatically
close the episode. - ANSWER True
, Deficiencies button - ANSWER use to access an episode for any patient. In the
Deficiencies activity you can see the entire list of outstanding and, if desired, complete
deficiencies for that encounter.
Storyboard - ANSWER Contains key pieces of information about the episode, including
the patient's discharge date episode status, and department, the deficiency delinquency
date, and members of the patient's care team.
Wrench icon - ANSWER is used to categorize the deficiencies into groups.
Episode status - ANSWER indicates if this chart is still being reviewed and has
outstanding deficiencies or if it is closed and all review is complete. The episode status
of inpatient encounters is automatically Open upon admission.
Deficiency status: Open - ANSWER -This allows deficiencies to be created and
updated automatically.
-Additionally, an Open status allows analysts to add deficiencies for any missing
documentation
Initial analysis - ANSWER Analysts review the chart to verify that outstanding
deficiencies are assigned to the appropriate clinicians, to reassign deficiencies
currently assigned to HIM staff, and to add any new deficiencies that still exist in the
chart
Goals of Initial Analysis: - ANSWER -Verify that outstanding deficiencies are assigned
appropriately
-Reassign deficiencies initially assigned to the HIM pool -Manually add new
deficiencies if needed
Analysis Needed Workqueue - ANSWER The first step of initial analysis is locating
discharged patients' episodes. The Analysis Needed deficiency is created when the
patient is discharged. It is not assigned to a provider.
Deficiency tab - ANSWER contains deficiency workqueues.
Analysis Needed deficiency is: - ANSWER -Used to trigger the Initial Analysis workflow.
-What causes episodes to appear in the Analysis Needed workqueues.
-Not based on orders or notes.
-Automatically created when the patient is discharged.
-Assigned to and completed by deficiency analysts.
Document/Dictate status - ANSWER means that a provider needs to write the note in
Epic or dictate it in a transcription system.
