PB 302 EPIC TEST: CHARGE PROCEDURES
AND FEE SCHEDULES EXAM QUESTIONS
WITH CORRECT ANSWERS
determines if a charge is considered a professional or technical charge for
claims purposes --CORRECT ANSWER--hospital claim procedure type
why do charge sources use records in the procedure master file? --CORRECT
ANSWER--to initiate, trigger, and eventually post a charge to an account.
clinical applications send PB charge information to the charge router when: --
CORRECT ANSWER--- a procedure is signed/performed
- an immunization is performed
- a medication is administered
- a charge is manually selected
- an order is resulted (such as labs)
what does assigning a record purpose to a procedure record do? --CORRECT
ANSWER--it helps define how the procedure is used in workflows. it also
establishes how a procedure can be linked to other procedures.
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,How do procedures help providers? --CORRECT ANSWER--the procedures in
the master file allow providers to document what happens clinically and for
those procedures to be billed out appropriately.
Where can you find basic charge configuration settings for procedures --
CORRECT ANSWER--search procedure in EPIC
What do "Allow price override" and " "Can enter description" determine --
CORRECT ANSWER--they determine whether all users in PB Charge
Entry.Charge Review are able to override the price or description of a charge.
what does the procedure (EAP) master file store? --CORRECT ANSWER--
procedures ranging from clinical orders and procedural documentation (CPT
HCPCS & ASA Codes)
what does the general information form hold: --CORRECT ANSWER--holds a
number of basic charge configuration settings
Internal Record ID in EPIC. This is typically the same ID as the code field. --
CORRECT ANSWER--procedure #
determines whether the procedure is allowed to be brought into the billing
system, such as professional billing. This is a required field --CORRECT
ANSWER--Billing Status
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,Holds a patient-friendly name that your organization can display to patients in
MYChart or on statements --CORRECT ANSWER--patient friendly name
Holds the code to be displayed in the system and sent on claims and statements
--CORRECT ANSWER--code
Determines the type charge, such as CPT or HCPCS --CORRECT ANSWER--
code type
Indicates the procedure should be used as a charge (not a payment or
adjustment) this is a required field --CORRECT ANSWER--procedure type
Determines how the procedure will impact the balance on a patients account --
CORRECT ANSWER--debit/credit
T/F: most charge sources use record in the procedure master file to initiate,
trigger, and eventually post a charge account. --CORRECT ANSWER--True
When do clinical applications send PB charge info to the charge router --
CORRECT ANSWER--when
- a procedure is signed/performed
- an immunization is performed
Page 3 of 31
, - a medication is administered
- a charge is manually selected
- an order is resulted (such as labs)
- or when the encounter is closed
a tool for communicating charge information from clinical applications and
interfaces to your billing systems. --CORRECT ANSWER--Charge Router
what does assigning a record purpose to a procedure do? --CORRECT
ANSWER--helps define how the procedure is used in workflows. it also
establishes how a procedure can be linked to other procedures
give examples of orderable procedures --CORRECT ANSWER--referrals,
orders placed for documentation purposes or to satisfy preventative care
measures. these procedure records are billing inactive, have custom codes, and a
record purpose of only orderable.
define orderable, performable and chargeable --CORRECT ANSWER--
orderable: "someone please do this"
performable: "this has been done"
chargeable: "let's get paid for it"
allows a procedure to be used in Resolute professional billing. --CORRECT
ANSWER--billing status
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AND FEE SCHEDULES EXAM QUESTIONS
WITH CORRECT ANSWERS
determines if a charge is considered a professional or technical charge for
claims purposes --CORRECT ANSWER--hospital claim procedure type
why do charge sources use records in the procedure master file? --CORRECT
ANSWER--to initiate, trigger, and eventually post a charge to an account.
clinical applications send PB charge information to the charge router when: --
CORRECT ANSWER--- a procedure is signed/performed
- an immunization is performed
- a medication is administered
- a charge is manually selected
- an order is resulted (such as labs)
what does assigning a record purpose to a procedure record do? --CORRECT
ANSWER--it helps define how the procedure is used in workflows. it also
establishes how a procedure can be linked to other procedures.
Page 1 of 31
,How do procedures help providers? --CORRECT ANSWER--the procedures in
the master file allow providers to document what happens clinically and for
those procedures to be billed out appropriately.
Where can you find basic charge configuration settings for procedures --
CORRECT ANSWER--search procedure in EPIC
What do "Allow price override" and " "Can enter description" determine --
CORRECT ANSWER--they determine whether all users in PB Charge
Entry.Charge Review are able to override the price or description of a charge.
what does the procedure (EAP) master file store? --CORRECT ANSWER--
procedures ranging from clinical orders and procedural documentation (CPT
HCPCS & ASA Codes)
what does the general information form hold: --CORRECT ANSWER--holds a
number of basic charge configuration settings
Internal Record ID in EPIC. This is typically the same ID as the code field. --
CORRECT ANSWER--procedure #
determines whether the procedure is allowed to be brought into the billing
system, such as professional billing. This is a required field --CORRECT
ANSWER--Billing Status
Page 2 of 31
,Holds a patient-friendly name that your organization can display to patients in
MYChart or on statements --CORRECT ANSWER--patient friendly name
Holds the code to be displayed in the system and sent on claims and statements
--CORRECT ANSWER--code
Determines the type charge, such as CPT or HCPCS --CORRECT ANSWER--
code type
Indicates the procedure should be used as a charge (not a payment or
adjustment) this is a required field --CORRECT ANSWER--procedure type
Determines how the procedure will impact the balance on a patients account --
CORRECT ANSWER--debit/credit
T/F: most charge sources use record in the procedure master file to initiate,
trigger, and eventually post a charge account. --CORRECT ANSWER--True
When do clinical applications send PB charge info to the charge router --
CORRECT ANSWER--when
- a procedure is signed/performed
- an immunization is performed
Page 3 of 31
, - a medication is administered
- a charge is manually selected
- an order is resulted (such as labs)
- or when the encounter is closed
a tool for communicating charge information from clinical applications and
interfaces to your billing systems. --CORRECT ANSWER--Charge Router
what does assigning a record purpose to a procedure do? --CORRECT
ANSWER--helps define how the procedure is used in workflows. it also
establishes how a procedure can be linked to other procedures
give examples of orderable procedures --CORRECT ANSWER--referrals,
orders placed for documentation purposes or to satisfy preventative care
measures. these procedure records are billing inactive, have custom codes, and a
record purpose of only orderable.
define orderable, performable and chargeable --CORRECT ANSWER--
orderable: "someone please do this"
performable: "this has been done"
chargeable: "let's get paid for it"
allows a procedure to be used in Resolute professional billing. --CORRECT
ANSWER--billing status
Page 4 of 31
