2024 LATEST EPIC Training Identity HIM105 HIM and Identity Curriculum

HAR ("billing chart ""): Hospital Account - ANSWER Hospital Account. Used to track charges/payments/adjustments for Hospital Billing. Identified by HAR ID. Starting coding will: - ANSWER - A coder is assigned -Productivity timing begins -Coding status updates to "In Progress -Most current registration information appears EPIC is - ANSWER NOT an encoder. charges - ANSWER Emergency accounts may require a coder to add ____________________ to the HAR in addition to codes. long‐stay, high‐dollar - ANSWER Interim coding expedites billing for _______________ or ________________ accounts. discharged - ANSWER Admitted patients will qualify for the Interim Uncoded workqueue until they are ________. clarify unclear - ANSWER Send a coding query to ________________ documentation. missing or incomplete - ANSWER Use a Wait For to indicate ________ documentation Query templates are used for many reasons: - ANSWER Consistency Ease of Use Impartiality In Basket - ANSWER All queries will go to the physician via ________. Coding Priority Workqueue - ANSWER Physician responses appear in the outcomes - ANSWER Users can document ______________ of queries. CDI - ANSWER Clinical Documentation Improvement Clinical Documentation Improvement - ANSWER track diagnoses, ICD procedures, and DRGs. queries - ANSWER CDI staff can communicate with physicians by sending __________. Workqueue scoring - ANSWER helps CDS prioritize accounts that need review. reporting tools - ANSWER Many pre‐configured ______________ exist to capture CDI data. Simple Visit Coding - ANSWER automatically coding accounts. Diagnoses can be pulled onto the account from: - ANSWER Registration Orders Charges Visit diagnoses Previously coded accounts errors, workqueue - ANSWER Any accounts that fail validation _____________ will go to a ________________. Account activities allow you to take multiple actions at once, such as: - ANSWER Change an account's coding status Route to a workqueue Write an account note Hospital Coding - ANSWER is the process coders in Health Information Management ﴾HIM﴿ complete. Encounter - ANSWER A patient contact. Identified by Contact Serial Number ﴾CSN﴿. Min Days - ANSWER Number of days between when the account is discharged and when the system attempts to initiate billing on a HAR. Coding Status - ANSWER Indicates the current stage of coding for the account. Used to track coder productivity. Initiate Billing - ANSWER An account action that starts the billing process. Claims Processing - ANSWER Creating, reviewing, and sending a claim for hospital billing. DNB - ANSWER Discharged Not Billed Why might coders need to update registration information when coding an account? - ANSWER Registration users may enter something incorrectly or not enter it at all. Updating information on the ADT Info tab can also update the registration information in the patient's chart, ensuring all documentation remains consistent. Coding activity - ANSWER is the hub of the coding workflow. Pull Info - ANSWER is used if a coder needs to manually pull registration information onto the account Doc Review - ANSWER shows reports grouped across all encounters linked to a patient's account. Chart Review activity - ANSWER coders may use it to access the entire hospital chart. Encoder - ANSWER 3d party system to complete coding. What happens when you complete coding on an account? - ANSWER Validation checks appear Coding status is updated to "Completed" Productivity timing stops Coding validation checks - ANSWER are edits designed to ensure complete and accurate coding of the account. Epic will automatically run validation checks whenever the coding status is changed. Each validation check can be defined as either an error or a warning. Error - ANSWER The user must resolve this issue to move forward. If the issue cannot be resolved, the coder should select an appropriate coding status to indicate why coding is not completed. Warning - ANSWER The user can bypass this issue.