EPIC Resolute Hospital Billing Fundamentals Exam Questions And Answers Verified 100% Correct

EPIC Resolute Hospital Billing Fundamentals Exam Questions And Answers Verified 100% Correct Candidate for Billing (CFB) - ANSWER -Accounts Receivable dollars held in the system due to Charge Review, DNB Errors, Stop Bills, Claim Errors. etc. Money you could be asking someone to pay but are not. Contact Serial Number (CSN) - ANSWER -A visit or admission specific identifier Charge Router - ANSWER -Checks charges for errors Clinical Workflow - ANSWER -Majority of hospital charges in EPIC are generated through Tx Inquiry - ANSWER -Shows all financial details Account Summary - ANSWER -Shows the general overview of the patient Status Summary - ANSWER -Shows all errors in the patient's account History - ANSWER -Shows all notes documented for the patient account Guarantor - ANSWER -a person who agrees to pay a debt if the primary debtor does not Why are hospital accounts important? - ANSWER -Contain charges, payments, adjustments. Assigns the guarantor. Assigns the payor to bill. Linked to 1 EPT, one EAR but CVG optional Stop Bill - ANSWER -Holds the HB HAR in 3 places of the revenue cycle: Initiate Billing, Claims processing, Statement Processing. Also holds PB HARs from statement processing. They can be placed on the HAR manually or automatically. Revenue Guardian - ANSWER -Can identify HARs with missing charges Coverage Manager - ANSWER -controls which coverages are attached to an HB HAR Claim Definition File (CDF) - ANSWER -formats claims and does error checking User Error (Claim Edit) - ANSWER -occur when end users leave out information or enter incorrect information. The end-users who create these types of errors should work them. Master File Error (Claim Edit) - ANSWER -occur when there is missing or incorrect background information and build, such as missing National Provider Identifiers (NPIs), place of service codes, or federal tax IDs. Administrators with access to system configuration work these types of errors. Late Replacement Claim - ANSWER -Creates a new claim that includes the new charges and the old charges. Late Charge Claim - ANSWER -Creates a claim with just the late charges Late Charge Write-Off - ANSWER -Write-off just the late charges and create no additional or new claim Late Charge Addition - ANSWER -Combines all of the charges on the current claim. This option is only available if the late charges exist after the account has been billed, but before a claim has been sent Late Charges occur when... - ANSWER -there are charges in the Prebilled bucket and the HAR has a status of Billed. No Response (Outstanding Claim) - ANSWER -Claim aging sends HB HAR to WQ Correct Payment (Outstanding Claim) - ANSWER -Payment and reason codes recorded. Denial (Outstanding Claim) - ANSWER -Follow-up record sends HB HAR to WQ Variance (Outstanding Claim) - ANSWER -Allowed amount different than what we expected from contract. Cash Management - ANSWER -Handles bank reconciliation in Epic, Creates cash records in Epic to indicate a deposit has been received in the bank, Puts cash records into Cash Control Groups Cash Control Groups - ANSWER -List of checks deposited in the bank that need to be posted in the system, Matched against remittance file from the payer Billed Amount (Posting Term) - ANSWER -The total of all charges on the claim. Sent on the claim to the payer. Allowed Amount (Posting Term) - ANSWER -The maximum reimbursement calculated. Comes from the payer's remittance & your contract