Exam (elaborations)
EPIC COG230 Revenue Data Model /Questions And Answers Graded (A+)
- Course
- Institution
EPIC COG230 Revenue Data Model /Questions And Answers Graded (A+)
[Show more]
Seller
Follow
HELLENAH
Reviews received
Content preview
EPIC COG230 Revenue Data Model /Questions AndAnswers Graded (A+)
Quiz :Accounts Receivable - Answer :Outstanding money we expect to receive
in the future
Quiz :Three Transaction Types: - Answer :Charges
Payments
Adjustments
Quiz :Charges occur as a result of: - Answer :Performing services
Quiz :Payments are a result of: - Answer :Receiving money
Quiz :What are adjustments? - Answer :Anything that changes AR (Credit
Adjustments or Debit Adjustments)
Quiz :An example of a credit adjustment is: - Answer :Contractual write-offs
Quiz :An example of a debit adjustment is: - Answer :A refund
Quiz :Debits _______ AR - Answer :Increase (Charges and Debit Adjustments)
Quiz :Credits ________ AR - Answer :Decrease (Payments and Credit
Adjustments)
Quiz :What is the function of a Hospital Account (HAR)? - Answer :Collects
transactions related to an encounter and centralizes encounters, transactions,
insurance, etc.
Quiz :Insurance coverage, is a unique combination of what 3 things? -
Answer :Payer
Plan
Subscriber
Quiz :What is an insurance payer? - Answer :The insurance company
Quiz :What is an insurance plan? - Answer :The set of benefits a patient
receives
,Quiz :What is an insurance subsriber? - Answer :The policy holder
Quiz :What is a guarantor? - Answer :The person ultimately responsible for
payment. This could be the patient or someone else (ie. the subscriber)
Quiz :Who is the insurance member? - Answer :The member is who the
insurance coverage is for. For example, if a subscriber has children. The
children are members of the subscriber's plan.
Quiz :If a patient has multiple coverages, the order in which they are billed is
called the: - Answer :Filing Order
Quiz :True or False
Every Hospital Account must be connected to a guarantor - Answer :True
Quiz :True or False
Every PB Transaction must be connected to a guarantor - Answer :True
Quiz :What are the two hospital applications used to track billing? -
Answer :1. Resolute Professional Billing
2. Resolute Hospital Billing
Quiz :What services do Professional Billing cover? - Answer :Services
performed by clinicians in inpatient or outpatient settings
Quiz :What services do Hospital Billing cover? - Answer :Services and supplies
related to hospital encounters, including: medications, lab charges, imaging,
room and bed charges and more.
Quiz :True or False
Hospital Billing doesn't need to achieve the level of granularity that
Professional Billing needs and does not need to match every payment to each
charge - Answer :True
Quiz :PB transactions are stored in the ___ master file - Answer :ETR
Quiz :HB transactions are stored in the ___ master file - Answer :HTR
Quiz :Which system did EPIC have early on in its' development, Professional or
Hospital Billing? - Answer :Professional Billing
, Quiz :What is the purpose of a Single Billing Office (SBO)? - Answer :SBO is a
billing mode that combines HB and PB balances into a single guarantor
statement. Thus, creating simpler statements for easier management for
guarantors.
Quiz :Diakeishaye goes to the doctor for a physical. This generates one charge
for $50. A claim is sent to Aetna, which sends a check for $35, saying there is a
$5 patient portion. $10 gets written off, and the rest is sent to Diakeishaye's
mother, Leslie, who sends in a check two days later
Which transactions occurred? - Answer :One charge, two payments, one credit
adjustment
Quiz :Diakeishaye goes to the doctor for a physical. This generates one charge
for $50. A claim is sent to Aetna, which sends a check for $35, saying there is a
$5 patient portion. $10 gets written off, and the rest is sent to Diakeishaye's
mother, Leslie, who sends in a check two days later
Which billing system is this likely being tracked in? - Answer :Professional
Quiz :Diakeishaye goes to the doctor for a physical. This generates one charge
for $50. A claim is sent to Aetna, which sends a check for $35, saying there is a
$5 patient portion. $10 gets written off, and the rest is sent to Diakeishaye's
mother, Leslie, who sends in a check two days later
Who is the guarantor? - Answer :Leslie
Quiz :Diakeishaye goes to the doctor for a physical. This generates one charge
for $50. A claim is sent to Aetna, which sends a check for $35, saying there is a
$5 patient portion. $10 gets written off, and the rest is sent to Diakeishaye's
mother, Leslie, who sends in a check two days later
Who is likely the subscriber of the coverage? - Answer :Leslie
Quiz :Which tables contain guarantor information in Caboodle and in Clarity? -
Answer :Clarity: ACCOUNT
Caboodle: GuarantorDim
Quiz :What are the four separate guarantor balances? - Answer :Total Balance
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80467 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
