Federal health insurance program which covers senior citizens and disabled persons.
Medicare
What type of Epic workqueue captures claims that failed the Claim Definition File (CDF)?
Claimedit
You can send a letter to a guarantor using what tool?
AccountActivities
A payment structure where a caregiver is paid a set amount per patient in advance, regardless of how many services are provided.
Capitation
Where do you update guarantor demographic information?
Registration
What stores charges, payments, and adjustments for a hospital encounter?
Hospital Account
What Holds account in the revenue cycle; can be placed manually by user or
Stopbill
An explanation of billing coded (CPT codes) to account for additional service such as ambulance transport, supplies and equipment. These codes are an alpha character followed by 4 numeric digits.
HCPC
Where are documents, such as an insurance card or lab results, housed in Epic?
MediaManager
A form of error checking applied by the system. Automatically run at
DNBCHECK
What is the process of paying claims submitted or denying them after comparing claims to the benefit or coverage requirements.
Adjudication
Acronym for a centralized facility/location that monitors and collects the accounts receivable for an entity.
CBO
Minimum number of days between discharge and initiate billing
MinDays
How many active tabs can you have open at a time?
Four
What is used in Epic as a reminder to follow-up on an account in a workqueue?
Tickler
What is a HAR’s status immediately following discharge?
DNB
What is the insurance liability bucket status when a claim has been released from Epic?
Outstanding
Universal Claim Form used for Billing
UB04
What is the HAR status while the patient is in the hospital?
Open
A bill for healthcare service
Claim

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