Intro to Hospital Billing

2. What is used in Epic as a reminder to follow-up on an account in a workqueue?
8. Minimum number of days between discharge and initiate billing
10. What is the insurance liability bucket status when a claim has been released from Epic?
13. How many active tabs can you have open at a time?
14. You can send a letter to a guarantor using what tool?
16. A bill for healthcare service
18. What section would show pending charges?
19. What type of Epic workqueue captures claims that failed the Claim Definition File (CDF)?
21. Universal Claim Form
22. What is the HAR status while the patient is in the hospital?

1. Where do you update guarantor demographic information?
3. A payment structure where a caregiver is paid a set amount per patient in advance, regardless of how many services are provided.
4. What Holds account in the revenue cycle; can be placed manually by user orautomatically by system?
5. Where are documents, such as an insurance card or lab results, housed in Epic?
6. What is a HAR’s status immediately following discharge?
7. What stores charges, payments, and adjustments for a hospital encounter?
9. A form of error checking applied by the system. Automatically run at initiate billing and at discharge.
11. What is the process of paying claims submitted or denying them after comparing claims to the benefit or coverage requirements.
12. What captures/groups like accounts to be worked based on defined rules.
15. Acronym for a centralized facility/location that monitors and collects the accounts receivable for an entity.
17. Federal health insurance program which covers senior citizens and disabled persons.
20. 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.