Charge Entry / Coder Wq

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1. The definition of an encounter number is a unique number created during check-in that ties all the visit-detail information together.

Explanation

The given statement is true. An encounter number is indeed a unique number that is generated during the check-in process. This number serves as an identifier and helps in linking all the visit-detail information together. It is a crucial element in maintaining and organizing the records of a particular visit or encounter.

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About This Quiz
Charge Entry / Coder Wq - Quiz

The 'Charge Entry \/ Coder WQ' quiz assesses knowledge crucial for medical billing professionals, including navigating EPIC systems for batch charge entries, editing charge sessions, and understanding billing... see moreroutes. It's essential for those in medical coding and billing roles. see less

2. The Diagnosis field associates the charges with the appropriate diagnosis from the diagnosis table.

Explanation

The diagnosis field is used to link charges with the corresponding diagnosis from the diagnosis table. This allows for accurate record-keeping and analysis of medical data. By associating charges with the appropriate diagnosis, healthcare professionals can easily track and monitor the treatments and procedures provided to patients. This ensures that the correct diagnosis is recorded for each charge, facilitating proper billing and reimbursement processes. Therefore, the statement "The Diagnosis field associates the charges with the appropriate diagnosis from the diagnosis table" is true.

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3. When a charge session needs to have the NDC information added to a charge/CPT line you would use the charge button and choose NDC code.

Explanation

When a charge session needs to have the NDC information added to a charge/CPT line, using the charge button and selecting the NDC code is the correct method. This suggests that the charge button has the functionality to add NDC information to a charge/CPT line. Therefore, the statement "True" is correct.

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4. The purpose of the bill area is to route the charge to the appropriate department/provider.

Explanation

The purpose of the bill area is to route the charge to the appropriate department/provider. This means that the bill area serves as a mechanism to ensure that the charges incurred by a specific department or provider are accurately accounted for and directed to the appropriate entity. It helps in streamlining the billing process and ensures that the charges are allocated correctly, thereby facilitating proper financial management and accountability.

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5.  The Procedure hash is the sum of all five digits of each procedure to be entered in the batch.

Explanation

The statement is true because the procedure hash is calculated by summing up all five digits of each procedure that is being entered in the batch. This means that the hash value is determined by adding together the individual digits of each procedure, resulting in a single value.

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6. You can identify different Bill area for each individual procedure line in your charge session.

Explanation

This statement is true because in a charge session, it is possible to have different bill areas for each individual procedure line. A charge session refers to the process of recording and submitting charges for medical procedures or services provided to a patient. Each procedure line represents a specific service or procedure performed during the session. Since different procedures may fall under different billing categories or areas, it is possible to have varying bill areas for each procedure line within a charge session.

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7. What is the difference between a warning and an error?

Explanation

The difference between a warning and an error is that a warning can be ignored or bypassed without any consequences, while an error must be fixed or corrected in order to proceed. In other words, warnings are more like suggestions or notifications that something might not be optimal, but they don't prevent the program or system from functioning. On the other hand, errors indicate that something is fundamentally wrong and must be addressed before proceeding.

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8. If you do not enter your batch receive date in the Batch Options window, you will need to add it later using your Session button in your charge entry screen.

Explanation

If the batch receive date is not entered in the Batch Options window, it can still be added later using the Session button in the charge entry screen. This implies that the statement is true.

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9. You would use the Pend Charge button when a charge session needs to be reviewed before the charges are posted to the guarantor account.

Explanation

The Pend Charge button is used when a charge session needs to be reviewed before the charges are posted to the guarantor account. This allows for a thorough review of the charges to ensure accuracy before they are finalized and posted. By using this button, healthcare providers can ensure that any errors or discrepancies are caught and corrected before the charges are billed to the patient or insurance company. This helps to prevent billing errors and ensures that the correct charges are applied to the correct accounts.

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10. The purpose of a panel procedure is to enter one procedure code that contains multiple procedure codes.

Explanation

A panel procedure allows for the entry of multiple procedure codes under a single code. This is beneficial for situations where multiple procedures are performed together as part of a single treatment or examination. By using a panel procedure, healthcare providers can streamline the coding process and accurately represent the services provided.

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11. You can mark one charge out of the session as DBI (Do Not Bill Insurance).

Explanation

The given statement is true. It suggests that during a session, one charge can be marked as DBI, which means it will not be billed to insurance. This option allows for flexibility in billing and ensures that certain charges are not submitted to insurance for reimbursement.

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12. When you enter a billing provider in the documentation provider field it over rides the information on the billing provider field.

Explanation

When a billing provider is entered in the documentation provider field, it means that the billing provider's information will be used instead of the information entered in the billing provider field. This implies that the documentation provider field takes precedence over the billing provider field in terms of determining which information is used. Therefore, the statement "When you enter a billing provider in the documentation provider field it overrides the information on the billing provider field" is true.

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13. What does a red stop sign indicate in EPIC?

Explanation

A red stop sign in EPIC indicates that you must complete the field in order to move forward. This means that the field is mandatory and cannot be skipped.

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14.  A batch receive date is recommended, but not required.

Explanation

A batch receive date is not recommended or required. This means that while it may be helpful to have a batch receive date for organizational purposes, it is not necessary for the process to function correctly.

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15. What is the path to access Charge Router Batch Charge Entry?

Explanation

The correct answer is EPIC Button>Enterprise Billing>Charge Router>Batch Charge Entry. This is the correct path to access the Charge Router Batch Charge Entry feature in the EPIC system. The EPIC Button is clicked first, followed by navigating to the Enterprise Billing module. From there, the user selects the Charge Router option, and finally selects Batch Charge Entry.

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16. You cannot add new procedures when you access a charge session from charge review.

Explanation

This statement is false because when accessing a charge session from charge review, you have the ability to add new procedures.

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17.  What icon allows you to access a charge session in a batch to edit it in the charge router?

Explanation

The icon that allows you to access a charge session in a batch to edit it in the charge router is likely a "Edit" or "Modify" icon. This icon would provide the user with the ability to make changes or adjustments to the charge session within the charge router.

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18. A charge caught in a Charge Review workqueue is a permanent record  in Epic.

Explanation

A charge caught in a Charge Review workqueue is not a permanent record in Epic. The purpose of the workqueue is to review and resolve any issues or discrepancies with the charge before it becomes a permanent record in the system. Once the charge is reviewed and resolved, it can then be processed and become a permanent record in Epic. Therefore, the statement is false.

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19. A charge becomes a permanent record in EPIC before it clears charge review.

Explanation

A charge does not become a permanent record in EPIC before it clears charge review. The charge review process is conducted to ensure the accuracy and validity of the charge before it is recorded as a permanent record in EPIC. Therefore, the correct answer is False.

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20. If you are a PB Charge Entry user, what is your home workspace?

Explanation

The correct answer is "Charge Entry Batch Selection." This is because the question asks for the home workspace of a PB Charge Entry user, and the Charge Entry Batch Selection is the workspace where the user can select and enter charges in batches. The other options mentioned, such as Charge Router Charge Entry Selection and Guarantor Account Selection, are not specifically related to the home workspace of a PB Charge Entry user.

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21. Where are secondary providers or residents added during charge entry?

Explanation

Secondary providers or residents are added during charge entry in the Documentation Providers section. This section includes all the healthcare professionals who are responsible for documenting the services provided to the patient. This could include physicians, nurses, therapists, or any other healthcare provider involved in the patient's care. Adding these providers in the documentation section ensures accurate and complete documentation of the services rendered, which is essential for proper billing and reimbursement.

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22. What Epic tool is used to communicate directly with clinicians within Epic?

Explanation

The Epic tool used to communicate directly with clinicians within Epic is called In Basket. This tool allows clinicians to receive and send messages, review test results, and manage tasks related to patient care. It serves as a centralized communication platform within the Epic system, enabling efficient and secure communication between healthcare providers. Outlook, Payor Links, and Abstracting are not specific tools within Epic for direct communication with clinicians.

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23. Charge tickets that are received from an outside facility will have an encounter number but you need to search for that number manually.

Explanation

The explanation for the correct answer, which is False, is that charge tickets received from an outside facility will not require manual searching for the encounter number.

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24. What is a charge session?

Explanation

A charge session refers to a single charge for a specific encounter or charge ticket. It is not a batch that holds multiple charges or procedures, but rather the individual charge associated with a single encounter or ticket.

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25. When a charge is caught in multiple charge review workqueues, you must you enter each workqueue to resolve all of the errors.

Explanation

When a charge is caught in multiple charge review workqueues, you do not need to enter each workqueue to resolve all of the errors. This statement is false because charges can be resolved by addressing the errors in any one of the workqueues they are caught in. It is not necessary to go through each workqueue separately to resolve the errors.

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26. By clicking Set Defaults, you can select the following values to carry over to the subsequent charge session.  (Choose all that apply.)  

Explanation

By clicking Set Defaults, you can select the values of Service date, Bill Area, and Place of Service to carry over to the subsequent charge session. This means that when you start a new charge session, these values will be automatically filled in based on the previous session, saving time and ensuring consistency in the information entered. The Modifier value is not mentioned as one of the options to carry over.

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27. Which services will require a claim info record? (Choose all that apply.)

Explanation

A claim info record is required for Workers Compensation visits, accidents, and pregnancies because these services typically involve filing a claim for insurance reimbursement or coverage. The claim info record contains important information such as the details of the service provided, the date of service, and the insurance information of the patient. This record is necessary for processing and tracking the claim, ensuring accurate billing and reimbursement for the services rendered.

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28. What do we use in Epic to track that all the charge tickets are entered?

Explanation

In Epic, control amounts are used to track that all the charge tickets are entered. Control amounts refer to the predetermined values set for each charge ticket, and by comparing the actual amounts entered with these control amounts, it ensures that all the charge tickets have been accounted for. This helps in maintaining accurate records and preventing any missing or incorrect charges.

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29. What is the purpose of processing the Charge Entry Batch?

Explanation

The purpose of processing the Charge Entry Batch is to post the charge to the Guarantor account. This means that the charge is being recorded and added to the account of the person responsible for paying the bill. This step is important for keeping track of the charges and ensuring that the appropriate accounts are updated with the correct information.

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30. There are two ways to for entering a diagnosis code in the Code field on the charge entry form.  What are they? (Choose all that apply)  

Explanation

ICD-10 (International Classification of Diseases, Tenth Revision): This is the current standard coding system used for diagnoses in the US healthcare system. It provides specific codes for various diseases and conditions.

Description of the diagnosis: While not ideal, some systems might allow entering a brief description of the diagnosis in the absence of a specific code. However, using standardized codes like ICD-10 is preferred for accuracy and consistency.

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31. While in Charge Review, how do you review the edit description vs. the diagnosis code information? (Choose all that apply.)

Explanation

During the Charge Review process, reviewing the edit description and the diagnosis code information is done by selecting the options "Hide Error" and "Show Error". By choosing "Hide Error", any errors or discrepancies between the edit description and the diagnosis code information can be concealed. On the other hand, selecting "Show Error" allows for the identification and visibility of any errors or inconsistencies between the edit description and the diagnosis code information.

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32. What does the red Exclamation point mean on the batch information screen?  (Choose all that apply.)

Explanation

The red exclamation point on the batch information screen indicates that there are issues with the batch. It means that you need to add another charge session, as there might be missing charges that need to be included in the batch. Additionally, it suggests that your control amount is incorrect, meaning that the total amount recorded in the batch does not match the expected amount. Lastly, it implies that there is a duplicate charge, indicating that there is a charge that has been recorded more than once in the batch.

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33. Assuming you are in Charge Entry, match the button name with the correct action.
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34. Match the button name with the appropriate action.  Assume you are in Charge Review Workqueue.
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The definition of an encounter number is a unique number created...
The Diagnosis field associates the charges with the appropriate...
When a charge session needs to have the NDC information added to a...
The purpose of the bill area is to route the charge to the appropriate...
 The Procedure hash is the sum of all five digits of each...
You can identify different Bill area for each individual procedure...
What is the difference between a warning and an error?
If you do not enter your batch receive date in the Batch Options...
You would use the Pend Charge button when a charge session needs to be...
The purpose of a panel procedure is to enter one procedure code that...
You can mark one charge out of the session as DBI (Do Not Bill...
When you enter a billing provider in the documentation provider field...
What does a red stop sign indicate in EPIC?
 A batch receive date is recommended, but not required.
What is the path to access Charge Router Batch Charge Entry?
You cannot add new procedures when you access a charge session from...
 What icon allows you to access a charge session in a batch to...
A charge caught in a Charge Review workqueue is a permanent record...
A charge becomes a permanent record in EPIC before it clears charge...
If you are a PB Charge Entry user, what is your home workspace?
Where are secondary providers or residents added during charge entry?
What Epic tool is used to communicate directly with clinicians within...
Charge tickets that are received from an outside facility will have an...
What is a charge session?
When a charge is caught in multiple charge review workqueues, you must...
By clicking Set Defaults, you can select the following values to carry...
Which services will require a claim info record? ...
What do we use in Epic to track that all the charge tickets are...
What is the purpose of processing the Charge Entry Batch?
There are two ways to for entering a diagnosis code in the Code field...
While in Charge Review, how do you review the edit description vs. the...
What does the red Exclamation point mean on the batch information...
Assuming you are in Charge Entry, match the button name with the...
Match the button name with the appropriate action.  Assume you...
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