Rules Flashcards
Rule records
Tells system how it should function when certain conditions are met.
What prelude activities are rules used in?
Item profiles
Default profiles
Confirmation Records
Patient WQs
Rules in Item profiles/defaults
Make profiles dynamically appear under certain circumstances. Ex. patient under the age of 16, you can default a marital status of single.
Rules in workflow Confirmation Records
Check if registration is complete. Ex. patient has Medicare but MSPQ is incomplete.
Rules in WQs
Follow up encounters with missing or incorrect registration information.
Rule
Are made up of one or more criteria. There determine whether the rule evaluates to true.
What is each criterion made of?
Property
an operator
a value
What is the rule operator?
Determines the relationship between the property and the value.
What is the rule value?
Its what we are comparing to the propery
What is the rule property?
Where the system retrieves the information from a record.
What is the rule context?
Determines the list of possible properties you can select for a rule
What contexts are useful for building prelude rules?
Patient
Guarantor Account
Coverage
Hospital Account
Charge Session
Manuel Verification Override
Coverage Manage
Eligibility
What to do when testing rules?
Perform both positive and negative test.
Rule tester
Used to confirm your rule works properly
