Transactions: Basics Flashcards by CR Howard

List the Epic released Radar dashboards that help your organization track charge review, transactions, workqueues, and more in PB and HB.

PB Revenue Integrity Dashboard
HB Revenue Integrity Dashboard

(Aug. 2021, 2.5)

How well did you know this?

Not at all

Perfectly

What type of transactions are stored in the ETR master file and may track many details that show a record of how that ETR has changed over time?

PB transactions

Aug. 2021, 2.6

How well did you know this?

Not at all

Perfectly

What type of transactions are stored in the HTR master file and are considered the most granular level of tracking changes to AR in Hospital Billing?

HB transactions

Aug. 2021, 2.6

How well did you know this?

Not at all

Perfectly

What type of transactions carry with them many details about the events and changes to those transactions, including voids, matching, and attempts at collection payment?

PB transactions

Aug. 2021, 2.10

How well did you know this?

Not at all

Perfectly

___ records are stored on a hospital account.

(Hospital accounts contain buckets (HLB records) that organize balances assigned to payers and the payments received from those payers.)

HTR records

Aug. 2021, 2.10

How well did you know this?

Not at all

Perfectly

Where are HTR records stored?

On a hospital account (HAR)

Aug. 2021, 2.10

How well did you know this?

Not at all

Perfectly

ETR records are stored on a _______ _______.

Guarantor account (EAR)

Aug. 2021, 2.10

How well did you know this?

Not at all

Perfectly

When are ETR records and HARs connected?

When they are generated for organizations using SBO or VFO.

Aug. 2021, 2.10

How well did you know this?

Not at all

Perfectly

True or False:
Regardless of how a payment is entered into the system, they populate the same columns when extracted to Clarity and Caboodle.

True

Aug. 2021, 2.11

How well did you know this?

Not at all

Perfectly

What are 5 characteristics all transactions have?

Service date/ Deposit date
Post date
Procedure code
Guarantor account
Hospital account (HAR)

(Aug. 2021, 2.13-14)

How well did you know this?

Not at all

Perfectly

What is the difference between service date and deposit date?

Service Date - services performed
Deposit Date - money recorded in the bank (payment deposited)

(Aug. 2021, 2.13)

How well did you know this?

Not at all

Perfectly

What type of transaction could the service date be the same as the post date or it could be in the past?

Charge

Aug. 2021, 2.13

How well did you know this?

Not at all

Perfectly

For what type of transaction will the service date be the same as the post date?

Adjustments.

Exceptions:
Contractual write-offs, whose deposit date will match the deposit date on the corresponding payment.

(Aug. 2021, 2.13)

How well did you know this?

Not at all

Perfectly

Define post date.

The date a transaction is recorded on the account (guarantor, hospital) and changes the accounts receivable amount.

(Aug. 2021, 2.13)

How well did you know this?

Not at all

Perfectly

Procedure records used for payments and adjustments are frequently referred to as what?

AR codes

Aug. 2021, 2.13

How well did you know this?

Not at all

Perfectly

What is a record in the EAP master file and stores information about the transaction?

A procedure code.

Aug. 2021, 2.13

What are PB transactions attached to?

A guarantor account and cannot exist without it.

Aug. 2021, 2.14

What are HB transactions attached to?

A hospital account, which is then attached to a guarantor.

Aug. 2021, 2.14

True or False:

Every transaction is attached to a hospital account.

True.

As of Epic 2018, every transaction is attached to a hospital account.

(Aug. 2021, 2.14)

In Epic, what kind of ADJUSTMENTS are refunds?

Debit adjustments

Aug. 2021, 2.14

What would an organization do if a guarantor or payer pays more than they need to?

The organization can send them a refund for the extra amount.

(Aug. 2021, 2.14)

What type of transaction has the equal and opposite amount of the original?

A reversal.

Sometimes, a transaction is posted in error. In this case, a reversal is posted to “undo” the previously posted transaction.

(Aug. 2021, 2.14)

Are voids new transactions?

No, voids are simply updates to existing transactions.

Aug. 2021, 2.14

True or False:

PB only uses reversals for credits, and only when the reversal takes place after the day the transaction was posted.

True.

Aug. 2021, 2.14

What type of transaction does Hospital Billing use for reversals?

The same type of transaction as the original. For example, to reverse a charge, another charge transaction is posted with the opposite amount. (Aug. 2021, 2.14)

Is BillingTransactionFact a core revenue table?

Yes | Aug. 2021, 2.16

List the groups for PB charge transactions.

* Financial Divisions * Financial Subdivisions * Bill areas (Aug. 2021, 2.19)

How does Hospital Billing group charge transactions?

Cost Centers | Aug. 2021, 2.19

Why are charge transactions grouped and then stamped on the charge?

To create custom sets of departments or providers that make sense together. (Aug. 2021, 2.19)

Define relative value unit (RVU).

A form of measurement used to determine the value of a procedure. (Aug. 2021, 2.20)

Why are RVUs only stamped on charge transactions?

Because they are part of the procedure's record. | Aug. 2021, 2.20

List the 3 components that RVUs are broken down into.

1. Work: the time, skill, intensity needed to provide a service/perform a procedure 2. Overhead: the cost of maintaining a practice (rent, non-physician staff costs, and so on) 3. Malpractice: the cost of malpractice insurance premiums (Aug. 2021, 2.20)

Which billing system stores RVUs on the transaction level?

Both billing systems do. | Aug. 2021, 2.20

What does Epic need from your organization to report on cost data?

An import of your organizations cost data from the cost accounting system into Epic. The cost information can be stored in a fee schedule and then applied to charges as they are generated. (Aug. 2021, 2.20)