Cash Money!
The patient to the hospital and their insurance terminated the day before. Who's responsible for their bill?
What is the Patient?
Typing this single letter in an Epic date field will automatically populate the date for yesterday.
What is "y"?
The hospital was named after the 19th century land owner who laid out the village of Williamsburg after a local school essay contest won by middle school student Victor Morales of Intermediate School 318
What is Woodhull Hospital?
If a hospital claim is not denied but did not reach the payor it will likely route to this WQ
What is the payor rejection WQ?
The patient comes in and provides his insurance card. You search to locate the patient's account through here
What is Patient Station or Hospital Account Lookup?
Patient comes into the clinic for her scheduled appointment on time with active Emergency Medicaid. Who is responsible for this bill?
What is the Patient?
This is the amount of money a hospital is still waiting to collect from insurance companies and other payers.
What is Accounts Receivable (AR)?
This hospital was founded in 1736 as a six-bed infirmary of an Almshouse, facility is the oldest continuously operating public hospital in the United States.
What is Bellevue Hospital?
This action, typically represented by a clock or calendar icon in a workqueue, allows you to temporarily hide an account for a set number of days while waiting on a payer to process an appeal.
What is Defer?
A patient has a copay to be paid and hands you a $20 bill, this office will accept his money and provide a receipt.
What is the Cashier's office?
This is the acronym for the "EPIC" system
What is EPIC is not an acronym
What hospital in September 1958, saved the life of Dr. Martin Luther King Jr.?
What is Harlem Hospital?
If a hospital outpatient claim is denied missing modifier, you will likely need to route the account to this specialized department.
What is Phycare?
These are the three distinct "buckets" Epic HB uses to track who currently owes the balance on a Hospital Account.
What are Pre-Billed, Insurance, and Self-Pay?
What reconciliation is currently performed by the Cash Posting Teams?
What is Cap Corp Account Bank Statements?
I see bucket balance, it looks like I got overpaid. I could be wrong.
What is Credit Balance?
Which hospital started as a beach first aid station in 1875?
What is South Brooklyn Hospital?
If a high dollar aged hospital claim was denied and was sent to Central Office for review, you will likely need to route the account to this WQ for further review
What is an Escalation WQ?
For inpatient hospital stays, Medicare and many other payers reimburse the facility based on this classification system that groups patients with similar diagnoses and treatments.
What is a DRG (Diagnosis-Related Group)?
In Epic HB, this term refers to the discrepancy triggered when a payer reimburses the hospital an amount that differs from the expected contractually allowed amount.
What is a Payment Variance?
Managing patient liability is very important. While this is mostly automated, take this action after payer adjudicates cost sharing so that you will not be left holding the bag!
What is NRP?
Affiliated with what is now SUNY Downstate College of Medicine serving as a major teaching hospital and a clinical training site
What is Kings County Hospital?
If a hospital claim is denied for lack of medical necessity, you will likely need to route the account to this specialized clinical department to write an appeal.
What is Utilization Review (UR) / Clinical Appeals / HIM?
When reviewing an AR account, there are times when you need to take account level actions. This gives you multiple options to take action on an account.
What is Account Activities?