Keeps track of all charges, payments, and adjustments associated with a visit. It's linked to the guarantor and coverage used for a visit.
What is the Hospital Account Record?
100
When a patient first comes in for a visit.
What is Registration or Charge Entry?
100
3% / 6 occurrences in a 12 month rounding calendar
What is Timeloss percentage and occurrences allowed for PFS?
100
Includes critical errors for missing guarantor account and missing procedure code.
What is Charge Router.
100
The billing process begins with an appointment and ends with what.
What is a $0 Balance?
200
An account used for teens that will not show to parents why they were seen.
What is a confidential account.
200
Insurance payments are posted.
What is Claims and Insurance Follow Up?
200
minimum of 48 hours
What is the amount of time you need to submit a time off request?
200
This type of WQ has billing denials for payer responses, no pyor responses and reimbursement underpayments.
What is Follow up?
200
Web-based training designed to allow staff the opportunity to take, offer and manage annual training requirements.
What is Learning Management System (LMS)?
300
Includes the insurance company that is the carrier for the patient, with effective dates of policy and subsciber information.
What is the Coverage Record?
300
Account WQs usually fall in this portion of the revenue cycle.
What is Self Payment posting?
300
Assembly Point #2- in the ANB parking lot
Where is PFS's primary meeting location in the event of an evacuation?
300
Claim level corrections prior to billing of payor(s), that consists mainly of work within work queues.
What is Pre-Billing errors?
300
Electronic remits, Retail Lock Box, Patient money, Online bill pay are all part of this process.
What is Payment Posting?
400
These are the 3 types of HAR's.
What are PB only, Mixed and Default.
400
Refunds usually fall in this portion of the revenue cycle.
What is Other non-specific resolute functions.
400
From 8:00pm – 5:30pm
What are the PFS Core Hours?
400
Used to work overpayments or money applied creating a credit.
What is Credit WQ?
400
Structured approach to driving and sustaining continual improvements throughout the organization by engaging employees, establishing daily expectations for employees and ensuring accountability at all levels of the organization.
What is Daily Management System?
500
Stores information about the person responsible for the self pay portion of the visit.
What is Guarantor Account Record
500
The 4 stages of the Professional Billing Revenue Cycle.
What is Charge Entry, Claims and Insurance Follow up, Self Payment Posting, and Other non-specific Resolute Functions.
500
Leggings / Jeggings / skinny pants/jeans
What are pants not allowed at Group Health?
500
Where a charge fails an edit check before it is allowed to post to accounts.
What is Charge Review?
500
Displays prof tx associated to the guarantor account, such as payments, adjustments, and charges. You can also see the Professional Workqueue (WQ)
What is Professional Transaction Inquiry (Prof Tx Inq)