Claims Detail
A rule is composed of rule information, blank, and the outcome?
A Condition
The blank allows a user to pull the Charge Services Pricing Tool build into a file?
Bill Item Audit
Each night, the blank runs to evaluate the status of each patient as of midnight and generate the appropriate accommodation charge?
Room and bed operations job
Blank is the set of if/then rules that defines if a charge is created and, if created, what values are assigned to the charge?
Tiering Logic
These checks are run prior to a conversion to catch potential configuration issues before the client goes live?
Audits
Transformation qualifiers include charge organization, encounter type, financial class, insurance organizations, and what?
Health Plan
The Intervals Only Mode of the Bill Item Audit will pull back all qualifying bill items that have blank built on an interval template?
Price
Reference Lab charges have blank charge processing on the parent level?
Group/Collected
The blank is at the bottom of the tier, and as the rows go up, the qualifications become more restrictive?
Default row/base row
They are tracking and analyzing the financial side of healthcare. They are responsible for developing financial forecasting and budgeting for the year?
C-Suite Executives
Within rules outcome, if the action is to replace a charge or create a charge, the are not retained on the new charge?
Attributes (ABN status, bill code values, description)
A collection of interactive database tools that allows facilities to define various parameters that apply to the charges generated for the site?
CSMiscSetup.exe
If CDMs flex for each row of an interval, they must be built within the blank and not on the Bill Codes tab?
Interval template/Price Schedules tab
This qualifier is the preferred option for insurance tiering?
Financial Class
These issues can cause delayed revenue posting?
Suspended charges and charge errors
Ture or False: CS can use QCF or Charge Transformation to set quantity for HCFCS and CPT?
False (QCF is for HCPCS only)
Blank are groupings of data used to relate the rules built in the tiering logic to prices, charge processing, and bill codes stored on each bill item?
Schedules
When the bill item is a numeric DTA (clinical end user enters a numeric result), then the blank flag can be checked. This tells the system to use the number documented as the quantity of the charge?
Result is Quantity
True or False: If the value cell is blank on the first row where the tier qualifies, then the system looks to the next row where the charge event qualifies?
True
This tool is a guided questionnaire to gather information on build and design preferences throughout an implementation?
Design Manager
If a high blank the performance of the Charge Transformation operations job may be affected?
Number of rules or rulesets exist
The blank calculation type means the final price of the row is a flat rate if anything qualifies?
Per Interval/Per Interval Cumulative
For Radiology, each orderable has two unique child DTAs beneath it that represent the blank and the blank?
Exam/technical charge
and
Report/professional charge
If a tier group is not associated to an organization, then blank?
No charges will drop
The purpose of this is to verify the integrity of the Charge Services build by creating charges via clinical workflows and ensuring all billing and pricing info is captured correctly and routed to the correct revenue accounts within the General Ledger?
Chargemaster testing