EPIC ACTIVITIES
This activity is used to close out the denial record.
What is a follow-up activity?
The min hold days for inpatient and outpatient.
What is the 5 days for inpatient and 3 days for outpatient?
Used to view an individual user's productivity metrics.
What is a user scorecard?
This process involves assigning priority levels or values to records WQs, helping staff focus on the most urgent or impactful accounts first.
What is Workqueue Scoring?
This team oversees payer contracts, rate negotiations, terms, renewals, and credentialing.
Who is Managed Care?
These are a group of actions that are needed to complete workflows in the system.
What are billing activities?
Type of code that tells a payer why a service or procedure was performed.
What is a ICD 10?
Shows important productivity measures at a glance.
What is the Key Scorecard Metrics?
This is the maximum allowed time to follow up on a deferred record.
What is 30 days?
This department is responsible for scheduling, registration, insurance verification, and ensuring patients are financially cleared before receiving care.
What is Patient Access Services (PAS)?
Applies to the person or the entity financially responsible for the patient.
What is the guarantor activity?
This document is sent to patients after their provider submits a claim, showing what was covered and what was not.
What is Explanation of Benefits (EOB)?
This metric stores the cumulative time of a user's productivity gaps.
What is a Total Time Gap?
This tool allows users to apply complex, multi-criteria selection parameters to billing or claims workqueues, making it easier to target specific accounts for review or action.
What is a Workqueue Advanced Filter?
Who is DPD?
Applies to a single liability bucket on a HAR.
This is the process of following up on claims with insurance companies to receive payment for services provided.
What is accounts receivable (A/R) follow-up?
The average monthly individual productivity metric.
What is 40?
This feature allows users to organize records within a workqueue based on fields like age, balance, or priority, making it easier to manage workflow and focus on specific items.
What is Workqueue Sorting?
This department translates clinical documentation into standardized codes for diagnoses and procedures, supporting accurate billing and regulatory reporting.
Who is Coding?
Combining multiple actions into a single activity.
What is chaining?
This phrase refers to the interval between patient discharge and full payment for services rendered.
What is days in accounts receivable?
If your average time in system on your scorecard is under six, this the color daily time in system would appear.
What is Red?
This display option in Epic organizes workqueue information in a top-to-bottom format, allowing users to view account details, actions, and navigation panes in a stacked arrangement.
What is a Vertical Layout?
This department ensures the organization follows laws, regulations, and ethical standards in areas like billing, privacy, and coding, helping to prevent fraud and avoid penalties.
Who is Compliance?