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PC Workflow
Author :
julie felix
1.
Which of these is not a function of Payment Consolidator?
A
Sends bills to patients
B
Archives transactions
C
Automates Insurance payments
2.
What info is NOT fed into PC database?
A
EFT & check payment info
B
Patient deductible amounts
C
EOB images
3.
You can search Payment Consolidator using
A
claim #, member id #, pt dob
B
any combo of pt acct, dos, last name, payor
C
denial reason, check #, EFT ref #
4.
When an encounter contains multiple transactions,
A
Highlight the encounter you want and right- click
B
Click View to open a dual-pane window.
C
You need to enter more specific search criteria
5.
You can make changes in the Encounter Editor
A
for claims over $5,000.
B
if you have edit authority.
C
anytime.
6.
If the adjustment code in Epic does not match the remit in PC,
A
send an email to Steve immediately.
B
report it to your supervisor.
C
report it to your SME
7.
How do you know if the remit is from Payment Consolidator?
A
Check format in Epic will be : Check # followed by B00XXX and then date of the check
B
Epic will show the letters "PC" in the check #
C
There is no way to tell.
8.
All correspondence received must be worked
A
daily
B
within 14 business days
C
within 9 days
9.
What is correspondence?
A
Special projects from Steve
B
denials that are not loaded in Payment Consolidator
C
Communication from the payor
10.
Reps will receive PC Workflows when
A
There is a Managed Care Issue.
B
Lindsay is busy and can't work them
C
Further information is needed
11.
When working a PC Workflow, you must
A
Advise in your note that you are working from a PC Workflow
B
Email Laura and let her know.
C
Move the claim to the 9603 WQ.