Resolute (Billing)

These tip sheets and training resources describe coding-related workflows.

Resources

The following resources provide information on Charge Entry/Review/Correction functionality in Resolute.

  • Advanced Practice Provider (APP) Billing - (Handout) Whether an APP is the billing provider on the claim depends on payor requirements and whether the supervision was direct or indirect. The DIR and IND indicators in the Charge Entry / Charge Review Modifier field tell claims logic how to format the claim.
  • Charge Entry PPT - (Training Resource) The power point presentation for the Charge Entry lesson.
  • Charge Entry at Check Out - (Handout) The workflow to enter charges, take payment, and print detail bill at check out - Wendell Johnson.
  • Charge Entry/Review/Correction Big Picture - (Handout ) A flowchart of the life cycle of a charge.
  • Charge Entry Tickets - (Training Resource) Training Sample Charge Entry Tickets.
  • Charge Reconciliation PPT - (Training Resource) The power point presentation for the Charge Reconciliation lesson.
  • Charge Review PPT - (Training Resource) The power point presentation for the Charge Review lesson.
  • Charge Router: Link a Claim Information Record - (Handout) In Charge Router, Charge Entry, and Charge Review, link the Claim Information Record to the HAR on Hospital Account Maintenance.
  • Charge Router Session Stage - (Handout) Session Stage in the Charge Router is the point at which the Charge Router segregates PB charges from HB charges. The Session Stage impacts how to resolve Charge Router Charge Review errors and warnings.
  • CID Coding Flags - (Handout) When reviewing accounts in the Simple Visit Coding Error workqueues, users can now add a Coding Flag indicating the reason SVC is not able to successfully complete.
  • Coding Claims Edits PPT - (Training Resource) The power point presentation for the Coding Claim Edits lesson.
  • Coding Denials PPT - (Training Resource) The power point presentation for the Coding Denials lesson.
  • Enter Charges with Charge Router Charge Entry - (Handout) Charges come in to the Epic Resolute revenue system through the Charge Router. Charges are either released to the revenue system (dropped) from a clinical application, or they are entered manually in Charge Router Charge Entry, also called Unit Charge Entry.
  • Exploding Charges - (Handout) In Charge Router, some CPT codes trigger HB charges. The Charge Router Charge Review Session Stage impacts Charge Review for exploding charges.
  • Hospital Account is Closed or Missing - (Handout) The Charge Router requires a hospital account in OPEN or BILLED status to accept charges.
  • HB (space) Short Cut - (Handout) The HB (space) short cut helps coders code technical charges when they don’t know the technical charge code.
  • HCC Coding - (Handout) - HCC Coding lets coders review HCC categories and diagnoses prior to an encounter.
  • Hospital Chargemaster - (Handout) The Epic Hospital Chargemaster is a spreadsheet used to cross reference charge codes and related information, such as search for charge codes by cost center, map Epic HB charge codes to HCPCS/CPT codes, and find the correct code for specific payors.
  • Modifier Indicators - (Handout) Coders enter indicators in the Charge Entry/Charge Review screen Modifier field to trigger Epic automatic actions.
  • PB Charge Correction - (Handout) How to correct posted PB charges.
  • PB Charge Review Session History - (Handout) The session History in the PB Charge Review workqueue list is a historical legacy of all activities, users, and dates associated with the session while it is in a PB Charge Review workqueue.
  • PB Charge Review: Link a Claim Information Record - (Handout) In PB Charge Review, link the Claim Information record on the PB Charge Review form.
  • PB Coding Assistant - (Handout) The Doc Review tab in the PB Charge Review sidebar shows codes that might be relevant to the session you’re working on. From the tab, you can easily add codes, swap a new code in for an existing one, or jump to the source documentation to confirm a code is correct. You can open related notes or results directly from the sidebar.
  • PB Coding Queries - (Handout) The Queries tab in the PB Charge Review sidebar lets coders send a query to one or more providers.
  • HB Coding Claim Edits - (Handout) How to work a HB Coding Claim Edit workqueue.
  • PB Coding Claim Edits - (Handout) How to work a PB Coding Claim Edit workqueue.
  • Update Simple Visit Coding - (Handout) If the account has completed through Simple Visit Coding, any changes to the PB diagnoses must also be made to the HB account on he Hospital Account Coding Info activity.
  • Use Custom Codes - (Handout) When an unlisted procedure code is entered in Charge Router Charge Entry or Charge Review, Epic prompts the user to review for use of a pre-priced custom code.
  • Working the Simple Visit Coding Workqueue - (Handout) If Simple Visit Coding cannot be completed, the account status will change to “Simple Visit Coding Error” and fall to a workqueue.

Related Pages

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