Cosmetic/Elective/Retail Billing
Resolute (Billing)
Cosmetic/Elective/Retail billing and pre-payment workflows use a variety of functionality within Epic to ensure proper billing and payment distribution.
See also: Credits.
Resources
The following resources provide information on cosmetic/elective/retail billing and pre-payment workflows.
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Workflow: Full Cosmetic and Elective Billing - (Handout) Full cosmetic and elective encounters that do not use the cosmetic/retail guarantor should follow this workflow.
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Workflow: Partial Cosmetic and Elective Billing - (Handout) Every encounter that is partially cosmetic/elective should follow this workflow.
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Workflow: Cosmetic/Retail Guarantor - (Handout) Departments using the Cosmetic/Retail Guarantor for full cosmetic billing should follow this workflow.
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Do Not Bill Insurance - (Handout) Indicate whether an encounter is Do Not Bill Insurance (DNBI) at the Hospital Account level.
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Collect a Pre-payment - (Handout) Post a pre-payment in Epic during check in, check out, or prior to the encounter.
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Use the Cosmetic/Retail Guarantor - (Handout) Authorized departments can use the Cosmetic/Retail Guarantor for a full cosmetic/elective or non-covered (retail package) encounter.
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Put the Cosmetic/Retail Guarantor on an Anesthesia HAR - (Handout) Cosmetic/Elective billers use this workflow to put the Cosmetic/Retail guarantor on the anesthesia HAR.
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Put the Cosmetic/Retail Guarantor on a PB HAR - (Handout) When a PB HAR is created before the Cosmetic/Retail guarantor is put on the encounter, change the guarantor on the PB HAR following this process.
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Remove Insurance from a PB HAR - (Handout) When insurance is removed from the encounter retroactively (after charges have posted), it must also be removed from the PB HAR for the encounter.
Department-Specific Workflows:
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CRC - BOD POD Pre-Payments - (Handout) Non-research BOD POD services must be pre-paid at check in. Clinical Research staff must schedule the appointment, collect the payment, produce the payment receipt, enter the BOD POD service charge, provide a detail bill when needed, and balance and close the Cash Drawer.
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