Master the EPIC Resolute Hospital Billing Test. Prepare with detailed flashcards and multiple-choice questions, each with helpful hints and comprehensive explanations. Ace your exam!

Multiple Choice

After correcting a charge in the charge detail master (CDM), what is the recommended next step in Resolute?

When a charge in the Charge Detail Master is corrected, the next step is to re-bill the claim with the updated charge. This ensures the submitted claim reflects the actual, updated amount and aligns with the CDM data the system uses to adjudicate payment. Re-issuing the claim creates a proper, auditable record for the payer and prevents mismatches between the charged amount and what was billed. Deleting the claim, starting over, or ignoring the correction would lead to billing inaccuracies and potential delays or denials. Notifying the patient by mail isn’t part of the billing workflow for charge corrections and doesn’t resolve how the payer processes the corrected amount. Re-issuing the claim keeps the billing process consistent and ensures proper reimbursement.

When a charge in the Charge Detail Master is corrected, the next step is to re-bill the claim with the updated charge. This ensures the submitted claim reflects the actual, updated amount and aligns with the CDM data the system uses to adjudicate payment. Re-issuing the claim creates a proper, auditable record for the payer and prevents mismatches between the charged amount and what was billed.

Deleting the claim, starting over, or ignoring the correction would lead to billing inaccuracies and potential delays or denials. Notifying the patient by mail isn’t part of the billing workflow for charge corrections and doesn’t resolve how the payer processes the corrected amount. Re-issuing the claim keeps the billing process consistent and ensures proper reimbursement.