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

Describe the correct process for correcting a mistaken charge or voiding a CPT/HCPCS line in Resolute.

When a charge is entered incorrectly, the correct approach is to fix it in the system by identifying the exact line with the error and correcting it within the charge data. You adjust or void the CPT/HCPCS line in the CDM (correcting the code, units, amount, or other details as needed). If the line should be removed, you void it; if it should be kept but with different data, you adjust it accordingly. After making the correction, you re-issue the claim (or submit an adjustment/replacement claim) with the corrected line, and you document the rationale for the change so there is a clear audit trail. This ensures the payer receives an accurate bill and maintains proper billing compliance. Do not delete the line and resubmit unchanged, do not submit a new claim that ignores the error, and do not rely on the payer to retroactively adjust—the internal correction and re-billing workflow is essential.

When a charge is entered incorrectly, the correct approach is to fix it in the system by identifying the exact line with the error and correcting it within the charge data. You adjust or void the CPT/HCPCS line in the CDM (correcting the code, units, amount, or other details as needed). If the line should be removed, you void it; if it should be kept but with different data, you adjust it accordingly. After making the correction, you re-issue the claim (or submit an adjustment/replacement claim) with the corrected line, and you document the rationale for the change so there is a clear audit trail. This ensures the payer receives an accurate bill and maintains proper billing compliance. Do not delete the line and resubmit unchanged, do not submit a new claim that ignores the error, and do not rely on the payer to retroactively adjust—the internal correction and re-billing workflow is essential.