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

How are encounter-level charges posted in Resolute, and what event typically triggers a claim creation?

Charges are posted as CDM line items on the encounter. This keeps every financial charge directly tied to the specific encounter, ensuring accurate capture and traceability for the billing process. A claim is then created when the encounter data is finalized or discharged, because that moment signals that the encounter’s charges and related billing information are complete and ready to be submitted to the payer. If charges were posted outside the CDM or after adjudication, the linkage to the encounter could be lost, making reconciliation difficult and delaying or complicating claim generation. Generating claims after a discharge summary would also break the system’s standard trigger, which relies on encounter finalization or discharge to initiate claim creation.

Charges are posted as CDM line items on the encounter. This keeps every financial charge directly tied to the specific encounter, ensuring accurate capture and traceability for the billing process. A claim is then created when the encounter data is finalized or discharged, because that moment signals that the encounter’s charges and related billing information are complete and ready to be submitted to the payer. If charges were posted outside the CDM or after adjudication, the linkage to the encounter could be lost, making reconciliation difficult and delaying or complicating claim generation. Generating claims after a discharge summary would also break the system’s standard trigger, which relies on encounter finalization or discharge to initiate claim creation.