In Resolute Hospital Billing, which component stores standard charges for services and items and provides pricing and mapping for claims?

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Multiple Choice

In Resolute Hospital Billing, which component stores standard charges for services and items and provides pricing and mapping for claims?

The concept being tested is where the hospital keeps the standard prices used to price services and map them to claims. The hospital chargemaster is exactly that: a comprehensive catalog of charges for every service and item, with the associated pricing and the code mappings (such as CPT/HCPCS) used to generate and translate charges on claims. This database provides the baseline prices that the billing system uses to price encounters and to create claims for payers. Why this fits best: it is designed to store standard charges and provide the pricing and mapping needed for claims. The patient ledger tracks amounts owed by a patient and their payments; the encounter record captures the clinical details of a patient visit but not the standardized charge catalog; the payer file contains payer-specific terms, contracts, and allowable amounts, not the organization-wide standard charges.

The concept being tested is where the hospital keeps the standard prices used to price services and map them to claims. The hospital chargemaster is exactly that: a comprehensive catalog of charges for every service and item, with the associated pricing and the code mappings (such as CPT/HCPCS) used to generate and translate charges on claims. This database provides the baseline prices that the billing system uses to price encounters and to create claims for payers.

Why this fits best: it is designed to store standard charges and provide the pricing and mapping needed for claims. The patient ledger tracks amounts owed by a patient and their payments; the encounter record captures the clinical details of a patient visit but not the standardized charge catalog; the payer file contains payer-specific terms, contracts, and allowable amounts, not the organization-wide standard charges.

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