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

What does a rate type indicate in pricing within Resolute?

Rate type tells Resolute which pricing rule to apply when calculating charges. It identifies the pricing source: standard rates, negotiated contractual rates with a payer, or discount rates. The pricing engine uses the selected rate type to pull the correct price from the appropriate price list or contract, which then determines the amount billed to the payer and the patient’s responsibility. This is why a service might be billed at the standard charge unless a negotiated or discount rate applies. The other options describe payer contact methods, billing classification, or service location, which do not define how pricing is calculated.

Rate type tells Resolute which pricing rule to apply when calculating charges. It identifies the pricing source: standard rates, negotiated contractual rates with a payer, or discount rates. The pricing engine uses the selected rate type to pull the correct price from the appropriate price list or contract, which then determines the amount billed to the payer and the patient’s responsibility. This is why a service might be billed at the standard charge unless a negotiated or discount rate applies. The other options describe payer contact methods, billing classification, or service location, which do not define how pricing is calculated.