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 types of services typically generate a DME or facility revenue code, and how do they translate to claims?

Revenue codes identify the department or service area on a hospital bill, organizing charges by where they come from. DME items and facility charges are the kinds of charges that are assigned these codes, and they must be paired with CPT/HCPCS codes that specify the exact item or service. When a claim is built, each line item uses a revenue code to show the type of charge and a CPT/HCPCS code to describe the precise item or procedure, along with units and the amount. This pairing is essential because payers rely on the revenue code to categorize the charge and on the CPT/HCPCS code to determine the correct payment for that item or service. The other options aren’t as accurate: pharmacy charges, while billed separately, aren’t the primary focus here; surgical procedures don’t replace CPT/HCPCS with revenue codes; and imaging services do affect revenue codes.

Revenue codes identify the department or service area on a hospital bill, organizing charges by where they come from. DME items and facility charges are the kinds of charges that are assigned these codes, and they must be paired with CPT/HCPCS codes that specify the exact item or service. When a claim is built, each line item uses a revenue code to show the type of charge and a CPT/HCPCS code to describe the precise item or procedure, along with units and the amount. This pairing is essential because payers rely on the revenue code to categorize the charge and on the CPT/HCPCS code to determine the correct payment for that item or service. The other options aren’t as accurate: pharmacy charges, while billed separately, aren’t the primary focus here; surgical procedures don’t replace CPT/HCPCS with revenue codes; and imaging services do affect revenue codes.