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Epic Resolute Professional Billing Fundamentals for Single Billing Office Study Guide Solutions

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Epic Resolute Professional Billing Fundamentals for Single Billing Office Study Guide Solutions critical errors in charge sessions - ANSWER-1. inactive procedure 2. missing guarantor account 3. missing hospital account 4. missing procedure code 5. missing provider charge router functions - ...

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  • November 4, 2024
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  • 2024/2025
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KaylinHoffman
Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




Epic Resolute Professional Billing

Fundamentals for Single Billing Office

Study Guide Solutions


critical errors in charge sessions - ANSWER✔✔-1. inactive procedure


2. missing guarantor account


3. missing hospital account


4. missing procedure code


5. missing provider


charge router functions - ANSWER✔✔-1. checks charge sessions for errors


2. routes charges from clinical applications to billing applications


3. contains workqueues to hold problem charge sessions


4. allows for manual entry of charges


charge review workqueue - ANSWER✔✔-a series of edit checks within Resolute PB. At this point in the

revenue cycle, charges are still temporary.


Delete (a charge session) - ANSWER✔✔-this is a function that is security controlled; might be used if

same encounter info is entered twice


force resubmit - ANSWER✔✔-forcing a charge session to post, regardless of its errors


Copyright ©Stuvia International BV 2010-2024 Page 1/9

, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


claims queue - ANSWER✔✔-holds all of the transactions that are available to go out on a claim. Posted

charges are added here if they have insurance due and are set up to go out on a claim.


batch scheduler - ANSWER✔✔-a tool that automates many tasks in the system (like claims and

statement processing)


claim run - ANSWER✔✔-The first step in claims processing is the creation of this. This will include

transactions from the claims queue.


CDF (claim definition file) - ANSWER✔✔-internal scrubber which checks for errors and can format a claim

according to payor-specific requirements.


claim edit workqueue companion - ANSWER✔✔-box that pops up when error hyperlink is clicked on

claim edit workqueue.


claim edit workqueue assistant - ANSWER✔✔-pops up when a session is selected from the claim edit

workqueue companion. This shows information about the claim, such as claim errors. Claim errors will

disappear once corrected.


outstanding claim - ANSWER✔✔-claims that have not been paid properly and require follow-up


follow-up workqueue assistant - ANSWER✔✔-provides further information about the charges on an

invoice; can be accessed by double-clicking on a line in the follow-up workqueue


resubmit claim - ANSWER✔✔-option that resubmits an entire claim to insurance. Sends charges back to

claims queue to process automatically overnight


cash management - ANSWER✔✔-creates records to represent what's being deposited to validate that

each check sent to the bank is posted in the system



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