Epic EHR includes many modules, each supporting a different part of patient care. Many also create billing data through charges, orders, documentation, and patient information that eventually flows into Resolute billing.
Our team understands how activity in these Epic modules can affect the billing workflow, from registration and scheduling through charge capture, claims, and payment.
EpicCare Ambulatory
EpicCare Ambulatory manages outpatient visits, provider notes, orders, and charge entry. Most professional charges for medical practices begin here, so missing diagnoses or unclosed encounters can delay billing. We review visit charges, coding, and open encounters to keep the billing process moving.
Cadence
Cadence handles appointment scheduling and patient check-in. Incorrect visit types, providers, or scheduling information can affect downstream billing. We review scheduling-related billing issues and support insurance verification before visits.
Prelude
Prelude manages patient registration, demographics, and insurance coverage. Errors in this information can lead to eligibility problems and claim denials. We review patient, guarantor, and insurance information and check eligibility results for billing-related issues.
ASAP
ASAP supports emergency department care, triage, and patient flow. ED visits can generate both professional and facility charges and often involve complex E/M coding. We review ED professional charges and coding for billing accuracy.
OpTime
OpTime manages surgical scheduling and pre-op, intra-op, and post-op documentation. Surgical billing depends on accurate procedure codes, modifiers, and required authorizations. We review surgical coding, modifiers, and authorization information before claims are submitted.
Stork
Stork supports obstetric care, pregnancy, and delivery documentation. OB billing may involve global maternity packages that require tracking across multiple services. We review the billing activity and help ensure delivery and related services are billed according to the applicable billing rules.
Radiant
Radiant manages radiology workflows, imaging orders, and reports. Imaging claims may require separate professional and technical components, appropriate modifiers, and authorization. We review imaging charges, coding details, and authorization requirements.
Beacon
Beacon supports oncology treatment plans and chemotherapy administration. Oncology billing can involve drug units, HCPCS codes, and infusion administration coding. We review drug and administration charges to identify billing issues that could lead to denials.
Beaker
Beaker manages laboratory orders, specimens, and test results. Lab claims require appropriate CPT coding and diagnoses that support medical necessity. We review lab charges and diagnosis links to identify potential billing issues.
Willow
Willow manages pharmacy workflows for inpatient and outpatient settings. Medications administered in certain clinical settings can generate billable drug charges. We review applicable drug charges and units as part of the billing workflow.
MyChart
MyChart gives patients access to health records, appointments, messages, statements, and online payments when enabled. Patient balances displayed in MyChart need to reflect accurate insurance payments, adjustments, and remaining amounts. We review patient account balances and billing activity before they reach the patient-facing stage.
Healthy Planet
Healthy Planet supports population health management, care management, and analytics. These activities can connect with billing for eligible care management services and value-based programs. We support billing for services when the required documentation and billing criteria are met.
Wisdom
Wisdom supports dental care workflows, including treatment planning and scheduling. Dental billing uses CDT codes and different claim requirements from standard medical billing. Contact us to discuss support for Epic dental billing workflows.
Phoenix
Phoenix manages transplant care from evaluation through follow-up. Transplant billing can involve specialized payer requirements and cost considerations. Contact us to discuss your transplant billing needs.
Haiku and Canto
Haiku and Canto allow providers to access Epic from mobile phones and tablets. Providers can review documentation and complete certain tasks remotely, which can help close encounters sooner. Completed visits can then move into the charge and billing workflow for review.