Epic Resolute Professional Billing Fundamentals Practice Exam 2025 – Comprehensive Prep Guide

Question: 1 / 400

What is the purpose of the claim edits in Epic PB?

To allocate resources for collections

To ensure accuracy and compliance before submission

The purpose of claim edits in Epic PB is to ensure accuracy and compliance before submission. Claim edits systematically review claims for any discrepancies or errors that could lead to claim denials or rejections by payers. This process includes validating that the codes used are appropriate for the services rendered, checking for consistency in patient data, and confirming that the claims meet regulatory and payer-specific requirements. By addressing these issues before claims are submitted, organizations can improve the likelihood of timely payment and reduce the potential for costly rework or appeals. Such edits are a critical step in maintaining the integrity of the billing process and ensuring that all claims comply with the various regulations governing healthcare billing practices.

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To expedite patient check-ins

To verify provider credentials

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