We work inside your Epic instance, Resolute Professional Billing, Resolute Hospital Billing, and Hyperspace. No migration, no data conversion, no disruption to your clinical workflows. Just a billing team that already knows the system.
Most billing vendors treat Epic as "just another EHR." We treat it as the mission-critical platform it is for your revenue cycle.
We log into your Epic instance with user accounts you provision. Your Resolute build, Hyperspace templates, and Chronicles database stay untouched. Zero risk of corruption or conversion loss.
Our billers know Hyperspace navigation, Resolute PB and HB work queues, charge review workflow, and the difference between a claim edit and a follow-up WQ. We show up productive on day one.
Charge capture, coding queues, claim scrubbing, denial work queues, credit balance, self-pay, we work every stage of the Epic revenue cycle your Resolute analyst architected.
Claims continue to flow through your existing clearinghouse (Change Healthcare, Waystar, Availity, or direct Epic payer connections). We fix the upstream queues that feed it, we don't rebuild your plumbing.
Epic is powerful, but its billing workflow rewards precision. Here are the issues we resolve every day for Epic clients.
Charge review and claim edit work queues pile up fast when short-staffed. We take ownership of assigned WQs with documented thresholds and daily clearance SLAs.
New billing staff take months to learn Hyperspace efficiently. Our team is already productive inside account activities, guarantor maintenance, and coverage workflows.
Professional billing and hospital billing have different workflows, payers, and denial patterns. We staff them separately so neither side suffers from a generalist team.
We work denial WQs end-to-end, categorizing by CARC/RARC codes, resolving correctable denials, filing appeals in the correspondence workflow, and trending root causes.
Credit balance work queues often sit neglected, creating compliance risk. We clear these on a regular cadence with proper refund processing and secondary billing.
MyChart statements, patient payment plans, and guarantor aging all live inside Resolute. We work these queues alongside insurance AR for true full-cycle management.
Your Epic security team provisions named user accounts for our billers with the correct security class, typically limited to billing, AR, and charge review functions. No access to clinical documentation beyond what billing requires.
We review your existing Resolute work queue setup and take ownership of specific queues, charge review, claim edit, denial, credit balance, follow-up, with documented thresholds, escalation rules, and daily clearance SLAs.
Our team works assigned WQs daily, resolving edits, correcting claims, posting adjustments, documenting account activities, and escalating exceptions to your designated internal contact in real time.
Your Reporting Workbench dashboards remain your source of truth. We layer weekly operational reporting and monthly business reviews on top, covering clean claim rate, days in AR, denial trends, and WQ clearance.
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