Which codes are attached to the encounter for billing in Epic ASAP?

Which codes are attached to the encounter for billing in Epic ASAP?

• A. CPT/HCPCS codes.
• B. ICD-10-CM codes.
• C. DRG codes.
• D. Procedure names without codes.

Answer: (A)

The thing being tested is which coding system directly drives billing for what was done in an encounter. CPT/HCPCS codes are the codes attached to the encounter to bill for procedures and services. They provide standardized, specific identifiers for each procedure, test, or service performed, making it possible for payers to determine reimbursement consistently across providers and settings. ICD-10-CM codes, by contrast, describe the patient’s diagnoses or reasons for the visit, not the exact procedures or services billed. DRG codes are used mainly in inpatient settings to group cases for hospital payment and aren’t used to bill outpatient encounters in this context. Using procedure names without codes would leave a bill without the precise, universally recognized identifiers payers require. So, for billing in Epic ASAP, the appropriate codes to attach are CPT/HCPCS codes.

The thing being tested is which coding system directly drives billing for what was done in an encounter. CPT/HCPCS codes are the codes attached to the encounter to bill for procedures and services. They provide standardized, specific identifiers for each procedure, test, or service performed, making it possible for payers to determine reimbursement consistently across providers and settings.

ICD-10-CM codes, by contrast, describe the patient’s diagnoses or reasons for the visit, not the exact procedures or services billed. DRG codes are used mainly in inpatient settings to group cases for hospital payment and aren’t used to bill outpatient encounters in this context. Using procedure names without codes would leave a bill without the precise, universally recognized identifiers payers require.

So, for billing in Epic ASAP, the appropriate codes to attach are CPT/HCPCS codes.