Alexis Wilkinson

1.0 Introduction: The High-Stakes Translation from Clinical Care to Billing Code In an integrated Electronic Health Record (EHR) like Epic, clinical documentation actions have direct and immediate financial consequences. At the center of this dynamic is the Medication Administration Record (MAR), a document that is often misinterpreted by revenue cycle professionals. Far from being a simple log of medications given, the MAR is a complex data source where a single click can trigger a charge,...

Why “Given” in Epic Does NOT Automatically Mean Billable If you’ve ever charged a medication just because Epic says “Given,” stop. That single word is one of the biggest reasons facilities lose money—or fail audits. In Epic, “Given” only confirms administration , not billability. Why This Matters Billing incorrectly can result in: Overcharges Denials Audit findings Revenue retractions And undercharging means lost revenue  you’ll never get back. What “Given” Actually Means “Given” confirms:...

Every surgery is assigned a "global period," which can range from 0 to 90 days. For minor procedures, the global period is typically 0 or 10 days, while major surgeries can extend to 90 days. This global package includes three components: preoperative care, the surgery itself, and postoperative follow-up. Insurance companies pay one flat fee for the entire package. This approach encourages doctors to manage all stages of care, providing predictability in costs for insurers. It's common for...