Medical Billing for Practices and Hospitals on Epic

Keep Epic. Outsource the billing.

You chose Epic for the chart, the referral network and MyChart. Your billing shouldn’t depend on a shared business office with competing priorities, or on a vendor who wants you to move to its software.

AMS Solutions works inside your Epic™. Our billers log in to your instance under your security and your access agreement. They work your Resolute Professional Billing and Hospital Billing workqueues and report from your own Epic data. Your data stays in your system; our team does the work. Our team includes Epic-certified staff.

Who this is for

Community Connect practices: independent practices and clinics on a health system’s Epic instance that run their own billing.
Critical access, rural and community hospitals on Epic, including hospitals on a larger system’s instance, that need hospital and professional billing support.
FQHCs, rural health clinics and behavioral health organizations on a shared or collaborative Epic build.
Physician groups and hospitals leaving a health-system business office that need billing to keep running in Resolute.

What we do inside your Epic

Professional billing (Resolute PB)

Charge review and claim edit workqueues. We send recurring edit causes back to your front desk and providers so they stop happening.
Professional claims (837P) through your existing clearinghouse connection, plus payer-specific EDI enrollments.

Hospital billing (Resolute HB)

Account and claim edit workqueues, discharged-not-final-billed (DNFB) and unbilled follow-up, so claims drop to payers on time.
Institutional claims (837I / UB-04) through your existing clearinghouse connection.

Both

Payment posting in Epic from ERAs (835) and paper EOBs, including cleanup of unapplied payments and credit balances.
Follow-up and denial workqueues, worked by payer, age and dollar amount, with appeals and payer escalation.
Patient balances handled in your existing statement and MyChart workflow.
A monthly review built on Epic’s own reports: days in A/R, A/R over 90 days, denial categories, charge lag and net collections.
Credentialing and payer enrollment for new providers, coordinated with your billing readiness.

What we won’t ask you to do

Move off Epic. Export your A/R to our platform. Give up MyChart. Change clearinghouses unless there is a reason to.

How the transition works

We secure new claims and incoming payments first, then work down the existing A/R. In Epic that means:

We sign a BAA and complete your access request. Your IT team sets up named user accounts and the right security classes.
We confirm which PB and HB workqueues we own and who on your side sees the activity.
We verify ERA routing and EFT, and pull your A/R aging, denial and unbilled reports as the baseline.
From go-live we own new claims and payments, then take over the existing A/R, so one team is accountable for every open account.

Questions to ask any billing company before giving it access to your Epic

Question	AMS’s answer
Will you work in our instance or export our data?	We work in your instance.
Which Resolute workqueues will you own, and how will we see the activity?	We agree on PB and HB workqueue ownership in writing before go-live, and you can see the same workqueues and reports we do.
How do you handle remits that post with errors?	We review unposted and misapplied remits and correct them in Epic.
What will our monthly review be built on?	Epic’s standard revenue cycle reports from your instance.
Who on your team has worked in Resolute before?	Our billers work in clients’ Resolute Professional and Hospital Billing workqueues today, and the team includes Epic-certified staff.

Request a free review of your Resolute A/R

Tell us about your Epic setup and we’ll schedule a free review of your Resolute A/R to show you where the money is sitting. We sign a BAA before you share any report with patient information. Call 866-973-2221, email info@ams-solutions.com, or use the form below. Please do not include patient information in the form.

Frequently asked questions

Do we need to leave Epic to outsource our billing?

No. AMS billers work inside your Epic instance, using accounts your IT team sets up.

Do you handle hospital billing as well as professional billing?

Yes. We work both Resolute Hospital Billing and Resolute Professional Billing workqueues, including institutional (UB-04) and professional claims.

Can you work on a Community Connect instance?

Yes, when your agreement with your host allows a third-party billing service. Many Community Connect practices work their own billing workqueues; we work inside the instance you have access to, the same way we do for our other Epic clients. Your host health system approves and sets up our access under your agreement with them.

Do you post payments in Epic or in your own system?

In Epic. Remits post to your instance so your reports stay complete.

Can you credential new providers we add to our Epic instance?

Yes. Our credentialing team handles payer enrollment for new providers, coordinated with your billing.

Are you an Epic partner?

No. AMS Solutions is an independent billing company and is not affiliated with or endorsed by Epic. We work in your Epic instance as your business associate, under the access you grant, and members of our team hold Epic certification.

Epic, Resolute, MyChart and Community Connect are trademarks of Epic Systems Corporation. AMS Solutions is an independent billing company and is not affiliated with or endorsed by Epic.

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