Epic Revenue Routing

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We are in the process of implementing Epic and would like to know how your institution bills and routes revenue for both non-interfaced, manually entered POC tests and Epic Beaker interfaced tests.

Do you bill/drop POC charges for CG8 and/or EG7 i.STAT tests?
Do you bill/drop POC charges for all manually resulted tests?
Is revenue routed to lab or clinical area for the following:
o Beaker interfaced tests (glucose, i.STAT, TEG, and/or Quantra)

o Outpatient clinic manually resulted tests (urinalysis, urine preg. strep, etc.)

o Inpatient manually resulted tests (urinalysis, urine preg, etc.)

Any additional insight regarding POC billing is greatly appreciated!

Thank you!

6 Replies

Alma Knudson

Tue Oct 07, 2025 at 11:37AM

Charges are program to bill at final verify either automated or manually entered results.

Glucose at the medical center we do not care about the charges because patients are usually billed by DRG so it does not matter how many times Glucose POCT has been performed.

Sincerely,
Alma
“Far and away the best prize that life offers is the CHANCE to work hard at work worth doing” – Theodore Roosevelt

Alma Calzado-Knudson, MBA, CLS, MT (ASCPi & AMT)
Manager, Lab Quality and Point of Care Testing
Student Education Coordinator
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• alma.calzadoknudson@enloe.org
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Beverly Muth

Wed Oct 08, 2025 at 7:35AM

Thanks Alma! Do you capture expenses for your non-waived inpatient testing by clinical location? Or are all POC supply expenses rolled into a lab cost center?

Kate H

Wed Oct 08, 2025 at 5:57PM

We interface any device that can be interfaced, and bill when the result verifies. For all inpatient testing the lab gets the revenue, all outpatient revenue goes to the specific clinics. Because of that, clinics are charged for POC supplies but inpatient areas are not. For outpatient manual testing, each clinic basically gets its own "lab" EPIC set up and staff are trained to order, collect, result, and verify their tests. I can't say they enjoy that whole process, and we periodically check their outstanding list to make sure there aren't any tests hanging out that weren't entered. But the upside is that billing drops correctly and all results are in the same place as standard lab tests. We have very few inpatient manual tests (Amnisure, Hemoccult, etc). For those, nurses either enter them in a flowsheet with a charge line, or providers have some ProcDocs that can drop charges.

Beverly Muth

Thu Oct 09, 2025 at 10:40AM

Thanks Kate! Greatly appreciate your response.

Liesel Nelson

Fri Oct 31, 2025 at 1:27PM

Hello! Question for Kate H, above. Our ambulatory and inpatient clinical staff who perform non-interfaced POCT simply perform an enter/edit result in Epic. No outstanding lists management or 'lab' activities for those folks. These procedure codes are managed by our Epic Ambulatory builders (for the most part), but have a lot of the features of Beaker test build. An upgrade I just learned about will also include more robust valid checking and customization that way. Is there a reason your institution chose the Beaker path vs. the Enter/Edit workflow? Something to look into that would possibly fit into their workflows a little better!

Kate H

Fri Oct 31, 2025 at 2:43PM

Ooh, thanks for the tip Liesel! The Beaker path was in place before I started in POC, so I wasn't involved in that decision process. For the ambulatory enter/edit results, where do they wind up in the chart- i.e. does it still show up with other lab results?

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Epic Revenue Routing