Hospital Billing Office

Joshua Brown 870-***-****

*** ******* ***** **, ******** View, AR, 72560 ********************@*****.***

Professional Profile

Dynamic professional with strong management skills and real-world, 21st century problem solving strategies demonstrated through 8+ years of educational classroom, department and district chair experience and leadership, as well as 10+ years of Epic experience.

• Multiple Epic certifications and credentials

• Taught over 600 Epic training classes

• Interactive teaching/learning

• Employs both traditional and modern, non-traditional system build methods • Expertise in PB, HB, and SBO

• Extensive Epic build for multiple organizations

• Managed application teams, staff assignments, and ticket productivity

Professional Accomplishments

NSTA Science Fellow 2010-2011

Epic Certifications (all NVTs from 2012-current)

Resolute Hospital Billing Administration with Single Billing Office Certification

Resolute Professional Billing Administration with Single Billing Office Certification

Resolute Single Billing Office Administration Certification

Resolute Professional Billing Graduate Certification

Resolute Professional Billing Claims Administration Certification

Resolute Professional Billing Remittance Certification

Resolute Hospital Billing Remittance Certification

Resolute Professional Billing Reimbursement Contracts Certification

Willow Inpatient Certification

Cogito Fundamentals Certification

Grand Central Certification

Prelude Certification

Charge Router Administration (Proficiency)

Resolute Hospital Billing Claims (Proficiency)

MyChart Billing Badge

Dental Billing Badge

Patient Estimates Badge

Hospital Billing Analyst Badge

Hospital Billing Extracts Badge

Financial Assistance Badge

Professional Billing Analyst Badge

Professional Billing Reimbursement Contracts Badge

Anesthesia Billing Badge

Core Analyst Badge

Usability Badge

Data Courier Mover Badge

Professional Billing Extracts Badge

Patient Financial Experience Badge

Education

Grand Canyon University, Phoenix, AZ M.S., Business Administration

Arkansas Tech University, Russellville, AR, B.S., Science Education

Greenbrier High School, Greenbrier, AR, High School Diploma

Work History

Epic PB/Anesthesia Billing Analyst Intermountain Health/Medasource February-March 2024

• Scoped, built, reviewed, tested, QA, and project managed the implementation of the Anesthesia Billing module for a Community Connect client.

• Included service area level overrides specific to the institution while not affecting the enterprise module.

• Maintained anesthesia pricing records, fee schedules, ASA, concurrency, and CPT codes being built

• Implemented standalone ASA coding through the Anesthesia Charge Entry module.

• Built and maintained batch jobs to sweep for Anesthesia Coding.

Built and maintained storage repository through Microsoft OneNote and Sharepoint to look, review, and document build and meeting notes with client for all Anesthesia-related requests.

Epic Willow Inpatient/Billing Analyst Southern Illinois Healthcare July 2023 – December 2023

• Routinely import standard, GPO, and 340B cost files

• Validate correct pricing of drugs – charge table, markup formula, NDC/NDG codes and billing overrides

• Monitor and correct Rx Billing Error queue to make sure that drug charges are correct

• Implement 340B billing features

• Implement JW/JZ/JG/TB modifier automation for billing programs and waste, when qualified

• Maintain Willow system definitions for billing accuracy

• Build and maintain all estimates that include Willow/drug/infusion charges

• Correct barcode administration errors

• Investigate any billing issues, identify root-cause, and resolve issues in timely fashion

• Update any pharmacy security to allow job features

• Reporting administrator for all Willow dashboards and Reporting Workbench reports.

• Service Now administrator – created and maintained reports for tracking and transparency, triage and assignment of all tickets, create new ticket request templates to allow for greater data intake and faster turnaround time.

Epic PB Analyst Montage Health, October 2021-July 2023

• Routinely work incoming help desk tickets for all aspects of PB, reporting, security, and claims/remittance

• Implemented OnBase and cash management integration with Epic PB/HB

• Maintained all credit card provisioning, programming, and integration with Epic (DivDat/Everview, CardPointe, Payground)

• Implemented 8 Community Connect projects with various degrees of PB complexity.

• Implemented Beacon with PB

• Implemented and maintained Hello World with PB and Community Connect

• Implemented Good Faith Estimates for No Suprises Act with PB and HB.

Epic PB Analyst Rady Childrens’ Health, May 2022-January 2023

• Routinely work incoming help desk tickets for all aspects of PB, reporting, and security

• Build, maintain, update, and optimize credit and charge review WQs.

• Streamlined, scoped, built, tested, and implemented Follow-up WQ profile and activity overhaul to optimize performance.

• Update/modify WQ logic to improve on end-user workflows and processes.

• Edit, update, and enhance all PB user security

• Scope, build, test, and implement PCI Pal compliance-friendly payment collection for customer service phone payments.

• Scope, build, test, and implement Good Faith Estimates, automation, coding, finalization, visit type mapping, and communications before 1/1/23.

• Scope, build, test, and implement external provider Good Faith Estimates, automation, coding, finalization, SER updates, fee schedules, and communications for two external provider groups

Epic PB/Claims/Connect Analyst Yale New Haven Health/Nordic, May 2022 – September 2022

• Responsible for mapping and creating model for new Connect implementations going forward

• Created playbooks and project management strategy for new Connect implementations going forward

• Integrated credit card merchant profiles and gateway profiles from different vendors

• Built claims for connect practices, including RHC and PBB clinics

• Built Claim Edit WQs corresponding to CDF changes.

• Built and maintained all rules and logic for both charge review WQs and charge router

• Built significant automation in charge router

• Built and collaborated with MyChart team on MyChart billing implementation, statements, and notifications

• Built and maintained HSD for all SBO-related items

• Built and maintained all CDFs for all major payers and financial classes

• Testing facilitator and lead tester for unit/application, integrated, end-to-end, PRCT, and claims testing.

Epic PB Claims/Remittance Analyst Grady Healthcare/Nordic, March 2022 – May 2022

• Responsible for building out all claim forms, both electronic and paper (ABF, FDF) to match billing scenarios

• Responsible for scoping and building all claims definitions files (CDF) and payer records (EPM, EPP) to match all needs for Urgent Care facilities

• Built and maintained all claim edits in the CDF and all claim edit WQs for nationwide urgent care facilities

• Built and maintained all remittance files and remittance options (RMOs) for import into Epic for urgent care facilities

• Built and maintained all RMO, Cash Management, and payment posting build for electronic remittance

• Worked with Finance department, Bank, and operations to setup and maintain proper lockboxes for payment posting in Epic.

Epic PB Analyst LCMC/Mediant, March 2022-May 2022

• Routinely work incoming help desk tickets for all aspects of PB, HB, Claims, and Remittance.

• Build, maintain, update, and optimize credit and charge review WQs.

• Streamlined, scoped, built, tested, and implemented Follow-up WQ profile and activity overhaul to optimize performance.

• Update/modify WQ logic to improve on end-user workflows and processes.

• Edit, update, and enhance all CDFs and claims logic.

Epic PB Analyst BJC Healthcare/Healthcare IT Leaders, March 2022-May 2022

• Routinely work incoming help desk tickets for all aspects of PB, HB, Claims, and Remittance.

• Fulfill any duties as a backfill for OOO analysts.

• Edit, update, and enhance all CDFs and claims logic.

• Update/modify WQ logic to improve on end-user workflows and processes.

Epic PB/Claims/Connect Analyst OCHIN, February 2022 – July 2022

• Work any and all related tickets to PB, HB, Claims, Remittance, Contracts, Fee Schedules, and Security for assigned service areas (7).

• Built claims for connect practices, including RHC and PBB clinics

• Built both SBO and non-SBO enterprise billing profiles in order to maintain flexibility for future clinics within live Connect sites

• Built discount tables, sliding scale tables, self-pay discounts, and system actions for discounting processes for Connect sites

• Built Claim Edit, Charge Review, Credit, Retro Review, Account, Guarantor, and Follow-Up profiles and WQs for Connect sites.

• Built and maintained all rules and logic for both charge review WQs and charge router

• Built significant automation in charge router for Connect sites

• Built and structured statement processes for plain text and smart text statements for Connect sites

• Built and maintained HSD for all SBO-related items for Connect sites

• Built cost center mapping tables for HB hospital sites

• Build GL and contracts for PB and HB sites.

• Built and maintained all CDFs for all major payers and financial classes for Connect sites

• Built and maintained all fee schedules for Connect sites

• Testing facilitator and lead tester for unit/application, integrated, end-to-end, PRCT, and claims testing.

Epic PB/Claims/Connect Analyst Tech Mahindra, February 2022 – April 2022

• Work any and all related tickets to PB, HB, Claims, Remittance, Contracts, Fee Schedules, and Security

• Integrated credit card merchant profiles and gateway profiles from different vendors

• Built claims for connect practices, including RHC and PBB clinics

• Built both SBO and non-SBO enterprise billing profiles in order to maintain flexibility for future clinics within live Connect sites

• Built discount tables, sliding scale tables, self-pay discounts, and system actions for discounting processes for Connect sites

• Built Claim Edit, Charge Review, Credit, Retro Review, Account, Guarantor, and Follow-Up profiles and WQs for Connect sites.

• Built and maintained all rules and logic for both charge review WQs and charge router

• Built significant automation in charge router for Connect sites

• Built and structured statement processes for plain text and smart text statements for Connect sites

• Built and maintained HSD for all SBO-related items for Connect sites

• Built cost center mapping tables for HB hospital sites

• Build GL and contracts for PB and HB sites.

• Built and maintained all CDFs for all major payers and financial classes for Connect sites

• Built and maintained all fee schedules for Connect sites

• Testing facilitator and lead tester for unit/application, integrated, end-to-end, PRCT, and claims testing.

Epic PB Analyst Franciscan Health/Ellit Groups, November 2021 – March 2022

• Responsible for mapping and creating model for new Connect implementations going forward

• Implemented cash managmeent

• Created playbooks and project management strategy for new Connect implementations going forward

• Integrated credit card merchant profiles and gateway profiles from different vendors

• Built claims for connect practices, including RHC and PBB clinics

• Built both SBO and non-SBO enterprise billing profiles in order to maintain flexibility for future clinics within live Connect sites

• Built discount tables, sliding scale tables, self-pay discounts, and system actions for discounting processes for Connect sites

• Built Claim Edit, Charge Review, Credit, Retro Review, Account, Guarantor, and Follow-Up profiles and WQs for Connect sites.

• Built and maintained all rules and logic for both charge review WQs and charge router

• Built significant automation in charge router for Connect sites

• Built and structured statement processes for plain text and smart text statements for Connect sites

• Built and maintained HSD for all SBO-related items for Connect sites

• Built and maintained all CDFs for all major payers and financial classes for Connect sites

• Built and maintained all fee schedules for Connect sites

• Testing facilitator and lead tester for unit/application, integrated, end-to-end, PRCT, and claims testing.

Epic PB Claims/Remittance Analyst United Healthcare/Optum, February 2021-July 2021

• Responsible for building out all claim forms, both electronic and paper (ABF, FDF) to match billing scenarios for Urgent care facilities

• Responsible for scoping and building all claims definitions files (CDF) and payer records (EPM, EPP) to match all needs for Urgent Care facilities

• Built and maintained all claim edits in the CDF and all claim edit WQs for nationwide urgent care facilities

• Built and maintained all remittance files and remittance options (RMOs) for import into Epic for urgent care facilities

• Communicated and integrated interfaces with Waystar (claims scrubber vendor).

• Built and maintained all Cash Management and payment posting build for electronic remittance

• Worked with Finance department, Bank, and operations to setup and maintain proper lockboxes for payment posting in Epic.

Epic Grand Central/Prelude Analyst Baptist Health, November 2020-January 2021

Built out and maintained cost center assignment tables

Built out charge router actions to map registration items to billing workflows to avoid manual intervention

Built out and maintained No Surprise Billing Act estimates, pricing, estimate automation, and assignment

Built out and maintained Patient Access security and reporting requests.

Epic PB Analyst Healthcare District of Palm Beach County, October 2020 – May 2021

• Built and maintained credit card gateway and cash drawers for front-end payments

• Built and maintained all CDFs for claims processing

• Maintained all remittance automation and payment processing

• Built and maintained all reporting dashboards and user reports for professional billing

• Built and maintained all PB reimbursement contracts for the enterprise

• Lead for all application testing

• Primary tester for all Integrated testing

Epic PB Analyst University of Miami Health, March 2021 – May 2021

• Maintained all credit card processing build and credit card gateway with Instamed and Bank of America.

• Overhauled all automation for credit WQ processing – PLBs, credit absorption/write-offs, refund automation and identification, and auto-matching

• Built and maintained all new dashboards for PB business office reporting

• Overhauled all refund/adjustment WQs (PB and HB) – new adjustment tiers, new WQs, new security

Epic HB/PB Analyst HCI/Integris Health, July 2020 – October 2020

• Routinely work incoming help desk tickets for all aspects of PB, HB, Home Health, and Hospice billing.

• Update/modify WQ logic to improve on end-user workflows and processes.

Epic PB/HB Principal Trainer Solution Health, March 2020 – July 2020

• Worked closely with Grand Central, Prelude, and Cadence to ensure that training and build was congruent with PB and HB workflows and build.

• Build and maintain all assigned Facilitator Guides and Activity Guides

• Build and maintain all training/master patients in MST

• Responsible for training and utilizing Scotty feature for patient movement between environments

• Maintain, edit, and create PB and HB patient cookbooks for ideal patient scenarios to be built in training environments

• Train all PB, HB credentialed trainers

• Troubleshoot any and all training issues so that they may be resolved as quickly as possible

• Maintain all training hardware to ensure that training courses are fluid and seamless

• Built and maintained all reports and reporting training in training environments

• Maintained and trained successors to manage training Mitosis

• Created and facilitated workflow and Visio approval during scoping sessions

Epic Financial Analyst CSI Companies/Multicare Health Systems, March 2020-May 2020

• Scoped legacy system and documentation for financial assistance workflows

• Built all prompt pay, charity care, and financial assistance discount programs in Epic

• Built all SmarText letters and applications pertaining to financial assistance

• Built all fee schedules, discount tables, and automatic actions associated with financial assistance

• Built all account workqueues for financial counselors/navigators

• Architect of new Epic financial assistance workflows

• Trained all end-users in financial assistance workflows

• Built all pricing contracts relating to financial assistance

• Architect of Pending Medicaid workflow pertaining to financial assistance

• Maintained all statementing and billing processes pertinent to financial assistance workflows in Epic

Epic PB Analyst Healthcare IT Leaders/Phelps Healthcare, January 2020 – March 2020

• Build out Charge Router and Charge Handler based on company operational preferences

• Build out and maintain charging interfaces to OpenDental, Aria, Wellsky, and OnBase vendors to accept and route incoming financial transactions

• Build all Charge Review, Adjustment Review, and Refund WQs based on logic and policies decided upon by operational leadership.

• Integrate Beaker build into Resolute by using Charge Router and Charge Review.

• Build out and maintain all Reporting Workbench reports and Dashboards related to financial transactions.

Epic PB/HB Upgrade Analyst Leidos/Loyola-Trinity Health, July 2019-December 2019

• Review, build, test, and complete all Nova Release Notes for double upgrade for all of Resolute (PB, HB, Claims, Remittance, Charge Router, Reporting)

• Application and Integrated testing lead for all of Resolute (PB, HB, Claims, Remittance, Charge Router)

• Provide support for end-users in regards to all Epic upgrade-related issues (PB, HB, Claims, Remittance, Charge Router, Reporting)

Epic PB Analyst The HCI Group/Deaconess Health Care, July 2019-December 2019

• Build PB Anesthesia billing setup for two new Community Connect hospitals/service areas – including Anesthesia fee schedules(FSC), Anesthesia pricing records(FSX), and anesthesia procedures (EAP).

• Implemented all anesthesia billing with two new community connect practices.

• Scope, review, build and test General Ledger (GL) patterns, rules (CER), extensions(LPP), provider profiles (SER), procedures (EAP), Reporting Workbench reports (HRX), and GL extracts (HGX) for two new Community Connect hospitals/service areas.

• Build Charge Router tasks (VCT) and actions (VCS) to re-route charges for providers based on how the hospital needs the charges specially stamped for two new Community Connect hospitals/service areas.

• Make special considerations with EAP, Charge Router, and Charge Review for Beaker build.

Epic Revenue Cycle Project Manager Robert Half Technology/West Virginia University Health, May 2019-July 2019

• Coordinate and facilitate meetings between stakeholders, IT, and operational leadership with the purpose of improving Professional Billing and coding workflows

• Facilitate and oversee PB charge router build, Reporting Workbench reports, and extracts

• Built coding and provider metric reports and dashboards for operational leadership to have targeted review

• Mapped and created IP note/charging workflow and coordinated all build between clinical and revenue teams

• Built new Credit and Charge Review WQs in order to capture and review charges more accurately based on new workflows.

Epic PB Analyst CSI Companies/Columbus Regional Health, April 2019 -May 2019

• Built and implemented Doc Pop functionality and workflows with Epic/OnBase integration

• Evaluated and redesigned PB credit workqueues to optimize performance and meet customer needs and expectations.

• Implemented cash management with OnBase

• Updated and maintained security user roles to give appropriate access to menus and buttons needed for all billing end-users.

Epic SBO Consultant/Analyst Systemtec/Atrium Health, July 2018-April 2019

• Lead SBO scoping, build, and integration for two (2) new Community Connect sites.

• Worked closely with Grand Central, Prelude, and Cadence to ensure build and training was congruent with PB and HB build and workflows.

• Built and maintain all Financial Assistance discounts, automation, workqueues, and system actions.

• Built and maintain all statement logic, automation, and parameters.

• Responsible for integrating EOB and Correspondence workflows coming from OnBase back into Epic.

• Maintain, edit, and create all customer service, financial outsourcing, and bad debt automation, workflows, logic, build, and extracts.

• Built all account and adjustment workqueues and corresponding logic for both client sites.

• Built all SmartText letters and automation for customer service, collections, and billing functionality.

• Lead billing testing analyst for Application, PRCT, and Integrated testing.

• Built all self-pay discounts, tables, and automation.

• Built all new billing indicators and account activities for client needs.

• Built and validate Retroadjudication/Visit Filing Order review logic, workqueues, and automation.

• Built all MyChart billing messaging.

• Built all extracts pertaining to outsourcing AR – collections, vendors, customer service.

• Map printer classes for all billing related activities.

• Create logic for self-pay follow-up and insurance denial workqueues.

• Built charge review rules and logic for workqueues.

• Built and validate security classes and templates for the appropriate end-users.

• Data Courier lead for all billing teams

• Mapped bill areas, credentialing, and home departments to each provider affiliated with the client sites.

• Build all bad debt, outsourcing, and vendor workqueues, automation, and logic in order to move AR to appropriate parties and send accounts to the appropriate vendors.

• Led GL testing and analysis

• Built and configured the generic gateway in the Vendor and Merchant Account profiles in order to accept MyChart and Welcome payments.

• Configured Enterprise Billing profile to set up parameters of MyChart billing terms, MyChart payment acceptance, MyChart payment limits, tokanization of credit card payments, tokanization of recurring credit card payments, MyChart payment plans, and MyChart statements.

• Configured Hospital Billing Profile to set up parameters of MyChart billing terms and MyChart payments.

• Built MyChart message pools.

• Built MyChart messsage types based on customer issue.

• Built MyChart digital statement templates.

• Worked closely with MyChart analysts to determine credit card message responses from financial institutions (denials, overdraws, insuffifient funds, server time outs, etc.)

• Configured MyChart to show date ranges of charges, payments, and adjustments for encounters listed.

• Configured MyChart to allow specific guarantor types to be available/payable.

Epic Application Trainer/Training Manager EMR Everywhere, May 2018-July 2018

• Lead team of 10 PTs in their build and maintenance of MST, mitosis, technical components, training of classes, and training documentation.

• Worked closely with Grand Central, Prelude, and Cadence to ensure build and training was congruent with PB and HB build and workflows.

• Build and maintain all assigned Facilitator Guides and Activity Guides

• Build and maintain all training/master patients in MST

• Responsible for training and utilizing Scotty feature for patient movement between environments

• Maintain, edit, and create PB and HB patient cookbooks for ideal patient scenarios to be built in training environments

• Maintain mitosis, FTP processes, batch jobs, and training coordinator documentation or training team

• Troubleshoot any and all training issues so that they may be resolved as quickly as possible

• Maintain all training hardware to ensure that training courses are fluid and seamless

Epic PB Consultant/Analyst Medix/Texas Health Resources, April 2018-May 2018

• Built and maintained all build for 15 newly acquired cardiology practices beginning on Epic.

• Maintained and built all WQs (KCQ and WQF)

• Maintained and built all specialty routing logic for Charge Router and Charge Handler

• Built all SER records and identifiers for specialty charge routing

• Built specialty Vendor Profiles (EVM) to identify payments taken in Epic with Wells Fargo bank.

• Configured vendor profiles to work intricately at the department level.

• Built numerous rules (CER) for charge routing logic, WQ logic, and charge handler logic

• Developed and implemented application, integrated, and end-to-end testing for go-live preparations.

• Built specialty-specific tasks and subtasks in the Charge Router and Charge Handler to prioritize new clinics without disrupting other actions.

• Built Bill Areas (BIL) for revenue routing for each provider so that their revenue could be routed as specifically as desired.

• Built and configured the generic gateway in the Vendor and Merchant Account profiles in order to accept credit card, MyChart, and Welcome payments.

• Configured Enterprise Billing profile to set up parameters of MyChart billing terms, MyChart payment acceptance, MyChart payment limits, tokanization of credit card payments, tokanization of recurring credit card payments, MyChart payment plans, and MyChart statements.

• Configured Hospital Billing Profile to set up parameters of MyChart billing terms and MyChart payments.

• Built MyChart message pools.

• Built MyChart message types based on customer issue.

• Built MyChart digital statement templates.

• Worked closely with MyChart analysts to determine credit card message responses from financial institutions (denials, overdraws, insufficient funds, server time outs, etc.)

• Configured MyChart to show date ranges of charges, payments, and adjustments for encounters listed.

• Configured MyChart to allow specific guarantor types to be available/payable.

Epic HB Consultant/Training Manager Englewood Health and Medical Center, Optimum HIT, February 2017 – April 2018

• Managed a staff of 13 principal trainers and their MST build, training document creation, patient build, training of classes, and technical components.

• Managed staff and oversaw all build related to Reporting Workbench, Radar, Data Courier, FTP server, and blob server

• Worked closely with Grand Central, Prelude, and Cadence to ensure that training and build was congruent with PB and HB workflows and build.

• Build and maintain all assigned Facilitator Guides and Activity Guides

• Build and maintain all training/master patients in MST

• Responsible for training and utilizing Scotty feature for patient movement between environments

• Maintain, edit, and create PB and HB patient cookbooks for ideal patient scenarios to be built in training environments

• Train all PB, HB credentialed trainers

• Troubleshoot any and all training issues so that they may be resolved as quickly as possible

• Maintain all training hardware to ensure that training courses are fluid and seamless

• Built and maintained all reports and reporting training in training environments

• Maintained and trained successors to manage training Mitosis

• Created and facilitated workflow and Visio approval during scoping sessions

Epic Consultant Impact Advisors, August 2016-February2017 (Winston-Salem, NC – remote, Boston, MA - remote)

• Various one-off build contracts that lasted less than one month in total length.

• Wrote and edited reports and templates to fit client needs based on scenario.

• Analyze PB revenue and identify any gaps in build.

• Review current reports for validity of data and search criteria.

• Identify and resolve any charge router gaps or requests that had not been completed

• Updated reports and report templates to more accurately capture data for clients

• Built and maintained all WQs and WQ profiles for PB (Credit, Retro, Follow-Up, Self-Pay, Account, Bad Debt, Payment Plans, Claims)

Epic PB/HB Consultant/Manager & Analyst Greenville Health Systems, November 2016-February 2017

• Oversee any and all build requests to ensure build accuracy and congruency within the system.

• Managed a PB team of 7 and a HB team of 10 and inspected all build prior to requests being migrated to PRD.

• Oversee ticket management system and progress to ensure that SLAs have been met and content has been built and delivered to client appropriately.

• Regularly met with end-user management and Revenue Cycle leadership to discuss the Epic system’s current working function, outlining any improvements or enhancements that could be made via ticket.

• Assist and guide PB build and training analysts through the build process and understanding the intricacies of the Epic system.

• Mentor and guide PB analysts on the function of antiquated or unnecessary build in the Epic system.

• Regularly meet and assess PB analyst work, approve build ready for the live environment, and act as a sounding board for analysts as they work on projects.

• Provide regular feedback to IT analysts, IT management, and operational leadership in regards to new build requests, enhancements, upgrades, break/fixes, and status reports.

• Assisted with charge review and charge router logic for external providers.

• Maintained charge handler actions in the Charge Router.

• Maintained charge router routing actions and rules in Charge Router.

• Maintained charge router logic to set procedure code and price based on particular scenarios (get, set, override items based on location, department, provider type, location type, and claim information).

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