Epic Skills Assessment Role-Based Scenario Problems Questions and Answers 3

Question 1

A billing specialist finds that a claim was denied due to 'missing prior authorization.' The procedure was performed 3 weeks ago. What is the best course of action?

Accepted Answer

Appeal the denial with clinical documentation supporting medical necessity

Answer

Write off the charge immediately

Answer

Re-submit the claim unchanged

Answer

Change the procedure code to one not requiring prior auth

Question 2

During a code situation, a provider needs to access a deceased patient's chart to verify a medication history. The patient's family hasn't been notified yet. What access mechanism applies?

Accepted Answer

Break-the-glass (emergency override) access

Answer

Standard login

Answer

Request access from IT

Answer

Only the attending physician may access

Question 3

A clinical analyst is asked to create a report showing all patients with a BMI over 30 seen in the last 90 days. Which Epic tool is most appropriate?

Accepted Answer

Epic Reporting Workbench or Clarity/Caboodle

Answer

MyChart patient portal

Answer

The scheduling module

Answer

The eMAR

Question 4

A provider wants to add a custom SmartPhrase to auto-populate their commonly used physical exam documentation. Where in Epic is this configured?

Accepted Answer

In SmartText/SmartPhrase Manager under the provider's personal settings

Answer

In the scheduling module under templates

Answer

In the billing module

Answer

In the patient's chart under preferences

Question 5

A patient calls the help desk saying they can't access their MyChart account because they forgot their password. What is the correct response?

Accepted Answer

Direct them to the MyChart password reset link or verify identity through security questions before assisting

Answer

Provide the patient's password verbally over the phone

Answer

Disable the patient's MyChart account

Answer

Create a new MyChart account with the same email

Question 6

An Epic analyst notices that a BestPractice Advisory (BPA) is firing for 95% of eligible patients but is only being acted on 3% of the time. What does this pattern suggest?

Accepted Answer

Alert fatigue — the BPA should be reviewed for relevance and trigger criteria

Answer

The BPA is highly effective

Answer

The BPA should be disabled permanently

Answer

Providers need more training to use the BPA