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

Denial appeals with supporting clinical documentation (medical necessity letters, clinical notes) are the standard recovery path for prior authorization denials.

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

Break-the-glass allows emergency access to records that exceed a provider's normal security clearance, with full audit logging of the access and reason.

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

Epic's Reporting Workbench (operational reports) or Clarity/Caboodle (data warehouse) are designed for population queries using clinical parameters like BMI and date ranges.

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

SmartPhrases are created and managed in Epic's SmartText Manager, accessible from the provider's personal settings or through the administration tools.

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

Patient identity must be verified before any account assistance. Self-service password reset or identity-verified assistance are the appropriate pathways per HIPAA and Epic best practices.

Epic Skills Assessment Practice Test

Epic Skills Assessment Practice Test

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