Role-Based Scenario Problems Questions and Answers Flashcards
6 cards from real Epic Skills Assessment practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Role-Based Scenario Problems Questions and Answers flashcards as text
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?
Answer: Appeal the denial with clinical documentation supporting medical necessity
Denial appeals with supporting clinical documentation (medical necessity letters, clinical notes) are the standard recovery path for prior authorization denials.
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?
Answer: Break-the-glass (emergency override) access
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.
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?
Answer: Epic Reporting Workbench or Clarity/Caboodle
Epic's Reporting Workbench (operational reports) or Clarity/Caboodle (data warehouse) are designed for population queries using clinical parameters like BMI and date ranges.
A provider wants to add a custom SmartPhrase to auto-populate their commonly used physical exam documentation. Where in Epic is this configured?
Answer: In SmartText/SmartPhrase Manager under the provider's personal settings
SmartPhrases are created and managed in Epic's SmartText Manager, accessible from the provider's personal settings or through the administration tools.
A patient calls the help desk saying they can't access their MyChart account because they forgot their password. What is the correct response?
Answer: Direct them to the MyChart password reset link or verify identity through security questions before assisting
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.
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?
Answer: Alert fatigue — the BPA should be reviewed for relevance and trigger criteria
A 3% action rate on a 95% fire rate strongly suggests alert fatigue, where providers routinely dismiss alerts without reading them. The BPA should be reviewed for appropriateness, specificity, and value.