Revenue Cycle and Billing Flashcards
7 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 7 Revenue Cycle and Billing flashcards as text
In Epic, 'Coverage Discovery' is primarily used to:
Answer: Search for unknown or unreported patient insurance coverage
Coverage Discovery queries external databases to find active insurance plans a patient may not have reported.
Which Epic report helps identify claims that have been submitted but not yet paid after a set number of days?
Answer: Aging Report (A/R)
The Accounts Receivable (A/R) Aging Report categorizes outstanding claims by how long they have been unpaid.
When a payer issues a 'denial' with remark code CO-97, this typically indicates:
Answer: The benefit for this service is included in the payment of another service
CO-97 means the payment for the denied service is considered bundled into another service already reimbursed.
In Epic's charge capture workflow, what does 'charge lag' measure?
Answer: The delay between service delivery and charge entry
Charge lag is the number of days between when a service is provided and when the charge is entered into Epic.
Which Epic feature allows patients to pay balances online and view itemized bills through a self-service portal?
Answer: MyChart Billing
MyChart Billing enables patients to view statements, make payments, and set up payment plans online without calling the billing office.
A 'crossover claim' in Epic's billing context refers to:
Answer: A claim automatically forwarded from Medicare to Medicaid for secondary billing
Crossover claims are automatically transferred from Medicare to Medicaid (or other secondary payers) by the payer after primary adjudication.
In Epic, the 'Expected Reimbursement' amount on a charge is calculated based on:
Answer: The contracted fee schedule negotiated with the payer
Expected reimbursement reflects the contracted rate from the payer's fee schedule loaded into Epic, not the full chargemaster price.