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
Which Epic tool is used to manage and track prior authorization requests submitted to payers?
Answer: Authorization Tracking
Authorization Tracking in Epic allows staff to record, monitor, and manage prior authorization statuses for procedures and services.
In Epic revenue cycle, what is the function of the 'Guarantor' record?
Answer: It identifies the person financially responsible for the account
The Guarantor in Epic is the individual legally responsible for payment on the account, which may differ from the patient.
When Epic generates an 837P file, this is used for:
Answer: Professional claim submission to payers electronically
The 837P is the HIPAA-standard electronic transaction format for professional (physician) claims submitted to payers.
A charge posted in Epic with the wrong CPT code should be corrected by:
Answer: Using the charge correction function to modify the existing charge
Epic's charge correction function allows authorized staff to modify charge details, maintaining an audit trail of the change.
Which of the following best describes 'write-off' in Epic's revenue cycle?
Answer: Reducing an account balance by an amount that will not be collected
A write-off removes an uncollectable balance from the accounts receivable, recognizing it will not be recovered.
In Epic, 'real-time eligibility verification' (RTE) helps prevent claim denials by:
Answer: Confirming active insurance coverage before or at the time of service
RTE queries the payer's database in real time to verify that a patient's insurance is active and coverage details are correct.
Which Epic functionality automatically routes charges to the appropriate billing provider based on predefined rules?
Answer: Charge Router
Charge Router applies rules to direct charges to the correct billing provider, payer, or account type without manual intervention.