Epic Skills Assessment Revenue Cycle and Billing 2 — Questions and Answers
Question 1: Which Epic tool is used to view a patient's outstanding account balance and generate a billing statement?
- MyChart
- Grand Central
- Account Inquiry (Correct answer)
- Referrals
Correct answer: Account Inquiry
Account Inquiry in Epic allows staff to review patient balances, transactions, and generate billing statements.
Question 2: In Epic, a 'soft credit' on a patient account typically means:
- The balance has been written off permanently
- A payment is pending but not yet posted
- A credit memo is applied but not yet refunded (Correct answer)
- The account is in collections
Correct answer: A credit memo is applied but not yet refunded
A soft credit indicates a credit exists on the account that has not yet been refunded to the patient or applied to a balance.
Question 3: What is the purpose of the 'Remittance Advice' document in Epic's billing workflow?
- It schedules patient appointments
- It details payer payments and adjustments for claims (Correct answer)
- It records clinical diagnoses
- It tracks employee productivity
Correct answer: It details payer payments and adjustments for claims
Remittance advice (ERA) from payers details which claims were paid, denied, or adjusted and at what amounts.
Question 4: In Epic revenue cycle, 'billing holds' prevent claims from being submitted because:
- The patient is a VIP
- Missing or incomplete information needs resolution first (Correct answer)
- The payer requires manual submission only
- The account has a credit balance
Correct answer: Missing or incomplete information needs resolution first
Billing holds flag accounts where required data—such as insurance authorization or diagnosis codes—is incomplete before claim submission.
Question 5: Which of the following best describes 'claim scrubbing' in Epic?
- Deleting duplicate claims from the system
- Automated validation of claims for errors before submission (Correct answer)
- Manually reviewing all claims over $10,000
- Generating paper claims for secondary payers
Correct answer: Automated validation of claims for errors before submission
Claim scrubbing is an automated process that checks claims for coding, demographic, and billing errors prior to payer submission.
Question 6: A patient has two active insurance plans. In Epic, which plan is billed first?
- The plan with the highest coverage amount
- The plan designated as primary (Plan A) (Correct answer)
- The most recently added plan
- Whichever plan has a lower deductible
Correct answer: The plan designated as primary (Plan A)
Epic follows coordination of benefits rules and bills the primary payer (Plan A) first before billing the secondary payer.
Question 7: What Epic function allows billing staff to resubmit a denied claim with corrections?
- Claim Edit
- Void and Resubmit (Correct answer)
- Charge Router
- Coverage Discovery
Correct answer: Void and Resubmit
The Void and Resubmit function in Epic allows staff to cancel an incorrect claim and send a corrected version to the payer.
Epic Skills Assessment Revenue Cycle and Billing 2
Which Epic tool is used to view a patient's outstanding account balance and generate a billing statement?