Epic Skills Assessment Revenue Cycle and Billing 2

Question 1

Which Epic tool is used to view a patient's outstanding account balance and generate a billing statement?

Accepted Answer

Account Inquiry

Answer

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:

Accepted Answer

A credit memo is applied but not yet refunded

Answer

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?

Accepted Answer

It details payer payments and adjustments for claims

Answer

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:

Accepted Answer

Missing or incomplete information needs resolution first

Answer

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?

Accepted Answer

Automated validation of claims for errors before submission

Answer

Claim scrubbing is an automated process that checks claims for coding, demographic, and billing errors prior to payer submission.

Epic Skills Assessment Practice Test