Epic Skills Assessment Revenue Cycle and Billing 3

Question 1

In Epic, 'Coverage Discovery' is primarily used to:

Accepted Answer

Search for unknown or unreported patient insurance coverage

Answer

Coverage Discovery queries external databases to find active insurance plans a patient may not have reported.

Question 2

Which Epic report helps identify claims that have been submitted but not yet paid after a set number of days?

Accepted Answer

Aging Report (A/R)

Answer

The Accounts Receivable (A/R) Aging Report categorizes outstanding claims by how long they have been unpaid.

Question 3

When a payer issues a 'denial' with remark code CO-97, this typically indicates:

Accepted Answer

The benefit for this service is included in the payment of another service

Answer

CO-97 means the payment for the denied service is considered bundled into another service already reimbursed.

Question 4

In Epic's charge capture workflow, what does 'charge lag' measure?

Accepted Answer

The delay between service delivery and charge entry

Answer

Charge lag is the number of days between when a service is provided and when the charge is entered into Epic.

Question 5

Which Epic feature allows patients to pay balances online and view itemized bills through a self-service portal?

Accepted Answer

MyChart Billing

Answer

MyChart Billing enables patients to view statements, make payments, and set up payment plans online without calling the billing office.

Epic Skills Assessment Practice Test