Epic Skills Assessment Revenue Cycle and Billing 4

Question 1

Which Epic tool is used to manage and track prior authorization requests submitted to payers?

Accepted Answer

Authorization Tracking

Answer

Authorization Tracking in Epic allows staff to record, monitor, and manage prior authorization statuses for procedures and services.

Question 2

In Epic revenue cycle, what is the function of the 'Guarantor' record?

Accepted Answer

It identifies the person financially responsible for the account

Answer

The Guarantor in Epic is the individual legally responsible for payment on the account, which may differ from the patient.

Question 3

When Epic generates an 837P file, this is used for:

Accepted Answer

Professional claim submission to payers electronically

Answer

The 837P is the HIPAA-standard electronic transaction format for professional (physician) claims submitted to payers.

Question 4

A charge posted in Epic with the wrong CPT code should be corrected by:

Accepted Answer

Using the charge correction function to modify the existing charge

Answer

Epic's charge correction function allows authorized staff to modify charge details, maintaining an audit trail of the change.

Question 5

Which of the following best describes 'write-off' in Epic's revenue cycle?

Accepted Answer

Reducing an account balance by an amount that will not be collected

Answer

A write-off removes an uncollectable balance from the accounts receivable, recognizing it will not be recovered.

Epic Skills Assessment Practice Test