Epic Test Questions with correct Answers

Which record stores information about the person responsible for the balance on charges? - ANSWER Guarantor When creating a coverage record in the system, you must choose the correct ____________ and ____________ list ...

Which record stores information about the person responsible for the balance on charges? - ANSWER Guarantor When creating a coverage record in the system, you must choose the correct ____________ and ____________ listed on the subscriber's insurance card. - ANSWER plan;ID True or False: A patient can have more than one guarantor account. - ANSWER True Which of the following is stored in the patient record? (Circle all that apply) A) Medical Record Number (MRN) B) Emergency contacts C)Clinical Documentation D)Insurance Coverage - ANSWER A, B, C When you are entering subscriber information for a new coverage, which button can you click to save you time if the patient and the subscriber have the same addresses? - ANSWER Pull Info True or False: When you schedule a walk-in appointment, the system automatically selects the first available time slot for the physician - ANSWER True You are updating a patient's registration information. That patient hands you her new insurance card. You look for the insurance in the system but can't find it. What should you do? A) Select a coverage with the closest name B) Do not enter her insurance information C)Select a generic coverage and enter information from the card D)Call somebody who has more security than you to do the search - ANSWER C Which of the following payment types can be partially refunded using the POS Refund module? A) Check B) Credit Card C)Cash - ANSWER Cash True or False: The front desk user can use the POS Refund module to issue a refund from a last week's visit. - ANSWER False True or False: It is possible to refund payments collected at the front desk the same day they are collected. - ANSWER True What is the purpose of counting the number of bills and recording the check and their amounts? - ANSWER Double checking money in system with money in drawer. Which button automatically matches the money you recorded from your cash drawer with the money posted in the system? - ANSWER Select All Charges go through the Charge router A)Charge Router Charge Entry B)PB Charge Entry - ANSWER A Can enter charges that will post in Professional Billing A)Charge Router Charge Entry B)PB Charge Entry - ANSWER A,B Can enter charges that will post in Hospital Billing A) Charge Router Charge Entry B)PB Charge Entry - ANSWER A Calculates prices in Charge Entry A)Charge Router Charge Entry B)PB Charge Entry - ANSWER B Can enter a price override A)Charge Router Charge Entry B)PB Charge Entry - ANSWER A,B True or False: Each Charge entry batch contains only one charge entry session - ANSWER False True or False: Each Charge entry batch only contains information for one patient's charges - ANSWER False True or False: One charge ticket is the equivalent of one charge entry session - ANSWER True Name two ways of entering a diagnosis code in the code field on the Charge Entry form. - ANSWER Code or Description On the procedure line, what purpose does the Diagnosis field serve? - ANSWER Associates the charges with the appropriate diagnosis What is the purpose of processing your batch? - ANSWER Post Charges Charge Router Review workqueues catch (Major | Minor) charge errors. - ANSWER Major True or False: Charges go through Charge Router Review workqueues after they enter the billing systems - ANSWER False True or False: Charges can only be entered through manual Charge Entry - ANSWER False The Charge Router A)Checks Charge Session for Errors B)Routes charges from clinical applications to billing applications C)Contains workqueues to hold problem charge sessions D)Allows for manual entry of charges - ANSWER A,B,C,D What is a warning? - ANSWER Soft Stop What is an error? - ANSWER Hard Stop If a charge session is from a clinical source, do changes in the charge session update the clinical chart? - ANSWER No If you want the chart and account to match, where should the charge update be made? - ANSWER In the Chart (Clinical Applications) True or False: You can add new procedures when you access a charge session from charge review - ANSWER True List steps to resolving duplicate charges - ANSWER -Double Check -Send to supervisor Why can't a user perform the function of Delete on a charge session? - ANSWER Does not have access What does the transfer function do to the charge session - ANSWER Transfers to a different user True or False: Delete and Force Resubmit are controlled by security - ANSWER True True or False: When Deleting a session in a charge review work queue, the charge session is removed from your work queue, but can still be worked on by others. - ANSWER False What does the Transfer button in a charge review work queue do? - ANSWER It moves the charges session from the current work queue to a designated work queue True or False: Users review charges in charge review work queues after the system has posted the charges to the account - ANSWER False When should you resubmit a charge session? - ANSWER When you believe it was corrected Why are duplicate charge sessions sent to a supervisor? - ANSWER The delete button is security controlled Where are the charges located that are ready and waiting to process for claims? - ANSWER The claims queue What tool in the system automates processes - ANSWER Batch Scheduler Creating claims is a mostly (manual | automatic) processes - ANSWER Automatic User Errors are: - ANSWER Fixed in hyperspace by the user Master file errors are: - ANSWER Errors based off build fixed in text Which button in the Claim Edit Companion lets you run the CDF edit checks on the claim in real-time? - ANSWER Refresh How can you get more detailed information about errors on a claim? - ANSWER Click on Claim Edit WQ Assistant Which window gives you instructions about how to correct claim errors? - ANSWER Click on Claim Edit WQ Companion Which Epic record defines all of the possible errors a claim could have? - ANSWER Claim Definition File Who corrects user errors? Where are these errors corrected? - ANSWER End users; in Hyperspace Who corrects master file errors? Where are these errors corrected? - ANSWER IT analysts; in the backend How can you access the step-by-step instructions for how to fix a claim error? - ANSWER Click on the error link in the claim edit assistant What does the Refresh button in the Companion do? - ANSWER Tests claim errors against the CDF in real time Where can you find the payor contact information for a claim in your work queue? - ANSWER In the Ins Coverage section Which activity do you perform when the payor did not receive the claim and you need to send them a new claim? - ANSWER Payor Website and Resubmit Claim What do you do to summarize all of the actions taken while working on a claim? - ANSWER Leave comment/message Which activity do you perform when you can't work the claim right now so it shouldn't be on your Active tab? - ANSWER Defer How do you prioritize your work queue to work the claims with oldest service dates first? - ANSWER Sort by service date Where can you view the past activities performed on claims? - ANSWER FU Activities or Activity History After calling a payor about an outstanding claim, you want to document the conversation so that others researching the balance see a record of your work. Which activity or activities would you add? - ANSWER Call Payor and Note What is the consequences of deferring a claim, and under what circumstance might you do so? - ANSWER Leaves WQ waiting for INS response True or False: Cash Management tracks how much of a deposited payment has been posted in Resolute. - ANSWER True True or False: Multiple checks can be combined into one cash control group - ANSWER True True or False: Confirming a cash control group posts the payments into Epic - ANSWER False True or False: Cash control groups must be created manually in Epic. - ANSWER False _______________ on the CMS 1500 claim form = ______________ in the system - ANSWER Pt. Account; Invoice # NRP (Next Responsible Party) - ANSWER Moves to next party in billing order From where does the system pull in the allowed amount during Insurance Payment Posting - ANSWER Contracts If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it? - ANSWER Yes What button do you click to select the fields that should copy over when you move to another copy/ - ANSWER Set Defaults You forgot to post an entire check - ANSWER New Check You forgot to post to one invoice - ANSWER Add new detail You posted incorrect dollar amounts to an invoice - ANSWER Edit detail You applied a payment to the wrong invoice - ANSWER Delete Detail and Contact your supervisor What is the purpose of creating a payment posting batch? - ANSWER Used for holding for the payment information as it's being entered in the system How do you look up an invoice number in PB Insurance Payment Posting if it doesn't appear on the EOB - ANSWER .p or .a If a payor sends payment for an invoice or patient that does not exist in the system, what should you do still record the payment in Resolute. - ANSWER Post the payment undistributed to a clearing account True or False: An allowed amount will always appear automatically on an insurance posting line - ANSWER False What should you do when the system allowed amount is different from the allowed amount on the EOB? - ANSWER Enter the amount from the EOB in the allowed field What should you enter in the post field when posting a PB Denial? - ANSWER Claim Denied What step in payment posting sends payments to guarantor accounts? - ANSWER Processing the Batch True or False: A batch must balance before you can process it - ANSWER True If a claim cannot be resubmitted to the payor for payment, which activity can we use to pass the balance on to the secondary insurance/guarantor? - ANSWER NRP Demand Claims - ANSWER -Bypasses Error Checking -Creates Claim Immediately -Only Generates Paper Claims Claim denials that should be reviewed are caught by the system and placed in which type of work queues? - ANSWER Follow-Up If a claim must be printed to paper right now, the (Demand Claim | Resubmit Claim) activity should be used? - ANSWER Demand Claim If, in order to resubmit the claim successfully, information on the charge needs to be updated, the _______________ function should be used. - ANSWER Correct If a denial cannot be corrected, how can you move the balance to the next payor or guarantor? - ANSWER NRP True or False: The system can automatically create statement runs - ANSWER True Which of the following is a purpose of the Enterprise Statement Run Report? Choose all that apply. A)Reconciliation tool to compare what Epic indicates was generates to what was actually generated B)Reconciliation tool to compare what was sent to a print vendor and what the print vendor sends back in the receipt C)Record of which guarantor accounts got a statement and which guarantor accounts did not get a statement, even though they qualified for the statement run D)A tool used to determine which guarantors have never received a statement - ANSWER A, B, C How do you jump to the self-payment posting form from the Insurance Payment Posting form? - ANSWER F11 What is the difference between the "Automatic to Oldest" and "Outstanding Charges" post methods? - ANSWER You have to select the svc. dates to match Control amount incorrect - ANSWER Edit Batch Check missing - ANSWER New Check Check entered incorrectly - ANSWER edit check Check posted twice - ANSWER delete check True or False: Before your batch is processed, you can fix any mistakes you made with the payments you entered. - ANSWER True Which keystroke allows you to modify the matched amount for a charge? - ANSWER F6 True or False: Once you enter a control amount for a batch, it cannot be modified - ANSWER False How do you know if you batch totals have not met the control amount? - ANSWER Stop Sign When should you use the 'Outstanding Charges' post method instead of the 'Automatic to Oldest' post method? - ANSWER Outstanding Charges - choose the charges to apply True or False: An undistributed payment is one that has not yet been posted to a guarantor account - ANSWER False If a refund is needed, the ______________ function within the credit workqueue is used - ANSWER Refund Request As payments are resolved, they move to the _______________ tab of the credit workqueue. - ANSWER Completed True or False: All refund requests must be manually reviewed and approved in Adjustment Review before they are posted - ANSWER False What is the purpose of a Tickler? - ANSWER To remind the worker to check back When you add a payment plan activity, what else is automatically added to the account - ANSWER Account Status: Payment Plan Where can you access an image of a queued letter? - ANSWER Under Review From where can you add activities to an account? - ANSWER Guarantor Snapshot How does a user request to immediately print a statement for a guarantor/ - ANSWER Demand Bill After you work an account and mark it complete, when is that account released from the workqueue? - ANSWER Overnight, Automatically True or False: Accounts can be manually added to account workqueues. - ANSWER True On what actually tab can you find information about the statements that were sent? - ANSWER Billing History On what activity tab do you record activities that were performed? - ANSWER Snapshot How do you mark a charge as contested? - ANSWER Reason Contested Where do you have to go to add coverage to an account? - ANSWER Click Pts. Name in Snapshot How do you print a statement real-time? - ANSWER Demand Bill How do you indicate that you are done working on an account? - ANSWER Complete Which kind of workqueue can you use to manage patient calls? A)Insurance Follow-up WQ B)Account WQs C)Patient WQs D)Claim Edit WQs - ANSWER B Which function must you use to mark a charge as contested? A)Actions B)Edit C)Repost D)Correct - ANSWER B From which activity tab can you perform a Demand Bill? A)Guarantor Snapshot B)Billing History C)Guarantor Account Edit D)Inquiry - ANSWER A True or False: Patients can configure their own payment plan details in MyChart - ANSWER True True or False: The way to resolve a bounced check is to void the payment in Epic? - ANSWER False To resolve an NSF payment, first locate the visit that contains the payment in Inquiry. Then click the _____________ buttons and select the ___________________ option. - ANSWER Functions; Debit Adj Posting True or False: The Payment reversal procedure will not be matched to any transactions. It is a stand-alone debit adjustment. - ANSWER False True or False: The NSF Fee procedure will not be matched to any transactions because it is a stand alone debit adjustment - ANSWER True What is the effect of creating a Debit Adjustment Posting batch that is set to file in real-time? - ANSWER Post to Acct Immediately