Revenue Cycle and Billing Flashcards
7 cards from real Epic Skills Assessment practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Revenue Cycle and Billing flashcards as text
Which Epic tool is used to view a patient's outstanding account balance and generate a billing statement?
Answer: Account Inquiry
Account Inquiry in Epic allows staff to review patient balances, transactions, and generate billing statements.
In Epic, a 'soft credit' on a patient account typically means:
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.
What is the purpose of the 'Remittance Advice' document in Epic's billing workflow?
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.
In Epic revenue cycle, 'billing holds' prevent claims from being submitted because:
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.
Which of the following best describes 'claim scrubbing' in Epic?
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.
A patient has two active insurance plans. In Epic, which plan is billed first?
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.
What Epic function allows billing staff to resubmit a denied claim with corrections?
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.