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EPIC Training Exam 2025 (Newest Exam) | EPIC
Training Prep | EPIC Electronic Health Record
(EHR) System Effectively | Updated Version
What is covered under Part B benefits? a. Vaccinations b. Colorectal Cancer Screenings c. Yearly Mammogram Screenings and Pap Smears d. All are correct ---------CORRECT ANSWER-----------------D. All are correct What does co-insurance mean? ---------CORRECT ANSWER-----------------Percentage of money the patient pays to the hospital each time treatment is provided if the insurance does not pay in full If a 67-year old patient presents to the facility for routine services and they have Medicare as well as insurance from their employer Walmart, which insurance would be primary and why? ---------CORRECT ANSWER-----------------Insurance from their employer, because there are 20 or more employees Which criterion is not required for Medicare entitlement/eligibility? a. ERSD
b. Meeting Federal Poverty Level Guidelines c. Age of 65 d. Certain Qualifying Disabilities ---------CORRECT ANSWER-----------------B. Meeting Federal Poverty Guidelines Which OC should be entered for a Medicare patient that has retired from a job ---- -----CORRECT ANSWER----------------- 18 Which Medicare form is required to be signed by a Medicare patient admitted for observation? a. ABN b. MOON c. OBV d. IMFM ---------CORRECT ANSWER-----------------b. MOON Brandon is coming for spine surgery. Medicare will not pay for a certain part of his procedure. Which Medicare form must be completed and presented to Brandon for his selection and signature? a. MOON b. BAN c. ABN d. IMFM ---------CORRECT ANSWER-----------------c. ABN
You are scheduling a series of hospital outpatient visits for a patient. You are on the Recommended Solutions form. Hyperspace has selected 4 slots on a provider's schedule. The patient tells you that she will not be available for one of the appts. How can you change the date and time of the appointment? --------- CORRECT ANSWER-----------------Click the manual buttion True or False: The subscriber is always the Guarantor ---------CORRECT ANSWER---- -------------FALSE An example of a statement that you should NOT use when collecting money from a patient is: a. Do you want to pay? b. Here are some options for you... c. May I suggest... d. As a service to you.... ---------CORRECT ANSWER-----------------a. Do you want to pay? Malcom is 5 years old and was climbing a tree, a branch broke and he fell to the ground. He was rushed to the ER, and it was determined he broke his arm. His mother gives you his BCBS insurance card from his dad's employer. During the post MSE, and the card is inactive. Who is the guarantor on this encounter? --------
- CORRECT ANSWER-----------------Mother
A patient walks into the hospital with an order for an xray of the RT foot. The patient provides his MEdicare and Medicaid insurance cards. Which of the following codes would you NOT use on his acc upon completing full registration? a. TIVPC Primary insurance verified active b. TIVSC Secondary insurance verified active c. TLPVP Pt requested payment plan d. TLZNO Patient has no liability for service ---------CORRECT ANSWER----------------- c. TLPVP Pt requested payment plan Which of the following is the definition for TLCOL? ---------CORRECT ANSWER------- ----------Patient liability collected A patient states he has Medicare. You attempt to collect his 20% co-insurance of $200. The patient states he can only pay $100. You collect the payment of $100. Which of the following codes should you use for this situation? ---------CORRECT ANSWER-----------------TLPRT Partial patient liability collected Identify a key component to verifying patient benefits: a. Copay for procedure/Coinsurance for procedure b. Policy effective/covered benefit c. Both are correct d. Neither are correct ---------CORRECT ANSWER-----------------c. Both are correct
Which one of the following is responsible for any balance NOT covered by insurance? a. Patient b. Subscriber c. Guarantor d. Member ---------CORRECT ANSWER-----------------C. Guarantor What is the correct Occurrence code to use when registering a WC encounter? a. OC 11 b. OC 06 c. OC 03 d. OC 04 ---------CORRECT ANSWER-----------------d. OC 04 What is the OC for an auto accident that occurred in an at-fault state? --------- CORRECT ANSWER-----------------c. OC 01 _______ is associated with patient privacy and the electronic submission of claims. ---------CORRECT ANSWER-----------------HIPAA True or False: Two patients can be linked to the same guarantor account. --------- CORRECT ANSWER-----------------TRUE
True or False: You can use the Temporary Address tab to make sure a patient's bills are sent to an address other than their home address. ---------CORRECT ANSWER-----------------FALSE What makes up the Serve for Better model? ---------CORRECT ANSWER----------------
- Empathy, Quality, Experience, Completeness What is the purpose of EMTALA? ---------CORRECT ANSWER-----------------To ensure that patients who either present for treatment in the emergency room or in active labor are treated regardless of their ability to pay for the service. At what age does a patient become their own Guarantor? ---------CORRECT ANSWER----------------- 18 Select all the ways in which you can help to keep PHI private: a. Log off/Lock computer screens when not in use b. Shred documents containing PHI c. Lock file cabinets and drawers when PHI is present d. Avoid discussing sensitive info in public ---------CORRECT ANSWER----------------- A, B, C, D.
The primary purpose of the MSPQ is to determine: ---------CORRECT ANSWER------- ----------Whether or not another insurance is primary to Medicare George is registering a patient who presents with both a Medicare insurance card and a Medicare replacement insurance card. HE _____ enter both Medicare and the Replacement insurances ---------CORRECT ANSWER-----------------should not True or False: When registering a patient with insurance coverage, the patient's name on the claim form must match the name of the patient with the insurance company. ---------CORRECT ANSWER-----------------TRUE The form that Medicare eligible inpatients sign to acknowledge that they have been informed of their right to appeal their discharge is called: ---------CORRECT ANSWER-----------------IMFM - Important Message For Medicare When a patient is in a spend down, he/she is attempting to qualify for: --------- CORRECT ANSWER-----------------Medicaid
True or False: A patient's commercial insurance continues to pay primary to Medicare during the 30 month coordination period ---------CORRECT ANSWER------ -----------TRUE A patient may be dually entitled to Medicare based on: Age and Disability Age and ESRD Disability and ESRD ---------CORRECT ANSWER-----------------Age and ESRD Disability and ESRD True or False: Lawrence is registering a Medicare patient who sprained his ankle going down some steps. This accident info should be included in the MSPQ> ------- --CORRECT ANSWER-----------------TRUE True or False: Hunter, who is a 9-year old patient, owns/is the subscriber for his Medicaid insurance ---------CORRECT ANSWER-----------------TRUE This Medicaid program pays the patient's Medicare Part B premium only. --------- CORRECT ANSWER-----------------SLMB--Special Low Income Medicare Beneficiary If a guarantor account was once valid for a patient but is no longer valid, you should ____ the guarantor. ---------CORRECT ANSWER-----------------Deactivate
True or False: After typing a comment on a Flowsheet, the paper icon appears with lines on it? ---------CORRECT ANSWER-----------------True True or False: If you document a value incorrectly, the only way to change it is to add a new column? ---------CORRECT ANSWER-----------------False To enter the correct time for an assessment done an hour ago, what button should you click? ---------CORRECT ANSWER-----------------Insert column True or False: I can administer medications without scanning because it is a faster process? ---------CORRECT ANSWER-----------------False What can you use (instead of the slash key) to quickly document a blood pressure in Epic? ---------CORRECT ANSWER-----------------The space bar True or False: You can document a patient's intake and output in the intake and output activity? ---------CORRECT ANSWER-----------------False
You enter a patient's room and find that he vomited on the floor. In which Flowsheet row would you document this output? ---------CORRECT ANSWER--------- --------Emesis Occurence True or false: As a student RN you are required to have a co-signer behind your charting in Epic? ---------CORRECT ANSWER-----------------True True or False: Your patient has an order for 20 mg of Lisinopril. When you pull the med from the Pyxis it is supplied as two 10 mg tablets. Upon scanning the med in Epic you will need to manually update the dosage to reflect 20 mg? --------- CORRECT ANSWER-----------------False True or False: In Flowsheets the table of contents helps you quickly navigate to a group by clicking on its name? ---------CORRECT ANSWER-----------------True True or False: Each column on the Flowsheet represents a specific date and time that data was filed? ---------CORRECT ANSWER-----------------True True or False: You can document medication administration in the future for your patient? ---------CORRECT ANSWER-----------------False
True or False: The scanning process will ALWAYS prevent you from entering another patient's medication? ---------CORRECT ANSWER-----------------False What is the NPI Number? ---------CORRECT ANSWER----------------- 1508815333 Where do you find a patient? ---------CORRECT ANSWER-----------------Account Maintenance What is the TAX ID ---------CORRECT ANSWER----------------- 150532254 What is the surcharge for New York? ---------CORRECT ANSWER-----------------9.63% What is New York's domestic payer for BCBS? ---------CORRECT ANSWER-------------- ---Excellus What does DOR stand for? ---------CORRECT ANSWER-----------------Designation of an authorized representative
Do Guarantor records hold insurance info? ---------CORRECT ANSWER----------------- No Personal, Dental, ________, No fault, Dental are all types of Guarantor Records --- ------CORRECT ANSWER-----------------Behavioral Health What is the blue link under words? ---------CORRECT ANSWER----------------- Hyperlink Under what can you term insurance coverage. Subscriber info, Coverage info, or Guarantor info? ---------CORRECT ANSWER-----------------Coverage Info What is the last step before sending a claim to the clearing house? --------- CORRECT ANSWER-----------------Claim Edit What is user error 100? ---------CORRECT ANSWER-----------------Registration Error What is user error 200? ---------CORRECT ANSWER-----------------Biller Error
What HAR status is when the patient has been discharged from the facility and the claim is generated? ---------CORRECT ANSWER-----------------DNB What does DNB stand for? ---------CORRECT ANSWER-----------------Do not bill What stores information including charges, adjustments, payments, refunds? ------ ---CORRECT ANSWER-----------------HAR Where do you update the patients information? ---------CORRECT ANSWER---------- -------Registration Can you pull demographic information from another account? ---------CORRECT ANSWER-----------------Yes Where do you find the insurance information? ---------CORRECT ANSWER------------ -----Coverage info Can you term insurance ---------CORRECT ANSWER-----------------
What is min days? ---------CORRECT ANSWER-----------------Min. number of days between discharge and initiate billing. What point in the billing cycle will you attempt to bill the HAR? ---------CORRECT ANSWER-----------------Initiate Billing Does a patient need a hospital account to check in? ---------CORRECT ANSWER------ -----------Yes What HAR status is when a patient is admitted? ---------CORRECT ANSWER----------- ------Open What charges are posted after the HAR is billed? ---------CORRECT ANSWER---------- -------Late Charges After a patient is discharged the HAR status changes from open to _________ ----- ----CORRECT ANSWER-----------------DNB A series of checks to make sure all necessary information is present and the account is eligible to bill is called? ---------CORRECT ANSWER-----------------Claim Edits
