EPIC TRAINING WITH CORRECT
QUESTIONS AND ANSWERS
From3the3list3below,3select3the3appropriate3forms3of3primary3photo3ID3(Select3AL
L3that3that3apply).
a.3Driver's3License
b.3Passport
c.3Work3ID
d.3MIlitary3ID
e.3State3ID3-3answer-a.3Driver's3License
b.3Passport
d.3Military3ID
e.3State3ID
Which3one3of3the3following3is3responsible3for3any3balance3NOT3covered3by3insur
ance?
a.3Patient
b.3Subscriber
c.3Guarantor
d.3Member3-3answer-C.3Guarantor
What3is3the3correct3Occurrence3code3to3use3when3registering3a3WC3encounter?
a.3OC311
b.3OC306
c.3OC303
d.3OC3043-3answer-d.3OC304
What3is3the3OC3for3an3auto3accident3that3occurred3in3an3at-fault3state?3-
3answer-c.3OC301
_______3is3associated3with3patient3privacy3and3the3electronic3submission3of3claim
s.3-3answer-HIPAA
True3or3False:3Two3patients3can3be3linked3to3the3same3guarantor3account.3-
3answer-TRUE
True3or3False:3You3can3use3the3Temporary3Address3tab3to3make3sure3a3patient'
s3bills3are3sent3to3an3address3other3than3their3home3address.3-3answer-FALSE
What3makes3up3the3Serve3for3Better3model?3-3answer-
Empathy,3Quality,3Experience,3Completeness
, What3is3the3purpose3of3EMTALA?3-3answer-
To3ensure3that3patients3who3either3present3for3treatment3in3the3emergency3room
3or3in3active3labor3are3treated3regardless3of3their3ability3to3pay3for3the3service.
At3what3age3does3a3patient3become3their3own3Guarantor?3-3answer-18
Select3all3the3ways3in3which3you3can3help3to3keep3PHI3private:
a.3Log3off/Lock3computer3screens3when3not3in3use
b.3Shred3documents3containing3PHI
c.3Lock3file3cabinets3and3drawers3when3PHI3is3present
d.3Avoid3discussing3sensitive3info3in3public3-3answer-A,3B,3C,3D.
A3patient3presents3to3the3facility3for3services.3He3is3covered3by3his3own3Cigna3i
nsurance3that3he3has3through3his3job,3and3he3also3has3BCBS3coverage3through
3is3wife's3employer.3Which3insurance3is3primary3and3why?
A.3Cigna--subscriber3rule
B.3BCBS--Birthday3rule
C.3Cigna--subscriber/insured3rule3
d.3BCBS--custody3rule3-3answer-C.3Cigna--subscriber/insured3rule
What3is3the3birthday3rule?3-3answer-
The3parent3whose3birthday3comes3first3in3the3year3has3the3primary3insurance
What3is3a3copay?3-3answer-
A3fixed3amount3to3be3paid3each3time3the3patient3receives3services
What3is3an3Advance3Directive?3-3answer-
A3legal3document3in3the3form3of3a3living3will3or3a3DPOA3stating3the3patient's3wi
shes3or3designates3someone3to3make3healthcare3decisions3if3the3patient3cannot3
communicate
Getting3our3patient's3need3to3know3info,3falls3under3which3step3of3the3registration
3roadmap?3-3answer-Gathering3the3basics
The3primary3purpose3of3the3MSPQ3is3to3determine:3-3answer-
Whether3or3not3another3insurance3is3primary3to3Medicare
George3is3registering3a3patient3who3presents3with3both3a3Medicare3insurance3car
d3and3a3Medicare3replacement3insurance3card.3HE3_____3enter3both3Medicare3a
nd3the3Replacement3insurances3-3answer-should3not
True3or3False:3When3registering3a3patient3with3insurance3coverage,3the3patient's3
name3on3the3claim3form3must3match3the3name3of3the3patient3with3the3insurance
3company.3-3answer-TRUE
QUESTIONS AND ANSWERS
From3the3list3below,3select3the3appropriate3forms3of3primary3photo3ID3(Select3AL
L3that3that3apply).
a.3Driver's3License
b.3Passport
c.3Work3ID
d.3MIlitary3ID
e.3State3ID3-3answer-a.3Driver's3License
b.3Passport
d.3Military3ID
e.3State3ID
Which3one3of3the3following3is3responsible3for3any3balance3NOT3covered3by3insur
ance?
a.3Patient
b.3Subscriber
c.3Guarantor
d.3Member3-3answer-C.3Guarantor
What3is3the3correct3Occurrence3code3to3use3when3registering3a3WC3encounter?
a.3OC311
b.3OC306
c.3OC303
d.3OC3043-3answer-d.3OC304
What3is3the3OC3for3an3auto3accident3that3occurred3in3an3at-fault3state?3-
3answer-c.3OC301
_______3is3associated3with3patient3privacy3and3the3electronic3submission3of3claim
s.3-3answer-HIPAA
True3or3False:3Two3patients3can3be3linked3to3the3same3guarantor3account.3-
3answer-TRUE
True3or3False:3You3can3use3the3Temporary3Address3tab3to3make3sure3a3patient'
s3bills3are3sent3to3an3address3other3than3their3home3address.3-3answer-FALSE
What3makes3up3the3Serve3for3Better3model?3-3answer-
Empathy,3Quality,3Experience,3Completeness
, What3is3the3purpose3of3EMTALA?3-3answer-
To3ensure3that3patients3who3either3present3for3treatment3in3the3emergency3room
3or3in3active3labor3are3treated3regardless3of3their3ability3to3pay3for3the3service.
At3what3age3does3a3patient3become3their3own3Guarantor?3-3answer-18
Select3all3the3ways3in3which3you3can3help3to3keep3PHI3private:
a.3Log3off/Lock3computer3screens3when3not3in3use
b.3Shred3documents3containing3PHI
c.3Lock3file3cabinets3and3drawers3when3PHI3is3present
d.3Avoid3discussing3sensitive3info3in3public3-3answer-A,3B,3C,3D.
A3patient3presents3to3the3facility3for3services.3He3is3covered3by3his3own3Cigna3i
nsurance3that3he3has3through3his3job,3and3he3also3has3BCBS3coverage3through
3is3wife's3employer.3Which3insurance3is3primary3and3why?
A.3Cigna--subscriber3rule
B.3BCBS--Birthday3rule
C.3Cigna--subscriber/insured3rule3
d.3BCBS--custody3rule3-3answer-C.3Cigna--subscriber/insured3rule
What3is3the3birthday3rule?3-3answer-
The3parent3whose3birthday3comes3first3in3the3year3has3the3primary3insurance
What3is3a3copay?3-3answer-
A3fixed3amount3to3be3paid3each3time3the3patient3receives3services
What3is3an3Advance3Directive?3-3answer-
A3legal3document3in3the3form3of3a3living3will3or3a3DPOA3stating3the3patient's3wi
shes3or3designates3someone3to3make3healthcare3decisions3if3the3patient3cannot3
communicate
Getting3our3patient's3need3to3know3info,3falls3under3which3step3of3the3registration
3roadmap?3-3answer-Gathering3the3basics
The3primary3purpose3of3the3MSPQ3is3to3determine:3-3answer-
Whether3or3not3another3insurance3is3primary3to3Medicare
George3is3registering3a3patient3who3presents3with3both3a3Medicare3insurance3car
d3and3a3Medicare3replacement3insurance3card.3HE3_____3enter3both3Medicare3a
nd3the3Replacement3insurances3-3answer-should3not
True3or3False:3When3registering3a3patient3with3insurance3coverage,3the3patient's3
name3on3the3claim3form3must3match3the3name3of3the3patient3with3the3insurance
3company.3-3answer-TRUE