Epic Training Latest 2026-2027 Exams — Verified Questions and Answers |
SmartTools, Chart Review, Orders, Notes & Patient Management With
Explained Rationales || Graded A+ || 100% Pass ||Brandnew!!!!!!!!!
What is the best definition of preadmission?
A. The process of discharging a patient
B. Gathering information before patient arrival
C. Assigning a room after admission
D. Billing a completed encounter
Answer: B. Gathering information before patient arrival
Rationale: Preadmission refers to collecting essential patient data (insurance, history,
demographics, authorization) before the patient physically arrives. This improves workflow
efficiency and ensures registration and clinical readiness are complete ahead of time.
What does a patient workqueue represent?
A. A list of completed discharges
B. A list of patient encounters requiring follow-up
C. A billing report only
D. A medication administration list
Answer: B. A list of patient encounters requiring follow-up
Rationale: A workqueue is a task management tool that organizes patient encounters
needing attention. It helps staff track incomplete registrations, missing documentation, or
pending actions that require follow-up.
What is the purpose of RTE (Real Time Eligibility)?
A. Assign beds to patients
B. Check insurance coverage instantly
C. Discharge patients faster
D. Schedule surgeries
Answer: B. Check insurance coverage instantly
Rationale: RTE verifies a patient’s insurance eligibility in real time, ensuring coverage is
active and valid before services are provided. This reduces claim denials and improves
financial workflow accuracy.
Which event indicates a patient has arrived for a hospital outpatient visit?
A. Admission event
B. Transfer event
C. HOV event
, D. Discharge event
Answer: C. HOV event
Rationale: HOV (Hospital Outpatient Visit) indicates the patient has physically arrived for
outpatient services such as radiology, dialysis, or physical therapy. It marks the beginning of
outpatient encounter tracking.
What does a transfer event indicate?
A. Patient has been discharged
B. Patient has moved between beds
C. Patient arrived for outpatient care
D. Insurance was updated
Answer: B. Patient has moved between beds
Rationale: A transfer event occurs when an admitted patient moves from one room or bed
to another within the facility. It does not end the encounter but updates location tracking.
What is the function of the guarantor in hospital billing?
A. The physician responsible for care
B. The insurance company
C. The person responsible for payment
D. The nurse assigned to the patient
Answer: C. The person responsible for payment
Rationale: The guarantor is the individual legally responsible for paying any remaining
balance after insurance processing. This ensures billing accountability for patient accounts.
What does HAR (Hospital Account Record) determine?
A. Room assignments only
B. Which coverages are billed and which guarantors are charged
C. Medication orders
D. Lab test results
Answer: B. Which coverages are billed and which guarantors are charged
Rationale: HAR organizes billing logic by determining which insurance plans are billed first
and which guarantor is responsible for remaining charges. It is central to revenue cycle
management.
What is the purpose of preauthorization?
A. Assign a patient room
B. Approve specific medical services before delivery
SmartTools, Chart Review, Orders, Notes & Patient Management With
Explained Rationales || Graded A+ || 100% Pass ||Brandnew!!!!!!!!!
What is the best definition of preadmission?
A. The process of discharging a patient
B. Gathering information before patient arrival
C. Assigning a room after admission
D. Billing a completed encounter
Answer: B. Gathering information before patient arrival
Rationale: Preadmission refers to collecting essential patient data (insurance, history,
demographics, authorization) before the patient physically arrives. This improves workflow
efficiency and ensures registration and clinical readiness are complete ahead of time.
What does a patient workqueue represent?
A. A list of completed discharges
B. A list of patient encounters requiring follow-up
C. A billing report only
D. A medication administration list
Answer: B. A list of patient encounters requiring follow-up
Rationale: A workqueue is a task management tool that organizes patient encounters
needing attention. It helps staff track incomplete registrations, missing documentation, or
pending actions that require follow-up.
What is the purpose of RTE (Real Time Eligibility)?
A. Assign beds to patients
B. Check insurance coverage instantly
C. Discharge patients faster
D. Schedule surgeries
Answer: B. Check insurance coverage instantly
Rationale: RTE verifies a patient’s insurance eligibility in real time, ensuring coverage is
active and valid before services are provided. This reduces claim denials and improves
financial workflow accuracy.
Which event indicates a patient has arrived for a hospital outpatient visit?
A. Admission event
B. Transfer event
C. HOV event
, D. Discharge event
Answer: C. HOV event
Rationale: HOV (Hospital Outpatient Visit) indicates the patient has physically arrived for
outpatient services such as radiology, dialysis, or physical therapy. It marks the beginning of
outpatient encounter tracking.
What does a transfer event indicate?
A. Patient has been discharged
B. Patient has moved between beds
C. Patient arrived for outpatient care
D. Insurance was updated
Answer: B. Patient has moved between beds
Rationale: A transfer event occurs when an admitted patient moves from one room or bed
to another within the facility. It does not end the encounter but updates location tracking.
What is the function of the guarantor in hospital billing?
A. The physician responsible for care
B. The insurance company
C. The person responsible for payment
D. The nurse assigned to the patient
Answer: C. The person responsible for payment
Rationale: The guarantor is the individual legally responsible for paying any remaining
balance after insurance processing. This ensures billing accountability for patient accounts.
What does HAR (Hospital Account Record) determine?
A. Room assignments only
B. Which coverages are billed and which guarantors are charged
C. Medication orders
D. Lab test results
Answer: B. Which coverages are billed and which guarantors are charged
Rationale: HAR organizes billing logic by determining which insurance plans are billed first
and which guarantor is responsible for remaining charges. It is central to revenue cycle
management.
What is the purpose of preauthorization?
A. Assign a patient room
B. Approve specific medical services before delivery
