EPIC COG230 REVENUE DATA MODEL EXAM BANK AND A NEW
UPDATED STUDY GUIDE LATEST 2026/2027 COMPLETE ACCURATE EXAM
ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS
1. A healthcare organization wants to analyze outstanding money that it
expects to collect from patients, insurers, or other responsible parties after
services have been provided. Which concept in the Epic Revenue Data
Model most directly represents this financial position?
A) Accounts Receivable
B) Encounter Department
C) Provider Specialty
D) Patient Class
Answer: A
2. A revenue analyst is reviewing the fundamental transaction categories used
to explain changes to an account’s financial balance. Which combination
correctly identifies the three major transaction types?
A) Encounters, diagnoses, and procedures
B) Charges, payments, and adjustments
C) Payers, plans, and subscribers
D) Claims, denials, and remittances
Answer: B
3. A hospital performs a billable service for a patient and records an amount
that increases the amount owed on the account. Which type of transaction
has occurred?
A) Payment
B) Credit adjustment
C) Charge
D) Refund
Answer: C
4. A billing analyst is reviewing a transaction generated after money is
received from an insurance company and posted against an outstanding
pg. 1
, balance. Which transaction type should the analyst identify?
A) Charge
B) Payment
C) Debit adjustment
D) Revenue correction
Answer: B
5. A financial analyst needs to explain why adjustments are important when
analyzing accounts receivable. Which statement best describes an
adjustment?
A) It represents only money received from a payer.
B) It represents only services performed by a provider.
C) It changes the accounts receivable balance through a credit or debit
adjustment.
D) It identifies the insurance company responsible for a claim.
Answer: C
6. A health system agrees with an insurer that a portion of a billed amount will
not be collected because of contractual terms. Which transaction most
appropriately represents this reduction in accounts receivable?
A) Contractual write-off
B) Patient charge
C) Insurance payment
D) New claim
Answer: A
7. A patient previously paid an amount that was later determined not to have
been owed, and the organization returns the money to the patient. How
should this transaction generally be characterized?
A) Credit adjustment
B) Charge
C) Debit adjustment
D) Insurance payment
Answer: C
pg. 2
, 8. A revenue analyst is reviewing the accounting effect of debits and credits
within the revenue data model. Which statement is correct?
A) Debits decrease accounts receivable and credits increase it.
B) Debits increase accounts receivable and credits decrease it.
C) Both debits and credits always increase accounts receivable.
D) Neither debits nor credits affect accounts receivable.
Answer: B
9. An analyst wants to understand the purpose of a Hospital Account,
commonly abbreviated HAR, when reviewing revenue-cycle information.
Which description is most appropriate?
A) It stores only provider demographic information.
B) It identifies only the patient's insurance company.
C) It collects and centralizes financial and encounter-related information
associated with the account.
D) It stores only clinical documentation from the patient's visit.
Answer: C
10. A patient has several encounters and financial transactions that need to be
connected to a central billing record. Which Epic concept is most useful for
organizing these revenue-related transactions?
A) Hospital Account
B) Provider Master
C) Department Record
D) Diagnosis Group
Answer: A
11. An analyst is asked to describe an insurance coverage record in terms of its
fundamental components. Which combination best represents the three
components of an insurance coverage?
A) Guarantor, encounter, and department
B) Payer, plan, and subscriber
C) Provider, diagnosis, and procedure
pg. 3
, D) Account, claim, and payment
Answer: B
12. A report identifies an insurance organization that provides coverage for a
patient. Which component of the insurance relationship does this
organization represent?
A) Subscriber
B) Guarantor
C) Payer
D) Patient class
Answer: C
13. A patient is enrolled in a specific set of insurance benefits that determines
covered services and financial rules. Which component is being described?
A) Insurance plan
B) Insurance payer
C) Guarantor
D) Provider
Answer: A
14. A patient receives health insurance through an employer, and the employee
is listed as the policy holder. Which insurance component does the policy
holder represent?
A) Payer
B) Subscriber
C) Guarantor
D) Bill area
Answer: B
15. A patient receives services but another individual is ultimately responsible
for paying the account balance. Which concept identifies the party
financially responsible for the balance?
A) Subscriber
B) Payer
C) Guarantor
pg. 4
UPDATED STUDY GUIDE LATEST 2026/2027 COMPLETE ACCURATE EXAM
ACTUAL QUESTIONS AND CORRECT DETAILED ANSWERS
1. A healthcare organization wants to analyze outstanding money that it
expects to collect from patients, insurers, or other responsible parties after
services have been provided. Which concept in the Epic Revenue Data
Model most directly represents this financial position?
A) Accounts Receivable
B) Encounter Department
C) Provider Specialty
D) Patient Class
Answer: A
2. A revenue analyst is reviewing the fundamental transaction categories used
to explain changes to an account’s financial balance. Which combination
correctly identifies the three major transaction types?
A) Encounters, diagnoses, and procedures
B) Charges, payments, and adjustments
C) Payers, plans, and subscribers
D) Claims, denials, and remittances
Answer: B
3. A hospital performs a billable service for a patient and records an amount
that increases the amount owed on the account. Which type of transaction
has occurred?
A) Payment
B) Credit adjustment
C) Charge
D) Refund
Answer: C
4. A billing analyst is reviewing a transaction generated after money is
received from an insurance company and posted against an outstanding
pg. 1
, balance. Which transaction type should the analyst identify?
A) Charge
B) Payment
C) Debit adjustment
D) Revenue correction
Answer: B
5. A financial analyst needs to explain why adjustments are important when
analyzing accounts receivable. Which statement best describes an
adjustment?
A) It represents only money received from a payer.
B) It represents only services performed by a provider.
C) It changes the accounts receivable balance through a credit or debit
adjustment.
D) It identifies the insurance company responsible for a claim.
Answer: C
6. A health system agrees with an insurer that a portion of a billed amount will
not be collected because of contractual terms. Which transaction most
appropriately represents this reduction in accounts receivable?
A) Contractual write-off
B) Patient charge
C) Insurance payment
D) New claim
Answer: A
7. A patient previously paid an amount that was later determined not to have
been owed, and the organization returns the money to the patient. How
should this transaction generally be characterized?
A) Credit adjustment
B) Charge
C) Debit adjustment
D) Insurance payment
Answer: C
pg. 2
, 8. A revenue analyst is reviewing the accounting effect of debits and credits
within the revenue data model. Which statement is correct?
A) Debits decrease accounts receivable and credits increase it.
B) Debits increase accounts receivable and credits decrease it.
C) Both debits and credits always increase accounts receivable.
D) Neither debits nor credits affect accounts receivable.
Answer: B
9. An analyst wants to understand the purpose of a Hospital Account,
commonly abbreviated HAR, when reviewing revenue-cycle information.
Which description is most appropriate?
A) It stores only provider demographic information.
B) It identifies only the patient's insurance company.
C) It collects and centralizes financial and encounter-related information
associated with the account.
D) It stores only clinical documentation from the patient's visit.
Answer: C
10. A patient has several encounters and financial transactions that need to be
connected to a central billing record. Which Epic concept is most useful for
organizing these revenue-related transactions?
A) Hospital Account
B) Provider Master
C) Department Record
D) Diagnosis Group
Answer: A
11. An analyst is asked to describe an insurance coverage record in terms of its
fundamental components. Which combination best represents the three
components of an insurance coverage?
A) Guarantor, encounter, and department
B) Payer, plan, and subscriber
C) Provider, diagnosis, and procedure
pg. 3
, D) Account, claim, and payment
Answer: B
12. A report identifies an insurance organization that provides coverage for a
patient. Which component of the insurance relationship does this
organization represent?
A) Subscriber
B) Guarantor
C) Payer
D) Patient class
Answer: C
13. A patient is enrolled in a specific set of insurance benefits that determines
covered services and financial rules. Which component is being described?
A) Insurance plan
B) Insurance payer
C) Guarantor
D) Provider
Answer: A
14. A patient receives health insurance through an employer, and the employee
is listed as the policy holder. Which insurance component does the policy
holder represent?
A) Payer
B) Subscriber
C) Guarantor
D) Bill area
Answer: B
15. A patient receives services but another individual is ultimately responsible
for paying the account balance. Which concept identifies the party
financially responsible for the balance?
A) Subscriber
B) Payer
C) Guarantor
pg. 4
