EPIC OR350 FINAL EXAM TEST WITH LATEST UPDATED QUESTIONS AND ANSWERS 2026

EPIC OR350 FINAL EXAM TEST WITH LATEST UPDATED QUESTIONS AND ANSWERS 2026 What are the appropriate forms of primary photo ID - -DL, passport, military ID, state ID Who is responsible for any balance not covered by insurance - -Guarantor What is the correct occurrence code for an auto accident that occurred in an at-fault state - -01 What is the correct occurrence code to use when registering a Workers comp encounter - -04 What term is associated with patient privacy and the electronic submission of claims - HIPAA Two patients can be linked to the same guarantor account - -True You can use the temporary address to make sure a pt's bills are sent to an address other than their home address - -False What is the purpose of EMTALA - -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 What makes up the Serve for Better model - -Empathy, Quality, Experience, Completeness What are the Conifer core models - -Service, Integrity, Unity, Respect Key components to verify patient benefits - -Copayment for procedure, coinsurance for procedure, policy effective, covered benefit Informing a pt of how long the registration process will take falls under which AIDET fundamental - -Duration Which ways can you help to keep PHI private - -log off/lock computers screens when not in use, shred documents containing PHI, lock file cabinets and drawers when PHI is present, Avoid discussing sensitive information in public A patient presents to the facility for services. He is covered by his own Cigna insurance that he has through his job, and he also has BCBS coverage through his wife's EPIC EPIC employer. Which insurance is primary and why - -Cigna, because of the subscriber/insured rule What is the Birthday Rule - -The parent whose birthday comes first in the year has the primary insurance What is a copay - -A fixed amount to be paid each time the patient receives services What is an Advanced Directive - -A legal document in the form of a living will or a DPOA stating the patient's wishes or designates someone to make healthcare decisions if the patient cannot communicate Getting our pt's need to know information, falls under which step of the Registration Roadmap - -Gathering the basics The primary purpose of the MSPQ is to determine - -whether or not another insurance is primary to medicare George is registering a pt who presents with both a medicare and a medicare replacement plan. He ______________ enter both medicare and the replacement plan - -should not 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 - -True The form that Medicare eligible inpatients sign to acknowledge that they have been informed of their right to appeal their discharge is called: - -IMFM (Important Message from Medicare) When a patient is in a spend down, he/she is attempting to qualify for - -Medicaid A pt's commercial insurance continues to pay primary to Medicare during the 30 month coordination period - -True A pt may be dually entitled to Medicare based on - -Age and ESRD Disability and ESRD Lawrence is registering a Medicare pt who sprained his ankle going down some steps. This accident information should be included in the MSPQ - -True Hunter, who is a 9 year old pt, owns/is the subscriber for his Medicaid insurance - -True This Medicaid program pays the pt's Medicare Part B premium only - -SLMB (Special Law income Medicare Beneficiary) EPIC EPIC What is covered under Part B benefits - -Vaccinations, colorectal cancer screenings, yearly mammogram screenings and pap smears What does the term co-insurance mean - -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 from Walmart, which insurance would be primary and why - -Insurance from their employer because there are 20 or more employees Which criterion is not a requirement for Medicare entitlement/eligibility - -Meeting federal poverty level guidelines Which occurrence code should be entered for a Medicare pt that has retired from a job - -18 Which Medicare form is required to be signed by a Medicare pt admitted for observation - -MOON (Medicare Outpatient Observation Notice) Brandon is coming in 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 - -ABN (Advanced Beneficiary Notice) If a guarantor account was once valid for a pt, but is no longer valid, you should ________ the guarantor - -Deactivate If a coverage was once valid but is no longer valid for the pt, you should _________ the coverage - -Terminate An "E-Verified" response ALWAYS means the registrar added the correct plan - -False Sally and Theodore share a coverage record. Theodore is the subscriber of the coverage: Terminating the coverage for Sally will also terminate it for Theodore - -False What is the purpose of the Private Encounter field - -To flag an individual encounter as private If a coverage was created in error and needs to be removed from a pt's encounter, enter a date of 01/01/1900 in both the Member eff from: and Member eff to: fields so that the encounter will appear on a supervisor's work queue for review - -True What information can be found in the Encounter Guarantor and Coverages area of a pt's chart - -Guarantor and Coverage info EPIC EPIC for a hospital account what does the filing order determine? - -The order the insurance companies will be sent claims Each guarantor account can only have one guarantor - -False A patient comes in for an appointment and during registration states that they do not want their email address listed on file. What is the correct email address to list in the patient's account - - The subscriber is always the guarantor - -False An example of a statement that you should NOT use when collecting money from a pt is - -Do you want to pay? Malcolm 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 that he broke his arm. His mother gives you his BCBS insurance card from his dad's employer. During the post MSE, you check eligibility and the card is inactive. Who is the guarantor on this encounter - -Mother A pt walks in to the hospital with an order of an x-ray of the right foot. The pt hands you his Medicare and Medicaid insurance cards. Which of the following codes would you NOT use on his account upon completing the full registration A. Primary insurance verified active (TIVPC) B. Secondary insurance verified active (TIVSC) C. Pt requested payment plan (TLPYP) D. Pt has no liability for service (TLZNO) - -C What is the definition for TLCOL - -Patient liability collected A patient states he has a 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. What codes should you use for this situation - -TLPRT (Partial payment liability collected)