EPIC RPB390 Questions with Correct Solutions
Question:
1. Your reimbursement contract build calculates you will be able to receive $64.00 from the
payer and patient. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
B. Expected Reimbursement Amount
Question:
2. A charge post with a price of $77.00. This is the _________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
C. Billed Amount
Question:
3. The payer's calculation matches your contract and the payer agrees that you should be able
to collect $64. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
A. Allowed Amount
Question:
4. The difference between the price of the charge and what the payer agrees that you should
be able to collect is $13.00. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
, Answer:
D. Not Allowed Amount
Question:
5. (T/F) When importing Fee Schedules, you must create a text file before loading the data
into Epic.
Answer:
True
Question:
6. Professional Billing underpayments are worked from which type of workqueues:
A. Follow-up workqueues
B. Account Workqueues
C. Retro Review Workqueues.
D. Claim Edit Workqueues
Answer:
A. Follow-up workqueues
Question:
7. 60432‐ Mult Px ‐ No Automation ‐ Reimbursement Contract:
Answer:
The system doesn't automatically apply modifiers or adjust expected reimbursement based on
multiple procedure logic, but expected reimbursement is adjusted if a user manually enters a
modifier.
Question:
8. Your payer will reimburse you 85% of the Medicare Fee Schedule for services performed in
the Family Medicine Department. Which payment mechanism should be used on the service
components tab?
A. Percent of Billed
B. Fee Schedule
C. Percent of Fee Schedule
Answer:
C. Percent of Fee Schedule
Question:
1. Your reimbursement contract build calculates you will be able to receive $64.00 from the
payer and patient. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
B. Expected Reimbursement Amount
Question:
2. A charge post with a price of $77.00. This is the _________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
C. Billed Amount
Question:
3. The payer's calculation matches your contract and the payer agrees that you should be able
to collect $64. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
Answer:
A. Allowed Amount
Question:
4. The difference between the price of the charge and what the payer agrees that you should
be able to collect is $13.00. This is the ________________. Choose only ONE answer.
A. Allowed Amount
B. Expected Reimbursement Amount
C. Billed Amount
D. Not Allowed Amount
, Answer:
D. Not Allowed Amount
Question:
5. (T/F) When importing Fee Schedules, you must create a text file before loading the data
into Epic.
Answer:
True
Question:
6. Professional Billing underpayments are worked from which type of workqueues:
A. Follow-up workqueues
B. Account Workqueues
C. Retro Review Workqueues.
D. Claim Edit Workqueues
Answer:
A. Follow-up workqueues
Question:
7. 60432‐ Mult Px ‐ No Automation ‐ Reimbursement Contract:
Answer:
The system doesn't automatically apply modifiers or adjust expected reimbursement based on
multiple procedure logic, but expected reimbursement is adjusted if a user manually enters a
modifier.
Question:
8. Your payer will reimburse you 85% of the Medicare Fee Schedule for services performed in
the Family Medicine Department. Which payment mechanism should be used on the service
components tab?
A. Percent of Billed
B. Fee Schedule
C. Percent of Fee Schedule
Answer:
C. Percent of Fee Schedule
