EPIC RPB 390 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

EPIC RPB 390 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 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 - Answers B. Expected Reimbursement Amount 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 - Answers C. Billed Amount 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 - Answers A. Allowed Amount 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 - Answers D. Not Allowed Amount (T/F) When importing Fee Schedules, you must create a text file before loading the data into Epic. - Answers True 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 - Answers A. Follow-up workqueues 60432‐ Mult Px ‐ No Automation ‐ Reimbursement Contract: - Answers 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. 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 - Answers C. Percent of Fee Schedule What type of record is used to calculate the expected reimbursement amount for case rate contract terms? A. Component Group B. Fee Schedule C. Extension D. Component - Answers C. Extension (T/F) The Applies to tab of a reimbursement contract is contact-specific. - Answers False Which environment is used to test out your reimbursement contracts after being moved from POC? A. TST B. POC C. SUP D. PRD - Answers A. TST (T/F) Reimbursement Contracts affect the billing amount/price. - Answers False This amount is written off and is the difference between the allowed amount and the billed amount. A. Not allowed amount B. Billed amount C. Expected reimbursement amount D. Allowed amount - Answers A. Not allowed amount The PRICE of a charge sent out on the claim to the payer. - Answers Billed amount The amount built in your reimbursement contract that you EXPECT to collect. - Answers Expected reimbursement amount Actual COLLECTABLE amount on the EOB from a payer. - Answers Allowed Amount The DIFFERENCE between the allowed amount and the billed amount that is WRITTEN OFF. - Answers Not allowed amount (T/F) When a contracted payer pays a claim, the allowed amount from the reimbursement contract automatically populates the Allowed field for manual payment posting. - Answers True POC or Proof of Concept - Answers Used to complete initial build. Build from this environment is sent to TST using the Data Courier tool. TST, or Test - Answers Test build before sending to PRD. PRD, or Production - Answers Live environment SUP, or Support - Answers Troubleshooting. Produced as a nightly copy of PRD. Also used to test build on real patient data befor it's migrated to PRD. PJX, or Projects - Answers Used for running reports that require production-based data. Great for contract modeling. Can be refreshed. In order for a contractual adjustment to occur, a charge needs to have both ___ and ____ - Answers Price & Expected reimbursement amount. In which environment do end users perform their daily workflows? Choose ONLY one: A. POC B. TST C. SUP D. PRD - Answers D. PRD (T/F) All initial build is typically completed in the TST environment. - Answers False What records created from Registration are needed to test Reimbursement contract build? Choose ALL that apply. A. Patient B. Guarantor Account C. Coverage - Answers All the above The General Settings tab - Answers controls high-level configuration options for your contract. The Applies To tab determines - Answers Which charge sessions your contract will qualify for. When determining whether a reimbursement contract should be applied to any charge, the system compares the information on the _____ to the_____ - Answers Applies To tab & characteristics of the specific charge session Characteristics within one item, Example: payer - Answers OR relationship Characteristics between items, Example payer & provider - Answers AND relationship On which tab of the reimbursement contract do you configure when the write‐off is posted? Choose only ONE answer: A. General Settings B. Applies To C. Service Components D. Further Reductions - Answers A. General Settings When a charge qualifies for multiple reimbursement contracts, which setting helps determine which contract is considered highest priority? Choose ONLY one answer: A. Rule of Specificity B. Reimbursement Contract Precedence