RPB390 Epic Certification FINAL
EXAM 2025 COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% GUARANTEED PASS!!)
||ALREADY GRADED<<BRAND NEW
VERSION>>
From which type of workqueue are underpayments worked? Choose ONLY one
answer:
A. Payment Posting Workqueues
B. Follow‐up Workqueues
C. Charge Review
D. PB Contract Workqueues - ANSWER ✓ B. Follow Up Work queues
Expected reimbursement amount - ANSWER ✓ The amount built in your
reimbursement contract that you expect to collect.
Allowed amount - ANSWER ✓ The maximum amount an insurer will pay for any
given service.
Actual collectable amount on the EOB from a payer.
Not allowed amount - ANSWER ✓ difference between billed amount and allowed
amount
The difference between the allowed amount and the billed amount that is written
off.
In order to report on underpayments for the past year, which report would you
use? Choose only ONE answer:
A. Reimbursement Underpayment Detail Report
B. Contract Variances Report - ANSWER ✓ A. Reimbursement Underpayment
Detail Report
,allows reporting of more than a three month period.
Reimbursement Contract Underpayment Detail Report - ANSWER ✓ The
Reimbursement Underpayment Detail Report helps you track underpayments on all
charges for a range of service dates.
The report provides a listing of all charges with a service date in a given date range
and displays data regarding if reimbursement was made at the appropriate rate.
This report is a Clarity report and is best used for long term trending data.
Contract Variance Report - ANSWER ✓ The Contract Variance Report is a
Reporting Workbench Report run by a user in real‐time out of Hyperspace. You
can use this report as a tool to help you convince payers to meet their payment
obligations by showing them how successful or unsuccessful they were at
reimbursing your organization for contracted services.
This report compares the amounts that you were reimbursed with the amount you
were entitled to be reimbursed according to your reimbursement contracts in effect
at the time.
This report can be used to export underpayments on a regular basis to the payer.
Underpayment follow‐up workqueue - ANSWER ✓ Instant visual notification of
mass underpayments ﴾the workqueue will get flooded after a remit load of
underpayments﴿
Workqueues need to be worked regularly; large numbers of unworked records
could cause volume issues
Require manual completion of the underpayments from the workqueue
Need a designated staff/team to work on a day‐to‐day basis
Beneficial if you have a relationship with your payer where you can contact them
ad hoc to discuss mass underpayments
Your organization determines which individual underpayments are worth
following up on, based on a dollar threshold or percentage ﴾don't review every
$0.01 underpayment﴿
Modify the underpayment rule
, EXAMPLE: Your organization would like to manually follow‐up on
underpayment discrepancies of either 60% or more, or more than $150 over of the
expected reimbursement amount. - ANSWER ✓ 1. In Classic, confirm that you are
logged in to Family Medicine department.
2. Open Service Area Follow‐up Workqueue Profile.
3. On the left side, under Functions, select Create New Rule.
4. Name the rule " Underpayment Rule".
5. In the Copy from field, enter "100070" and press TAB to select the ﴾FS﴿
Underpayment rule.
6. Click Accept.
7. Take a moment to review the Foundation System rule:
9. For criterion 1, click the Invoice Line Allowance Discrepancy Amount link and
enter "150" into the Value field. Clear the checkbox next to 100.
10. Click the Accept button with the green checkmark to accept your criterion but
remain in the Rule Editor.
11. For criterion 2, click the Invoice Line Allowance Discrepancy Percentage link
and enter "60" into the Value field. Clear the checkbox next to 25.
12. Click the Accept button with the green checkmark to accept your criterion but
remain in the Rule Editor. Your rule should match the screenshot below.
13. Review the Evaluation logic at the top of your rule.
14. Update the Description field with relevant information.
15. Click Accept to close the Rule Editor.
16. Verify you're now viewing Service Area Follow‐up Workqueue Profile.
Configure the Follow‐up Workqueue Profile to prevent complete underpayments
EXAMPLE: You will replace the Foundation System underpayment rule and
workqueue for the rule and workqueue you created. - ANSWER ✓ 1. Confirm you
are back in your workqueue profile, then find the Foundation System
underpayment line on Line 35 of the profile.
2. Right click on the line and click Edit.
3. In the Rule 1 field select your underpayment rule by completion matching on "
Underpayment Rule".
4. In the Workqueue field select your underpayment follow‐up workqueue by
completion matching on " Underpayment Workqueue".
5. Click Accept.
6. Find the Prevent Complete section of the profile.
7. Click Edit.
EXAM 2025 COMPLETE EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% GUARANTEED PASS!!)
||ALREADY GRADED<<BRAND NEW
VERSION>>
From which type of workqueue are underpayments worked? Choose ONLY one
answer:
A. Payment Posting Workqueues
B. Follow‐up Workqueues
C. Charge Review
D. PB Contract Workqueues - ANSWER ✓ B. Follow Up Work queues
Expected reimbursement amount - ANSWER ✓ The amount built in your
reimbursement contract that you expect to collect.
Allowed amount - ANSWER ✓ The maximum amount an insurer will pay for any
given service.
Actual collectable amount on the EOB from a payer.
Not allowed amount - ANSWER ✓ difference between billed amount and allowed
amount
The difference between the allowed amount and the billed amount that is written
off.
In order to report on underpayments for the past year, which report would you
use? Choose only ONE answer:
A. Reimbursement Underpayment Detail Report
B. Contract Variances Report - ANSWER ✓ A. Reimbursement Underpayment
Detail Report
,allows reporting of more than a three month period.
Reimbursement Contract Underpayment Detail Report - ANSWER ✓ The
Reimbursement Underpayment Detail Report helps you track underpayments on all
charges for a range of service dates.
The report provides a listing of all charges with a service date in a given date range
and displays data regarding if reimbursement was made at the appropriate rate.
This report is a Clarity report and is best used for long term trending data.
Contract Variance Report - ANSWER ✓ The Contract Variance Report is a
Reporting Workbench Report run by a user in real‐time out of Hyperspace. You
can use this report as a tool to help you convince payers to meet their payment
obligations by showing them how successful or unsuccessful they were at
reimbursing your organization for contracted services.
This report compares the amounts that you were reimbursed with the amount you
were entitled to be reimbursed according to your reimbursement contracts in effect
at the time.
This report can be used to export underpayments on a regular basis to the payer.
Underpayment follow‐up workqueue - ANSWER ✓ Instant visual notification of
mass underpayments ﴾the workqueue will get flooded after a remit load of
underpayments﴿
Workqueues need to be worked regularly; large numbers of unworked records
could cause volume issues
Require manual completion of the underpayments from the workqueue
Need a designated staff/team to work on a day‐to‐day basis
Beneficial if you have a relationship with your payer where you can contact them
ad hoc to discuss mass underpayments
Your organization determines which individual underpayments are worth
following up on, based on a dollar threshold or percentage ﴾don't review every
$0.01 underpayment﴿
Modify the underpayment rule
, EXAMPLE: Your organization would like to manually follow‐up on
underpayment discrepancies of either 60% or more, or more than $150 over of the
expected reimbursement amount. - ANSWER ✓ 1. In Classic, confirm that you are
logged in to Family Medicine department.
2. Open Service Area Follow‐up Workqueue Profile.
3. On the left side, under Functions, select Create New Rule.
4. Name the rule " Underpayment Rule".
5. In the Copy from field, enter "100070" and press TAB to select the ﴾FS﴿
Underpayment rule.
6. Click Accept.
7. Take a moment to review the Foundation System rule:
9. For criterion 1, click the Invoice Line Allowance Discrepancy Amount link and
enter "150" into the Value field. Clear the checkbox next to 100.
10. Click the Accept button with the green checkmark to accept your criterion but
remain in the Rule Editor.
11. For criterion 2, click the Invoice Line Allowance Discrepancy Percentage link
and enter "60" into the Value field. Clear the checkbox next to 25.
12. Click the Accept button with the green checkmark to accept your criterion but
remain in the Rule Editor. Your rule should match the screenshot below.
13. Review the Evaluation logic at the top of your rule.
14. Update the Description field with relevant information.
15. Click Accept to close the Rule Editor.
16. Verify you're now viewing Service Area Follow‐up Workqueue Profile.
Configure the Follow‐up Workqueue Profile to prevent complete underpayments
EXAMPLE: You will replace the Foundation System underpayment rule and
workqueue for the rule and workqueue you created. - ANSWER ✓ 1. Confirm you
are back in your workqueue profile, then find the Foundation System
underpayment line on Line 35 of the profile.
2. Right click on the line and click Edit.
3. In the Rule 1 field select your underpayment rule by completion matching on "
Underpayment Rule".
4. In the Workqueue field select your underpayment follow‐up workqueue by
completion matching on " Underpayment Workqueue".
5. Click Accept.
6. Find the Prevent Complete section of the profile.
7. Click Edit.
