EPIC RPB390 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
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
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
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
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
(T/F) When importing Fee Schedules, you must create a text file before loading the data into Epic. -
(answer)True
, EPIC RPB390 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
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
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.
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
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 - (answer)C. Extension
(T/F) The Applies to tab of a reimbursement contract is contact-specific. - (answer)False
Which environment is used to test out your reimbursement contracts after being moved from POC?
A. TST
B. POC
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
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
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
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
(T/F) When importing Fee Schedules, you must create a text file before loading the data into Epic. -
(answer)True
, EPIC RPB390 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
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
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.
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
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 - (answer)C. Extension
(T/F) The Applies to tab of a reimbursement contract is contact-specific. - (answer)False
Which environment is used to test out your reimbursement contracts after being moved from POC?
A. TST
B. POC
