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RPB390 EPIC CERTIFICATION EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS!!
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RPB390 EPIC CERTIFICATION EXAM QUESTIONS WITH 100% VERIFIED SOLUTIONS!!
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RPB390 EPICCERTIFICATION EXAM
QUESTIONS WITH
100% VERIFIED
SOLUTIONS!!
RPB390 EPIC
Evatee 10/16/24 RPB390 EPIC
,RPB390 EPIC CERTIFICATION EXAM
QUESTIONS WITH 100% VERIFIED
SOLUTIONS!!
A charge posts 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
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
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
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
Billed amount Answer - total amount charged for a service
The price of a charge sent out on the claim to the payer
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.
Purpose of reimbursement contracts Answer - Reimbursement contracts allow
you to compare the allowed amount you expect to receive from a payer. to
what you actually receive for every charge associated with that particular
payer. You can easily track underpayment and undercharging scenarios when
reimbursement contracts are built in Epic.
Reimbursement contracts are only used for calculating reimbursement or
allowed amounts and do NOT affect the price of a charge. Contracts can be
configured to perform automatic write‐offs, or to track and analyze payer
responses against what you expect to receive.
Benefits/challenges of reimbursement contracts Answer - Pros:
Increased reporting capabilities
Helpful in negotiations with payers
Auto‐populating allowed amounts in Payment Posting
Ability to route underpayments to work queues for follow‐up
Cons:
Requires time commitment to set up and maintain
Increased usage = increased maintenance ﴾the more you build, the more you
have to maintain﴿
Information is only as accurate as you make it
End‐user workflows affected by reimbursement contracts
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