NEBC EXAM QUESTIONS &
ANSWERS UPDATED 2026
ForBProfitBOrganizationsB-
BAnswerCanBlawfullyBreleaseBaBpatientBwhoBdoesBnotBhaveBtheBabilityBtoBpayBforBservicesB(
afterBEMTALA).BServeBlowerBincomeBpopulations.BOwnedBbyBinvestorsBorBshareholders.BLarge
BportionBofBbudgetBallocatedBtoBmarketingBandBadvertising.
not-for-profitBorganizationsB-
BAnswerMustBtreatBallBconditionsBorBpeopleBregardlessBofBinsuranceBorBabilityBtoBpay.BConsid
eredBcharitiesBbyBIRS.BDoBnotBpayBfederalBorBstate/localBpropertyBtaxes.BObligationBtoBtheBc
ommunity.
MedicareB-
BAnswerNationalBHealthBInsuranceBprogramBforBpeopleB65BandBolder,Bdisabled,BandBanyBage
BwithBESRD.
MedicareBAB-
BAnswerCoversBinpatientBhospitalBstays,BsomeBhospiceBandBhomeBhealthBcare,BnoBmonthlyBp
remium
MedicareBBB-
BAnswerMedicalBinsurance,BpaysBforBdoctorBservicesBandBoutpatientBservices,BPT/OTBservices.
BMonthlyBpremium.
MedicareBCB-
BAnswerOftenBcalledBtheBadvantageBplanBorBchoiceBplan.BIncludesBABandBB,BmostBincludeBD.
BMayBofferBdental,Bvision,BandBwellness
MedicareBDB-
BAnswerPrescriptionBdrugBcoverage.BMonthlyBpremium.BAvailableBtoBeveryone,BmustBjoinBMed
icareBplanBthatBincludesBpartBD
MedicaidB-
BAnswerABfederalBandBstateBassistanceBprogramBthatBpaysBforBhealthBcareBservicesBforBpeopl
eBwhoBcannotBaffordBthem.BLow-
incomeBchildren,BpregnantBwomen,BandBelderly.BPaysBlongBtermBcare.
,AffordableBCareBActB-
BAnswerAnBexpansionBofBmedicaid,BmostBofBemployersBmustBprovideBhealthBinsurance,Bhave
BinsuranceBorBfaceBsurtax,BpreventsBrejectionBbasedBonBpre-
existingBcondition.BAlsoBreferredBtoBasB"Obamacare",BsignedBintoBlawBinB2010.BMakeBafforda
bleBhealthBinsuranceBavailableBtoBmoreBpeople.
PayorsB-
BAnswerEmployers,Bgovernment,BinsuranceBcompanies,BpeopleBwhoBpayBforBhealthcareBservic
es
CharityBPayB-BAnswerHealthcareBsystemBreceivedBnoBreimbursementBforBservices
HealthBMaintenanceBOrganizationB(HMO)B-
BAnsweranBorganizationBthatBprovidesBcomprehensiveBmedicalBcareBtoBsubscribersBforBaBfixed
Bfee.BCostBeffectiveBcareBfocusedBonBpreventativeBcare.BNetwork,Bgroup,BstaffBandBindepende
ntBpracticeBassociations.
PreferredBProviderBOrganizationB(PPO)B-
BAnswerGroupBofBhealthcareBprovidersBthatBprovideBservicesBtoBaBspecificBgroup,BoftenBatBa
BreducedBrate.BCostBisBhigherBtoBuseBoutBofBnetworkBprovider.BHelpBnegotiateBcostBofBservic
esBbetweenBtheBprovidersBandBpurchasers.
DiagnosisBRelatedBGroupB(DRGs)B-
BAnswerclassifiesBpatientsBbyBage,Bdiagnosis,BsurgicalBprocedure,BandBotherBinformationBwithB
hundredsBofBdifferentBcategoriesBtoBpredictBtheBuseBofBhospitalBresources,BincludingBlengthBo
fBstay,BresultingBinBaBfixedBpaymentBamount
ProspectiveBPaymentBSystemsB(PPS)B-
BAnswerRequiredBfacilitiesBprovidingBservicesBtoBMedicareBclientsBtoBbeBreimbursedBusingBaBf
ixed-rateBsystemBandBincludedBmonetaryBincentivesBtoBreduceBtheBlengthBofBhospitalBstays.B
(BasedBonBdiagnosis-relatedBgroupB(DRG)Bcategories)
SocialBHealthBMaintenanceBOrganizationB(SHMO)B-
BAnswerspecialBtypeBofBhealthBplanBthatBprovidesBtheBfullBrangeBofBMedicareBbenefitsBoffere
dBbyBstandardBMedicareBHMOs,BplusBotherBservicesBthatBincludeBtheBfollowing:BprescriptionB
drugBandBchronicBcareBbenefits,BrespiteBcare,BandBshort-
termBnursingBhomeBcare;Bhomemaker,BpersonalBcareBservices,BandBmedicalBtransportation;Bey
eglasses,BhearingBaids,BandBdentalBbenefits
, PayBforBPerformanceB(P4P)B-BAnswerperformance-
orientedBincentivesBforBhospitalsBandBphysiciansBtoBimproveBtheBqualityBofBpatientBhealthcare
.B4BqualityBmeasuresB-
Bperformance,Boutcomes,BpatientBsatisfaction/experience,BstructuresBandBtechnologiesB(EHR)
ValueBBasedBPurchasingB-
BAnswerABpayBforBperformanceBmethodologyBusedBtoBreimburseBhospitalsBbasedBonBoutcome
s.BProvidedBbyBCentersBforBMedicareBandBMedicaidBServices.BIncentiveBpaymentsBtoBacute-
careBhospitalsByearlyBbasedBonBtotalBperformanceBscoreB(TPS)
BudgetBCycleB-
BAnswerIncludesBdevelopment,Bmonitoring,Breporting,BjustifyingBandBvarianceBanalysis.BFourBty
pesBofBbudgetB-Brevenue,Bexpense,Bcapital,BandBoperating
RevenueB-BAnsweranticipatedBamountBofBincomeBduringBtheBbudgetBperiod
ExpenseB-
BAnswersalaryBandBnonsalary,BfixedBcostsB(remainBconstantBsuchBasBrentalBfeesBandBcontractB
fees)BandBvariableBcostsB(fluctuateBbasedBonBunitBactivityBsuchBasBcensusBandBacuity)
CapitalB-
BAnswerequipmentBandBrenovationBexpenses.BlifespanBofB1ByearBofBgreater.BconsiderBcostBof
Bitem,Binstallation,BshippingBorBdeliveryBcharges,BserviceBcontracts.BAmortizationB(assigningBco
stBofBassetBoverBitsBlifetime)BDepreciationB(expensingBfixedBassetsBannually)
OperatingBBudgetB-
BAnswerAnnualBbudget.BBasedBonBpastByearsBunitBactivityBpredictingBforBnextByear.BRevenues
BandBexpensesBforBfiscalByear.
HowBtoBcreateBoperatingBbudgetB-
BAnswerNeedBproductivityBgoals,BpatientBdays,BworkloadB(HHPDB-
BhoursBperBpatientBday),BHPPD/shiftBandBstaffingBneeds,Bnon-
productiveBhours,Bproductive/non-productiveBhoursBoverBtime,Bnon-
laborBcosts.BSALARYBisBnumberBoneBexpense.
ANSWERS UPDATED 2026
ForBProfitBOrganizationsB-
BAnswerCanBlawfullyBreleaseBaBpatientBwhoBdoesBnotBhaveBtheBabilityBtoBpayBforBservicesB(
afterBEMTALA).BServeBlowerBincomeBpopulations.BOwnedBbyBinvestorsBorBshareholders.BLarge
BportionBofBbudgetBallocatedBtoBmarketingBandBadvertising.
not-for-profitBorganizationsB-
BAnswerMustBtreatBallBconditionsBorBpeopleBregardlessBofBinsuranceBorBabilityBtoBpay.BConsid
eredBcharitiesBbyBIRS.BDoBnotBpayBfederalBorBstate/localBpropertyBtaxes.BObligationBtoBtheBc
ommunity.
MedicareB-
BAnswerNationalBHealthBInsuranceBprogramBforBpeopleB65BandBolder,Bdisabled,BandBanyBage
BwithBESRD.
MedicareBAB-
BAnswerCoversBinpatientBhospitalBstays,BsomeBhospiceBandBhomeBhealthBcare,BnoBmonthlyBp
remium
MedicareBBB-
BAnswerMedicalBinsurance,BpaysBforBdoctorBservicesBandBoutpatientBservices,BPT/OTBservices.
BMonthlyBpremium.
MedicareBCB-
BAnswerOftenBcalledBtheBadvantageBplanBorBchoiceBplan.BIncludesBABandBB,BmostBincludeBD.
BMayBofferBdental,Bvision,BandBwellness
MedicareBDB-
BAnswerPrescriptionBdrugBcoverage.BMonthlyBpremium.BAvailableBtoBeveryone,BmustBjoinBMed
icareBplanBthatBincludesBpartBD
MedicaidB-
BAnswerABfederalBandBstateBassistanceBprogramBthatBpaysBforBhealthBcareBservicesBforBpeopl
eBwhoBcannotBaffordBthem.BLow-
incomeBchildren,BpregnantBwomen,BandBelderly.BPaysBlongBtermBcare.
,AffordableBCareBActB-
BAnswerAnBexpansionBofBmedicaid,BmostBofBemployersBmustBprovideBhealthBinsurance,Bhave
BinsuranceBorBfaceBsurtax,BpreventsBrejectionBbasedBonBpre-
existingBcondition.BAlsoBreferredBtoBasB"Obamacare",BsignedBintoBlawBinB2010.BMakeBafforda
bleBhealthBinsuranceBavailableBtoBmoreBpeople.
PayorsB-
BAnswerEmployers,Bgovernment,BinsuranceBcompanies,BpeopleBwhoBpayBforBhealthcareBservic
es
CharityBPayB-BAnswerHealthcareBsystemBreceivedBnoBreimbursementBforBservices
HealthBMaintenanceBOrganizationB(HMO)B-
BAnsweranBorganizationBthatBprovidesBcomprehensiveBmedicalBcareBtoBsubscribersBforBaBfixed
Bfee.BCostBeffectiveBcareBfocusedBonBpreventativeBcare.BNetwork,Bgroup,BstaffBandBindepende
ntBpracticeBassociations.
PreferredBProviderBOrganizationB(PPO)B-
BAnswerGroupBofBhealthcareBprovidersBthatBprovideBservicesBtoBaBspecificBgroup,BoftenBatBa
BreducedBrate.BCostBisBhigherBtoBuseBoutBofBnetworkBprovider.BHelpBnegotiateBcostBofBservic
esBbetweenBtheBprovidersBandBpurchasers.
DiagnosisBRelatedBGroupB(DRGs)B-
BAnswerclassifiesBpatientsBbyBage,Bdiagnosis,BsurgicalBprocedure,BandBotherBinformationBwithB
hundredsBofBdifferentBcategoriesBtoBpredictBtheBuseBofBhospitalBresources,BincludingBlengthBo
fBstay,BresultingBinBaBfixedBpaymentBamount
ProspectiveBPaymentBSystemsB(PPS)B-
BAnswerRequiredBfacilitiesBprovidingBservicesBtoBMedicareBclientsBtoBbeBreimbursedBusingBaBf
ixed-rateBsystemBandBincludedBmonetaryBincentivesBtoBreduceBtheBlengthBofBhospitalBstays.B
(BasedBonBdiagnosis-relatedBgroupB(DRG)Bcategories)
SocialBHealthBMaintenanceBOrganizationB(SHMO)B-
BAnswerspecialBtypeBofBhealthBplanBthatBprovidesBtheBfullBrangeBofBMedicareBbenefitsBoffere
dBbyBstandardBMedicareBHMOs,BplusBotherBservicesBthatBincludeBtheBfollowing:BprescriptionB
drugBandBchronicBcareBbenefits,BrespiteBcare,BandBshort-
termBnursingBhomeBcare;Bhomemaker,BpersonalBcareBservices,BandBmedicalBtransportation;Bey
eglasses,BhearingBaids,BandBdentalBbenefits
, PayBforBPerformanceB(P4P)B-BAnswerperformance-
orientedBincentivesBforBhospitalsBandBphysiciansBtoBimproveBtheBqualityBofBpatientBhealthcare
.B4BqualityBmeasuresB-
Bperformance,Boutcomes,BpatientBsatisfaction/experience,BstructuresBandBtechnologiesB(EHR)
ValueBBasedBPurchasingB-
BAnswerABpayBforBperformanceBmethodologyBusedBtoBreimburseBhospitalsBbasedBonBoutcome
s.BProvidedBbyBCentersBforBMedicareBandBMedicaidBServices.BIncentiveBpaymentsBtoBacute-
careBhospitalsByearlyBbasedBonBtotalBperformanceBscoreB(TPS)
BudgetBCycleB-
BAnswerIncludesBdevelopment,Bmonitoring,Breporting,BjustifyingBandBvarianceBanalysis.BFourBty
pesBofBbudgetB-Brevenue,Bexpense,Bcapital,BandBoperating
RevenueB-BAnsweranticipatedBamountBofBincomeBduringBtheBbudgetBperiod
ExpenseB-
BAnswersalaryBandBnonsalary,BfixedBcostsB(remainBconstantBsuchBasBrentalBfeesBandBcontractB
fees)BandBvariableBcostsB(fluctuateBbasedBonBunitBactivityBsuchBasBcensusBandBacuity)
CapitalB-
BAnswerequipmentBandBrenovationBexpenses.BlifespanBofB1ByearBofBgreater.BconsiderBcostBof
Bitem,Binstallation,BshippingBorBdeliveryBcharges,BserviceBcontracts.BAmortizationB(assigningBco
stBofBassetBoverBitsBlifetime)BDepreciationB(expensingBfixedBassetsBannually)
OperatingBBudgetB-
BAnswerAnnualBbudget.BBasedBonBpastByearsBunitBactivityBpredictingBforBnextByear.BRevenues
BandBexpensesBforBfiscalByear.
HowBtoBcreateBoperatingBbudgetB-
BAnswerNeedBproductivityBgoals,BpatientBdays,BworkloadB(HHPDB-
BhoursBperBpatientBday),BHPPD/shiftBandBstaffingBneeds,Bnon-
productiveBhours,Bproductive/non-productiveBhoursBoverBtime,Bnon-
laborBcosts.BSALARYBisBnumberBoneBexpense.