MB 400-week 1 exam Practice Questions
with Complete Solutions (Latest 2025)
What is the first step in a provider being reimbursed for their
services? - Correct Answers ✅The treatment must be
administered.
When is a bill considered complete and ready to be
generated? - Correct Answers ✅when appropriate
diagnosis codes are applied.
What is one reason a bill may not be dropped in the three-day
period and become DNFB? - Correct Answers ✅The claim
was rejected because of missing data.
When a person is not eligible for health insurance from the
government, where can they go for medical coverage? -
Correct Answers ✅commercial plans.
Which of the following provides health coverage to uninsured
children in families that may not qualify for Medicaid? -
Correct Answers ✅CHIP
Which reimbursement method pays providers retrospectively
after services have been provided? - Correct Answers
✅indemnity health insurance plans
Why is it important that revenue managers have a strategic
plan when they transition from fee-for-service methods to
value-based health care payment systems? - Correct
, MB 400-week 1 exam Practice Questions
with Complete Solutions (Latest 2025)
Answers ✅patient volume can erode revenue for the
inpatient setting.
Under managed care, how are providers and patients
incentivized to control costs? - Correct Answers ✅through
the integration of finance and delivery of care.
Which of the following is based on per-person premiums
rather than itemized per-procedure charges? - Correct
Answers ✅capitation
In which type of managed care organization do patients have
the ability to obtain treatment without having to choose a
primary care provider? - Correct Answers ✅Preferred
Provider Organization.
From both the provider and the patient perspective, what is
one of the most advantageous characteristics of managed
care organizations? - Correct Answers ✅They do not
sacrifice quality care.
Which of the following is a similarity of methods used by
government payers and commercial payers to reimburse for
health care services? - Correct Answers ✅Reimbursement
rates are negotiated by payment providers.
with Complete Solutions (Latest 2025)
What is the first step in a provider being reimbursed for their
services? - Correct Answers ✅The treatment must be
administered.
When is a bill considered complete and ready to be
generated? - Correct Answers ✅when appropriate
diagnosis codes are applied.
What is one reason a bill may not be dropped in the three-day
period and become DNFB? - Correct Answers ✅The claim
was rejected because of missing data.
When a person is not eligible for health insurance from the
government, where can they go for medical coverage? -
Correct Answers ✅commercial plans.
Which of the following provides health coverage to uninsured
children in families that may not qualify for Medicaid? -
Correct Answers ✅CHIP
Which reimbursement method pays providers retrospectively
after services have been provided? - Correct Answers
✅indemnity health insurance plans
Why is it important that revenue managers have a strategic
plan when they transition from fee-for-service methods to
value-based health care payment systems? - Correct
, MB 400-week 1 exam Practice Questions
with Complete Solutions (Latest 2025)
Answers ✅patient volume can erode revenue for the
inpatient setting.
Under managed care, how are providers and patients
incentivized to control costs? - Correct Answers ✅through
the integration of finance and delivery of care.
Which of the following is based on per-person premiums
rather than itemized per-procedure charges? - Correct
Answers ✅capitation
In which type of managed care organization do patients have
the ability to obtain treatment without having to choose a
primary care provider? - Correct Answers ✅Preferred
Provider Organization.
From both the provider and the patient perspective, what is
one of the most advantageous characteristics of managed
care organizations? - Correct Answers ✅They do not
sacrifice quality care.
Which of the following is a similarity of methods used by
government payers and commercial payers to reimburse for
health care services? - Correct Answers ✅Reimbursement
rates are negotiated by payment providers.
