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 1 / 2
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.
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