1|Page
HFMA CSAF EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| HFMA CERTIFIED SPECIALIST
ACCOUNTING AND FINANCE FINAL EXAM PREP
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
Which of the following is NOT a type of expense variance?
A. Price Variance
B. Volume Variance
C. Efficiency Variance
D. Stepped Variance -Correct Answer- D. Stepped Variable
When a hospital's actual patient census is greater than budgeted, the
management views this as favorable. Generally, the effect on the actual
expenses being less than the budgeted amounts is:
A. Also favorable
B. Unfavorable
C. Mostly favorable
D. A positive volume variance -Correct Answer- A.
Which of the following is not one of the current trends moving away
from the fee for service delivery payment system:
A. MIPS
pg. 1
,2|Page
B. Comprehensive Care for Joint Replacement (CJR)
C. Accountable Care Organizations (ACO)
D. Resource Based Relative Value System (RBRVS) -Correct Answer- D
Which type of payment method is intended to cover all inpatient services
utilized for each procedure (e.g., joint replacement) while the
beneficiary is in the hospital?
A. Fee-for-service
B. Per diem rate
C. Case rate
D. Capitation -Correct Answer- C.
Which one of the following options is a managed care product that is
easy to evaluate?
A. Capitation
B. Fee schedule
C. Case rate
D. Fee-for-service -Correct Answer- D.
Which option is NOT a general category of provider excess loss
insurance?
A. Per-Person
B. Aggregate
pg. 2
,3|Page
C. Carve-Out
D. Quality Indicators -Correct Answer- D.
The output of this phase is the provider's cost reimbursable from
Medicare.
A. Phase I
B. Phase II
C. Phase III
D. Phase IV -Correct Answer- C.
Who uses ratio analysis in its purest form for evaluating debt offerings
or applications for borrowing money?
A. Employee unions
B. Rate regulators
C. Creditors
D. Board members -Correct Answer- C.
Which option is NOT a broad class of net assets or net position?
A. Unrestricted
B. Temporarily Restricted
C. Permanently Restricted
D. Donor Restricted -Correct Answer- D.
pg. 3
, 4|Page
Which option is NOT an operating characteristic category for healthcare
organizations?
A. Investor-owned healthcare entities
B. Not-for-profit business-oriented entities
C. Governmental healthcare entities
D. AICPA's healthcare entities -Correct Answer- D.
Which one of the following in NOT a method used to quantify the value
of assets?
A. Discounted cash flow method
B. Replacement cost method
C. Debt restructuring method
D. Market comparison method -Correct Answer- D.
Which type of insurance generally requires providers to retain a certain
level of risk?
A. Occurrence-based insurance
B. Claims-made insurance
C. Self-insurance
D. Captive insurance -Correct Answer- A.
What is one primary purpose of a cash budget?
pg. 4
HFMA CSAF EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| HFMA CERTIFIED SPECIALIST
ACCOUNTING AND FINANCE FINAL EXAM PREP
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (BRAND NEW!!)
Which of the following is NOT a type of expense variance?
A. Price Variance
B. Volume Variance
C. Efficiency Variance
D. Stepped Variance -Correct Answer- D. Stepped Variable
When a hospital's actual patient census is greater than budgeted, the
management views this as favorable. Generally, the effect on the actual
expenses being less than the budgeted amounts is:
A. Also favorable
B. Unfavorable
C. Mostly favorable
D. A positive volume variance -Correct Answer- A.
Which of the following is not one of the current trends moving away
from the fee for service delivery payment system:
A. MIPS
pg. 1
,2|Page
B. Comprehensive Care for Joint Replacement (CJR)
C. Accountable Care Organizations (ACO)
D. Resource Based Relative Value System (RBRVS) -Correct Answer- D
Which type of payment method is intended to cover all inpatient services
utilized for each procedure (e.g., joint replacement) while the
beneficiary is in the hospital?
A. Fee-for-service
B. Per diem rate
C. Case rate
D. Capitation -Correct Answer- C.
Which one of the following options is a managed care product that is
easy to evaluate?
A. Capitation
B. Fee schedule
C. Case rate
D. Fee-for-service -Correct Answer- D.
Which option is NOT a general category of provider excess loss
insurance?
A. Per-Person
B. Aggregate
pg. 2
,3|Page
C. Carve-Out
D. Quality Indicators -Correct Answer- D.
The output of this phase is the provider's cost reimbursable from
Medicare.
A. Phase I
B. Phase II
C. Phase III
D. Phase IV -Correct Answer- C.
Who uses ratio analysis in its purest form for evaluating debt offerings
or applications for borrowing money?
A. Employee unions
B. Rate regulators
C. Creditors
D. Board members -Correct Answer- C.
Which option is NOT a broad class of net assets or net position?
A. Unrestricted
B. Temporarily Restricted
C. Permanently Restricted
D. Donor Restricted -Correct Answer- D.
pg. 3
, 4|Page
Which option is NOT an operating characteristic category for healthcare
organizations?
A. Investor-owned healthcare entities
B. Not-for-profit business-oriented entities
C. Governmental healthcare entities
D. AICPA's healthcare entities -Correct Answer- D.
Which one of the following in NOT a method used to quantify the value
of assets?
A. Discounted cash flow method
B. Replacement cost method
C. Debt restructuring method
D. Market comparison method -Correct Answer- D.
Which type of insurance generally requires providers to retain a certain
level of risk?
A. Occurrence-based insurance
B. Claims-made insurance
C. Self-insurance
D. Captive insurance -Correct Answer- A.
What is one primary purpose of a cash budget?
pg. 4
