CSBI HFMA EXAM 5 FINAL PAPER 2026
QUESTIONS WITH FULL ANSWERS
◉ HITECH. Answer: Allows for sanctions for non-compliance,
including fines of up to $1.75 million and 10 years prison
◉ HITECH. Answer: Covers application to both CE and individuals
◉ HITECH. Answer: Covers application of the rule to business
associate contractors
◉ HIPAA & HITECH. Answer: Covers how PHI is handed and
protected.
◉ Top Challenges confronting Hospital. Answer: 1 - Financial
challenges
2- Governmental Mandates & Patient safety and quality
3- Personnel shortage
◉ What are the main functions for organization?. Answer:
operations, finance, and marketing
,◉ Operation. Answer: function that meets the demand for product
or service by the market. In healthcare, this includes all production
services
◉ Finance. Answer: Must have this function to ensure monetary
resources are available to conduct operation. Accounting is only one
component.
◉ Marketing. Answer: function that is focused on understanding
what the marketplace seeks, anticipate shifts, and ensure a strong
presence.
◉ Role of Case/Care Managers. Answer: These workers in
combination with nurse educators will play an important role in
ensuring expeditious and efficacious movement of healthcare users
in the care system. Will be driven to focus on 30-day readmissions.
◉ Role of Case/Care Managers. Answer: These professionals are at
the front lines in providing situational evaluation and action
activities related to potential clinical issues and social determinants
of health likely to affect readmission. Proactive in healthcare user
education and providing guidance on follow-up and continuing care.
◉ Role of Nurse. Answer: Non-physicians performing some
management of health conditions a step further. Moving beyond the
, traditional role of supportive bedside care and following physician
orders.
◉ Role of Internal Financial Payor Experts. Answer: Will work
closely with external counterparts. Have transparency through the
collaborative discovery and sharing of information. These
professionals must increase understanding of and capabilities at
pricing contract risk.
◉ Role of Supply Support Decisions. Answer: Related to operational
management decisions of supply chain. Increased focus on
procurement sourcing and management of suppliers and supply
lines rather than on inventory and processing orders. Supply
acquisition and equipment decisions friction contribute to
inefficiency and cost.
◉ Role of Quality Performance Improvement Specialists. Answer:
work will be performed in direct collaboration with clinicians,
decision support professionals and patient access team members.
◉ Role of Providers, Suppliers, and Payers. Answer: Linked together
in service of the healthcare user. Transparency by all parties is vital
to provide high value and meet need for related costs.
QUESTIONS WITH FULL ANSWERS
◉ HITECH. Answer: Allows for sanctions for non-compliance,
including fines of up to $1.75 million and 10 years prison
◉ HITECH. Answer: Covers application to both CE and individuals
◉ HITECH. Answer: Covers application of the rule to business
associate contractors
◉ HIPAA & HITECH. Answer: Covers how PHI is handed and
protected.
◉ Top Challenges confronting Hospital. Answer: 1 - Financial
challenges
2- Governmental Mandates & Patient safety and quality
3- Personnel shortage
◉ What are the main functions for organization?. Answer:
operations, finance, and marketing
,◉ Operation. Answer: function that meets the demand for product
or service by the market. In healthcare, this includes all production
services
◉ Finance. Answer: Must have this function to ensure monetary
resources are available to conduct operation. Accounting is only one
component.
◉ Marketing. Answer: function that is focused on understanding
what the marketplace seeks, anticipate shifts, and ensure a strong
presence.
◉ Role of Case/Care Managers. Answer: These workers in
combination with nurse educators will play an important role in
ensuring expeditious and efficacious movement of healthcare users
in the care system. Will be driven to focus on 30-day readmissions.
◉ Role of Case/Care Managers. Answer: These professionals are at
the front lines in providing situational evaluation and action
activities related to potential clinical issues and social determinants
of health likely to affect readmission. Proactive in healthcare user
education and providing guidance on follow-up and continuing care.
◉ Role of Nurse. Answer: Non-physicians performing some
management of health conditions a step further. Moving beyond the
, traditional role of supportive bedside care and following physician
orders.
◉ Role of Internal Financial Payor Experts. Answer: Will work
closely with external counterparts. Have transparency through the
collaborative discovery and sharing of information. These
professionals must increase understanding of and capabilities at
pricing contract risk.
◉ Role of Supply Support Decisions. Answer: Related to operational
management decisions of supply chain. Increased focus on
procurement sourcing and management of suppliers and supply
lines rather than on inventory and processing orders. Supply
acquisition and equipment decisions friction contribute to
inefficiency and cost.
◉ Role of Quality Performance Improvement Specialists. Answer:
work will be performed in direct collaboration with clinicians,
decision support professionals and patient access team members.
◉ Role of Providers, Suppliers, and Payers. Answer: Linked together
in service of the healthcare user. Transparency by all parties is vital
to provide high value and meet need for related costs.
