CPXP EXAM STUDY GUIDE/COMPREHENSIVE GUIDE
2025-2026|ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED)
What does HIPAA stand for? - ANSWER-Health Insurance Portability and
Accountability Act (1996)
What are the 3 key provisions of HIPAA? - ANSWER-1. Patients' Right to Access
Health Information: Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare providers must protect
patient data from unauthorized access or release.
3. Data Security: Providers must implement safeguards to prevent breaches (physical,
administrative, and technical).
What is a Patient Bill of Rights? - ANSWER-A document that outlines the fundamental
rights and responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between patients and healthcare
providers.
What are 3 examples of core rights in a Patient Bill of Rights? - ANSWER-- Right to be
informed and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in healthcare that focuses on
improving ______ - ANSWER-quality and safety
What are 3 key standards of The Joint Commission? - ANSWER-1. Patient safety and
care quality
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA) focuses on improving _____ -
ANSWER-healthcare quality by evaluating the performance of healthcare organizations
National Committee for Quality Assurance (NCQA) uses _____, _____, and _____ to
highlight top performers and drive improvement - ANSWER-measurement,
transparency, and accountability
,What organization is HEDIS part of? - ANSWER-National Committee for Quality
Assurance (NCQA)
What is HEDIS? - ANSWER-Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations provide preventive care,
manage chronic conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - ANSWER-1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare and Medicaid Services (CMS) - ANSWER--
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare, Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage available to [fewer/more]
individuals - ANSWER-more
T/F: The Affordable Care Act (ACA) established healath insurance exchanges -
ANSWER-True
Affordable Care Act (ACA) prohibited insurers from denying coverage due to ________
- ANSWER-pre-existing conditions
Affordable Care Act (ACA) introduced [Medicare/Medicaid] expansion in certain states -
ANSWER-Medicaid
Affordable Care Act (ACA) focused on improving _________ and reducing ______ -
ANSWER-improving quality of care and reducing healthcare costs
What is the Stark Law? - ANSWER-1991: Prevents healthcare providers from referring
patients to facilities where they have a financial interest
What is the Anti-Kickback Statute? - ANSWER-Prevents the exchange of
remuneration/payment for referrals or recommendations for healthcare services
, National Patient Safety Goals (NPSGs) were introduced by ____ in 2002 - ANSWER-
The Joint Commission
What are the nine 2024 National Patient Safety Goals (NPSGs)? - ANSWER-1. Improve
the accuracy of patient identification
2. Improve the effectiveness of communication among caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) is this?
Use at least two patient identifiers (e.g., name, date of birth) when providing care,
treatment, or services - ANSWER-Improve the accuracy of patient identification
Which National Patient Safety Goal (NPSG) is this?
Standardized approaches (e.g., SBAR: Situation, Background, Assessment,
Recommendation) for handoffs and communication during transitions of care -
ANSWER-Improve the effectiveness of communication among caregivers
Which National Patient Safety Goal (NPSG) is this?
Label all medications, medication containers, and other solutions.
Ensure that high-alert medications (e.g., insulin, opioids) are managed safely.
Ensure safe medication administration practices are followed - ANSWER-Improve the
safety of using medications
Which National Patient Safety Goal (NPSG) is this?
Follow infection prevention practices, including hand hygiene, sterilization of
instruments, and isolation protocols for contagious patients.
Implement evidence-based guidelines to prevent surgical site infections, central line-
associated bloodstream infections (CLABSI), and catheter-associated urinary tract
infections (CAUTI). - ANSWER-Reduce the risk of healthcare-associated infections
Which National Patient Safety Goal (NPSG) is this?
Implement fall risk assessments for patients upon admission and regularly thereafter.
Use patient-specific fall prevention strategies - ANSWER-Reduce the risk of patient
harm resulting from falls
2025-2026|ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED)
What does HIPAA stand for? - ANSWER-Health Insurance Portability and
Accountability Act (1996)
What are the 3 key provisions of HIPAA? - ANSWER-1. Patients' Right to Access
Health Information: Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare providers must protect
patient data from unauthorized access or release.
3. Data Security: Providers must implement safeguards to prevent breaches (physical,
administrative, and technical).
What is a Patient Bill of Rights? - ANSWER-A document that outlines the fundamental
rights and responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between patients and healthcare
providers.
What are 3 examples of core rights in a Patient Bill of Rights? - ANSWER-- Right to be
informed and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in healthcare that focuses on
improving ______ - ANSWER-quality and safety
What are 3 key standards of The Joint Commission? - ANSWER-1. Patient safety and
care quality
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA) focuses on improving _____ -
ANSWER-healthcare quality by evaluating the performance of healthcare organizations
National Committee for Quality Assurance (NCQA) uses _____, _____, and _____ to
highlight top performers and drive improvement - ANSWER-measurement,
transparency, and accountability
,What organization is HEDIS part of? - ANSWER-National Committee for Quality
Assurance (NCQA)
What is HEDIS? - ANSWER-Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations provide preventive care,
manage chronic conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - ANSWER-1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare and Medicaid Services (CMS) - ANSWER--
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare, Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage available to [fewer/more]
individuals - ANSWER-more
T/F: The Affordable Care Act (ACA) established healath insurance exchanges -
ANSWER-True
Affordable Care Act (ACA) prohibited insurers from denying coverage due to ________
- ANSWER-pre-existing conditions
Affordable Care Act (ACA) introduced [Medicare/Medicaid] expansion in certain states -
ANSWER-Medicaid
Affordable Care Act (ACA) focused on improving _________ and reducing ______ -
ANSWER-improving quality of care and reducing healthcare costs
What is the Stark Law? - ANSWER-1991: Prevents healthcare providers from referring
patients to facilities where they have a financial interest
What is the Anti-Kickback Statute? - ANSWER-Prevents the exchange of
remuneration/payment for referrals or recommendations for healthcare services
, National Patient Safety Goals (NPSGs) were introduced by ____ in 2002 - ANSWER-
The Joint Commission
What are the nine 2024 National Patient Safety Goals (NPSGs)? - ANSWER-1. Improve
the accuracy of patient identification
2. Improve the effectiveness of communication among caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) is this?
Use at least two patient identifiers (e.g., name, date of birth) when providing care,
treatment, or services - ANSWER-Improve the accuracy of patient identification
Which National Patient Safety Goal (NPSG) is this?
Standardized approaches (e.g., SBAR: Situation, Background, Assessment,
Recommendation) for handoffs and communication during transitions of care -
ANSWER-Improve the effectiveness of communication among caregivers
Which National Patient Safety Goal (NPSG) is this?
Label all medications, medication containers, and other solutions.
Ensure that high-alert medications (e.g., insulin, opioids) are managed safely.
Ensure safe medication administration practices are followed - ANSWER-Improve the
safety of using medications
Which National Patient Safety Goal (NPSG) is this?
Follow infection prevention practices, including hand hygiene, sterilization of
instruments, and isolation protocols for contagious patients.
Implement evidence-based guidelines to prevent surgical site infections, central line-
associated bloodstream infections (CLABSI), and catheter-associated urinary tract
infections (CAUTI). - ANSWER-Reduce the risk of healthcare-associated infections
Which National Patient Safety Goal (NPSG) is this?
Implement fall risk assessments for patients upon admission and regularly thereafter.
Use patient-specific fall prevention strategies - ANSWER-Reduce the risk of patient
harm resulting from falls
