HFMA's CSAF Certified Specialist
Accounting and Finance Questions with
Detailed Verified Answers
Question: Contribution Margin
Ans: Difference between marginal revenue and marginal cost.
Question: Break-even point
Ans: Level of sales volume of a product producing the exact amount of
contribution margin needed to cover fixed costs.
Question: Overhead
Ans: Indirect Costs
Question: Activity-based costing (ABC)
Ans: Method of determining product costs using cost drivers or activity
measures, which cause indirect costs to be incurred.
Question: Three main types of Cost standards.
, Page | 2
Ans: Predetermined (Synthetic), Negotiated (Historical), and Customized
(Engineered)
Question: Four Types of Individual Cost behaviors
Ans: Variable, Fixed Cost Pattern, Semi-Variable Cost Pattern, Semi-Fixed or
Stepped Variable
Question: Three Principal Types of expense variances
Ans: Price, Volume, and Efficiency
Question: The 4 Primary payment methods used in managed care
Ans: Fee-for-Service, Per Diem Rate, Case Rate, Capitation
Question: Healthcare providers should develop different modeling tools
depending on
Ans: the reimbursement method proposed in the contract
Question: The general categories of provider excess loss insurance are
Ans: per-person, aggregate, and carve-out.
Question: A Strategic Plan allows organizations to
, Page | 3
Ans: have a clear plan as to why they are in business and how they can stay in
business in the future.
Question: The main types of control budgets include
Ans: operating, capital, and cash.
Question: A budgeting process develops assumptions for the following:
Ans: Admissions, ALOS, Expense per visit, Inflation on expense, FTE per visit,
Productivity on FTE per visit, Labor cost per FTE, Net Rev per visit
Question: Operating budget's statistical factors include
Ans: Historical statistics, Historical relationship of department volume,
anticipated effects of new programs, clinical practice patters, covered lives in
global payment risk programs, changes in regulatory environment, technical
developments, process improvements, marketing efforts, demographic trends
Question: The primary purpose of measuring productivity is
Ans: for management to determine if resources are being used efficiently
Question: Budget types include
Ans: fixed and flexible
Question: The four budget variances used to explain by cause are
, Page | 4
Ans: Volume, rate (charged), price (of a supply), and efficiency (cost per
procedure).
Question: Three common Capital Evaluation techniques
Ans: Payback, Net Present Value Method, Return on Investment
Question: Users of ratio analysis
Ans: Board of Directors, Management, Health Systems Agencies, Creditors,
Employee Unions, Rate Regulators
Question: The categories of ratios used
Ans: Profitability Ratios, Liquidity Ratios, Activity Ratios, Capital Structure
Ratios
Question: Two common types of long-term debt
Ans: Revenue bonds and General Obligation Bonds
Question: Undertake debt restructuring by either retiring or reacquiring
existing debt for 4 reasons
Ans: Take advantage of lower interest rates, change collateral restrictions,
allow acquisition of other assets, better fit debt service requriements
Question: Healthcare bond issues place legal obligations on