CFCM PREP CERTIFICATION SCRIPT 2026
COMPLETE QUESTIONS AND ANSWERS
◉ Capitation.
Answer: System of payment used by managed care plans in which
physicians and hospitals are paid a fixed, per capita amount for each
patient enrolled over a stated period regardless of the type and
number of services provided; reimbursement to the hospital on a
per-member/per-month basis to cover costs for the members of the
plan.
◉ Phantom Billing.
Answer: Billing for services not performed
◉ Who do you report to for Fraud?.
Answer: Office of Civil Rights (OCR)
◉ Who do you report to for unsecured HPI?.
Answer: Secretary of Health and Human Services
◉ What is the difference between eHPI and HPI? Who governs
both?.
Answer:
,◉ HHS.
Answer: U.S. Department of Health and Human Services
◉ U.S. Department of Health and Human Services.
Answer: provide essential services, including health care for low-
income families, programs for older adults, and child services
◉ CMS.
Answer: Centers for Medicare and Medicaid Services
◉ OSHA.
Answer: Occupational Safety and Health Administration
◉ Red Cross.
Answer: An international organization dedicated to the medical care
of the sick or wounded in wars and natural disasters
◉ Legal Aid Society.
Answer: One of a network of community law offices that provides
free or low-cost legal assistance.
,◉ TJC.
Answer: The Joint Commission
Organization, establishing standards for hospitals/health related
facilities
◉ NAACLS.
Answer: National Accrediting Agency for Clinical Laboratory
Sciences
◉ ACS.
Answer: American Cancer Society
◉ AHA.
Answer: American Hospital Association
◉ Accountable Care Organization (ACO).
Answer: a network of doctors and hospitals that voluntarily share
responsibility for managing the quality and cost of care provided to
a group of patients
◉ Patient-Centered Medical Home (PCMH).
, Answer: A model of primary care that provides comprehensive and
timely care to patients, while emphasizing teamwork and patient
involvement.
◉ ACO vs PCMH.
Answer: the ACO is primarily a value-based reimbursement model
that incorporates "voluntary" collaboration among providers,
whereas the PCMH is primarily a care delivery model involving
significant collaboration as part of the certification process
◉ Cluster Scheduling.
Answer: the scheduling of similar appointments together at a certain
time of day or week
◉ Wave Scheduling.
Answer: A certain # of patients are scheduled to arrive at the same
time and are seen in which the order they arrive.
◉ Open Scheduling.
Answer: Patients are seen on a first come first serve basis. Walk-ins
◉ Farenheit to Celsius.
Answer: (F-32)/1.8
COMPLETE QUESTIONS AND ANSWERS
◉ Capitation.
Answer: System of payment used by managed care plans in which
physicians and hospitals are paid a fixed, per capita amount for each
patient enrolled over a stated period regardless of the type and
number of services provided; reimbursement to the hospital on a
per-member/per-month basis to cover costs for the members of the
plan.
◉ Phantom Billing.
Answer: Billing for services not performed
◉ Who do you report to for Fraud?.
Answer: Office of Civil Rights (OCR)
◉ Who do you report to for unsecured HPI?.
Answer: Secretary of Health and Human Services
◉ What is the difference between eHPI and HPI? Who governs
both?.
Answer:
,◉ HHS.
Answer: U.S. Department of Health and Human Services
◉ U.S. Department of Health and Human Services.
Answer: provide essential services, including health care for low-
income families, programs for older adults, and child services
◉ CMS.
Answer: Centers for Medicare and Medicaid Services
◉ OSHA.
Answer: Occupational Safety and Health Administration
◉ Red Cross.
Answer: An international organization dedicated to the medical care
of the sick or wounded in wars and natural disasters
◉ Legal Aid Society.
Answer: One of a network of community law offices that provides
free or low-cost legal assistance.
,◉ TJC.
Answer: The Joint Commission
Organization, establishing standards for hospitals/health related
facilities
◉ NAACLS.
Answer: National Accrediting Agency for Clinical Laboratory
Sciences
◉ ACS.
Answer: American Cancer Society
◉ AHA.
Answer: American Hospital Association
◉ Accountable Care Organization (ACO).
Answer: a network of doctors and hospitals that voluntarily share
responsibility for managing the quality and cost of care provided to
a group of patients
◉ Patient-Centered Medical Home (PCMH).
, Answer: A model of primary care that provides comprehensive and
timely care to patients, while emphasizing teamwork and patient
involvement.
◉ ACO vs PCMH.
Answer: the ACO is primarily a value-based reimbursement model
that incorporates "voluntary" collaboration among providers,
whereas the PCMH is primarily a care delivery model involving
significant collaboration as part of the certification process
◉ Cluster Scheduling.
Answer: the scheduling of similar appointments together at a certain
time of day or week
◉ Wave Scheduling.
Answer: A certain # of patients are scheduled to arrive at the same
time and are seen in which the order they arrive.
◉ Open Scheduling.
Answer: Patients are seen on a first come first serve basis. Walk-ins
◉ Farenheit to Celsius.
Answer: (F-32)/1.8
