CSBI HFMA 2026 PRACTICE EXAM SCRIPT
SOLVED QUESTIONS GRADED A+
◉What are the types of service on health continuum?. Answer: 1-
Well - preventative care, primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
◉Supply Sensitive Care - a driver of utilization. Answer: Care
decisions are strongly influenced by capacity, rather than medical
evidence or severity of illness. Decisions depend on the number of
available hospital beds, clinics, CT scanners, doctors.. Also based on
competition, supplier promotional efforts and influences in supply
variations impacting cost of care delivered.
◉Preference Sensitive Care - a driver of utilization. Answer: Care
selection and selection frequency driven in large measure by the
physician opinion.
,◉What are misalignment with healthcare user and hospitals?.
Answer: 1-focus on cost
2-drivers of service utilization
3-financing mechanism
◉What are the Foundational Ideas for Change?. Answer: 1 - Triple
Aim
2 - Transparency in cost - gave way to Meaningful Use and now
Promoting Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing
(ABC type analysis)
4- Community Based Services
◉Disruptive Innovation. Answer: disrupts and replaces existing
markets with ways of working or products previously not thought of
as possible, now are possible due to new technology or other
catalysts.
◉Disruptive Innovation. Answer: Examples are- telehealth, retail
health, pharma firms exploring more direct connections with
healthcare users,
◉PHI. Answer: Protected Health Information
, ◉PHI. Answer: a subset of patient level data, composed of 18 unique
identifiers - any of the 18 identifiers by themselves or in
combination must be removed to de-identify the individual/patient.
◉HIPAA. Answer: Sections include privacy rule and security
◉HIPAA. Answer: Applies to organizations that are defined as a
covered entity and directly to business associates as well
◉HIPAA. Answer: Signed into law in 1996, and revised by 2013
Omnibus Rule
◉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.
SOLVED QUESTIONS GRADED A+
◉What are the types of service on health continuum?. Answer: 1-
Well - preventative care, primary care
2-At Risk - acute care
3-At risk mild - specialty care
4-Early Chronic - chronic care
5-Late Chronic - long-term care
6-Terminal - end of life care
◉Supply Sensitive Care - a driver of utilization. Answer: Care
decisions are strongly influenced by capacity, rather than medical
evidence or severity of illness. Decisions depend on the number of
available hospital beds, clinics, CT scanners, doctors.. Also based on
competition, supplier promotional efforts and influences in supply
variations impacting cost of care delivered.
◉Preference Sensitive Care - a driver of utilization. Answer: Care
selection and selection frequency driven in large measure by the
physician opinion.
,◉What are misalignment with healthcare user and hospitals?.
Answer: 1-focus on cost
2-drivers of service utilization
3-financing mechanism
◉What are the Foundational Ideas for Change?. Answer: 1 - Triple
Aim
2 - Transparency in cost - gave way to Meaningful Use and now
Promoting Interoperability
3 - Understand Production Cost - gave way to Activity Based Costing
(ABC type analysis)
4- Community Based Services
◉Disruptive Innovation. Answer: disrupts and replaces existing
markets with ways of working or products previously not thought of
as possible, now are possible due to new technology or other
catalysts.
◉Disruptive Innovation. Answer: Examples are- telehealth, retail
health, pharma firms exploring more direct connections with
healthcare users,
◉PHI. Answer: Protected Health Information
, ◉PHI. Answer: a subset of patient level data, composed of 18 unique
identifiers - any of the 18 identifiers by themselves or in
combination must be removed to de-identify the individual/patient.
◉HIPAA. Answer: Sections include privacy rule and security
◉HIPAA. Answer: Applies to organizations that are defined as a
covered entity and directly to business associates as well
◉HIPAA. Answer: Signed into law in 1996, and revised by 2013
Omnibus Rule
◉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.
