HFMA CHCRS Full Exam Review (Qns & Ans) 2025.

HFMA Certified Hospital Cost Report Specialist

Full Exam Review (Qns & Ans)

2025



1. Multiple Choice : What is the primary purpose of the
Medicare cost report?
- A) To calculate hospital profits
- B) To determine Medicare reimbursement
- C) To assess patient satisfaction
- D) To evaluate hospital staffing levels
ANS : B
Rationale : The Medicare cost report is used to determine the
amount of reimbursement hospitals receive from Medicare.


2. Fill-in-the-Blank : The Medicare cost report uses a ________
methodology to allocate overhead costs to cost centers.
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, ANS : Step-down
Rationale : The step-down methodology is used to allocate
overhead costs to various cost centers.


3. True/False : The Medicare cost report includes both
allowable and non-allowable costs.
ANS : True
Rationale : The report distinguishes between costs that are
reimbursable by Medicare and those that are not.


4. Multiple Response : Which of the following are considered
reimbursable services under Medicare cost-based reimbursement?
- A) Acute inpatient care
- B) Home health services
- C) Swing-bed care
- D) Distinct inpatient psychiatric care
ANS : A, C
Rationale : Acute inpatient care and swing-bed care are
reimbursable, while home health and psychiatric care are not cost-
based reimbursable services.


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,### Cost Report Overview
5. Multiple Choice : What is the significance of Worksheet A in
the Medicare cost report?
- A) It calculates Medicare bad debts
- B) It maps the trial balance to cost centers
- C) It determines wage index adjustments
- D) It calculates the cost-to-charge ratio
ANS : B
Rationale : Worksheet A is used to map the trial balance to
Medicare cost centers.


6. Fill-in-the-Blank : Worksheet C is primarily used to calculate
the ________ for each cost center.
ANS : Cost-to-charge ratio
Rationale : This worksheet determines the ratio of costs to
charges for each cost center.


7. True/False : The Medicare cost report is filed quarterly by
hospitals.
ANS : False
Rationale : The report is filed annually, not quarterly.
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, 8. Multiple Response : Which data points are included in the
Medicare cost report?
- A) Number of patient days
- B) Hospital revenue
- C) Wage index data
- D) Patient satisfaction scores
ANS : A, B, C
Rationale : Patient satisfaction scores are not part of the cost
report.


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### Medicare Payment Methodologies
9. Multiple Choice : What is the basis for payment under the
Prospective Payment System (PPS)?
- A) Actual costs incurred
- B) Predetermined fixed amounts
- C) Negotiated rates
- D) Patient satisfaction scores
ANS : B

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