HFMA
HFMA Certified Specialist Payment & Reimbursement (CSPR)
HFMA CSPR Online Module Assessments and HFMA CSPR
Certification Exam
Course Title and Number: HFMA CSPR Certification Exams
Exam Title: Midterm, Finals, Certification and Assessment
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully and Answer All Questions
2. Use the provided answer sheet to mark your responses.
3. Please Ensure all you answer each question below and click Submit
when you have completed the Exam.
4. This test has a time limit, The test will save and submit automatically
when the time expires
5. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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HFMA CSPR Certification Exam Review HFMA Certified
Specialist Payment & Reimbursement (CSPR) Exam Questions
and Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
HFMA CSPR Online Module Assessments and HFMA CSPR
Certification Exam
HFMA Certified Specialist Payment & Reimbursement (CSPR)
Healthcare Financial Management Association HFMA.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Which option is NOT true regarding prospective UM techniques?
A) It requires an opinion from a practitioner other than the
specialist making the recommendation to confirm that a
proposed treatment is appropriate
B) The primary care physician (PCP) coordinates, manages, and
authorizes al services for the patient
C) It is an analysis of practice patterns intended to target
individual case reviews and identify potential problems
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D) It requires a resolution that the proposed medical service is
appropriate for the patient - =Answer>> C) It is an analysis
of practice patterns intended to target individual case reviews
and identify potential problems
Although it now offers accreditation for a spectrum of
healthcare services, URAC originally offered a specialty
accreditation program for _________:
A) Disease management
B) Health plans
C) Core standards addressing organizational functions for
healthcare
D) Utilizaiton management - =Answer>> D) Utilizaiton
management
Determining whether an inpatient or outpatient medical service
is appropriate for a patient is a component of what type of
utilization management review?
A) Prospective
B) Concurrent
C) Post Discharge
D) Retrospective - =Answer>> A) Prospective
Accountable Care Organizations are designed with the following
criteria:
A) To save money by avoiding unnecessary services
B) To make providers independent of each other
C) To provide no financial incentives for provider cooperation
D) To increase the use of emergency room services -
=Answer>> A) To save money by avoiding unnecessary
services
Contract performance modeling is:
A) An initiative used to help increase an organization's
reimbursement payments
B) An initiative used to help increase an organization's revenue/
profit/ margins
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