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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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: -
What employer-based insurance was first? - =Answer>>
Blue Cross
ERISA (Employee Retirement Income Security Act) -
=Answer>> Federal law that sets minimum standards for
most voluntarily established pension and health plans in private
industry to provide protection for individuals in these plans.
Government health Coverage Examples - =Answer>>
Medicare and Medicaid
Medicare Managed Care Plans - =Answer>> These plans
charge a monthly premium and a small copayment for each
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office visit, but not a deductible. Like private payer managed
care plans, these plans often require patients to use a specific
network of physicians, hospitals, and facilities. Some plans offer
the option of receiving services from providers outside the
network for a higher fee. Participants are generally required to
select a primary care provider (PCP) from within the network.
Medicaid Managed Care - =Answer>> Plans that operate
under the terms of waivers filed by the state Medicaid agencies
requesting that a program be established that varies from the
traditional Medicaid program.
Medicare Parts - =Answer>> - part a (inpatient hospital
care)
- part b (MD and outpatient care)
- part c (managed care option)
- part d (prescription drugs)
Which of the following is an anticipated change in the
relationship between consumers and providers? -
=Answer>> Providers will face many new service demands
and consumers will have virtually unfettered access to those
services
Medicare provides health insurance benefits to the following
individuals. - =Answer>> All persons age 65, individuals
with permanent renal (kidney) failure, disabilities
QMBs - =Answer>> Medicare beneficiaries who qualify for
certain Medicaid benefits if they have incomes below the FPL
and resources at or below twice the standard allowed under the
SSI program.
Centers for Medicare and Medicaid Services (CMS) -
=Answer>> Administers all federally supported healthcare
financing programs
Federal Trade Commission (FTC) - =Answer>> Examines
mergers of hospitals and other healthcare institutions
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