HFMA
HFMA Certified Specialist Managed Care (CSMC)
HFMA CSMC Online Module Assessments and HFMA CSMC
Certification Exam
Course Title and Number: HFMA CSAF 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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CSAF Certification Exam Review HFMA Certified Specialist
Accounting & Finance (CSAF) Exam Questions and Answers |
100% Pass Guaranteed | Graded A+ |
2025- 2026
HFMA CSAF Online Module Assessments and HFMA CSAF
Certification Exam
HFMA Certified Specialist Accounting & Finance (CSAF)
Healthcare Financial Management Association HFMA.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Responsibility Accounting - =Answer>> a system of
reporting financial results on the basis of managerial
responsibilities within an organization
Predetermined Standard - =Answer>> Arrived at by a group
or association of organizations with similar characteristics
Which option is NOT a function of the Centers for Medicare and
Medicaid Services (CMS)? - =Answer>> Regulatory
Environment and Corporate Compliance. The healthcare
industry is highly regulated. HHS is charged with the overall
responsibility for administration of federally sponsored
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healthcare programs, a responsibility which has been delegated
to the CMS.
Medicare and Medicaid Legislation and Medicare
Reimbursement - =Answer>> Medicare is a federally funded
and administered program of health insurance that was
established by the Social Security Act of 1965 and enacted on
July 1, 1966.
Medicare provides health insurance benefits to the following:
-All persons 65 years of age or older
-Individuals with permanent renal (kidney) failure who are
eligible for dialysis treatment
-Individuals with certain disabilities
Medicare Part A: Inpatient/Hospital Coverage - =Answer>>
Medicare Part A: Inpatient/Hospital Coverage
-Hospital care
-Skilled nursing facility care
-Nursing home care (as long as custodial care isn't the only
care you need)
-Hospice
-Home health services
Medicare Part B: Outpatient/Medical Coverage - =Answer>>
Medicare Part B: Outpatient/Medical Coverage
-Clinical research
-Ambulance services
-Durable medical equipment (DME)
-Mental health
-Inpatient
-Outpatient
-Partial hospitalization
-Getting a second opinion before surgery
-Limited outpatient prescription drugs
Medicare Part C: Medicare Advantage - =Answer>>
Medicare Advantage (also called Medicare Part C) plans are
sold by private insurance companies that contract with
Medicare. Under a Medicare Part C plan, you get your Original
Medicare benefits through an insurance company instead of
directly through Medicare. As such, Part C insurers provide at
least the same amount of coverage as Original Medicare, with
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the exception of hospice care (this remains covered under
Medicare Part A, even if you join a Part C plan). Medicare
Advantage plans often include additional coverage, like routine
vision, dental, and hearing services.
Many Part C plans also include prescription drug coverage. So,
if you sign up for a Medicare Advantage Prescription Drug plan,
you get all your Medicare coverage in a single policy.
Medicare Part D: Prescription Drugs - =Answer>> Medicare
Part D: Prescription Drug Coverage
Prescription drug coverage is offered through private insurance
companies. If you have Original Medicare, you can get drug
coverage through a stand-alone Part D plan. You can also get
this coverage through a Medicare Advantage Prescription Drug
plan
Medicare Trust Funds - =Answer>> The payment of benefits
to hospitals and other providers, as well as administrative
expenses, are financed through two separate Medicare trust
funds:
Accumulation of funds in the Part A trust fund (for Medicare
Part A benefits) occurs through taxation of employment income
under the Social Security Act.
Accumulation of funds in the Part B trust fund occurs through
premiums paid by enrollees as well as federal government
subsidies.
Medicare Reimbursement - =Answer>> Until Federal FY
1984 and the inception of the Medicare Prospective Payment
System (PPS) created by the Social Security Act of 1983 (Public
Law 98-21), Medicare hospitals were reimbursed for the
allowable costs for providing services to Medicare patients
under a retrospective cost-based payment methodology. In
other words, hospitals were reimbursed for all care provided at
the hospital's current cost of providing the services.
There was no incentive to operate efficiently because all costs
incurred were reimbursable. Furthermore, there was no
incentive to utilize the appropriate level of resources or
scrutinize patient treatments with marginal or questionable
benefit. Limits were put into place at various times between
1972 and 1983 to help control costs.
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