HFMA
HFMA Certified Healthcare Financial Professional (CHFP)
HFMA CHFP Online Module Assessments and HFMA CHFP
Certification Exam
Course Title and Number: HFMA CHFP 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 CHFP Certification Exam Review HFMA Certified
Healthcare Financial Professional (CHFP) Exam Questions and
Answers | 100% Pass Guaranteed | Graded A+ |
2025- 2026
HFMA CHFP Online Module Assessments and HFMA CHFP
Certification Exam
HFMA Certified Healthcare Financial Professional (CHFP)
Healthcare Financial Management Association HFMA.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Forms of Medicare Fraud - =Answer>> false claims (services
never rendered), upcoding (representing cases as more
complicated than actual, "kickbacks," double billing for the
same services, claiming costs for non-covered items/services
not covered---MUST be intentional
Forms of Medicare Abuse - =Answer>> Unintentional -
excessive charges, billing Medicare as primary, increasing
charges for Medicare patients and not others, billing Medicare
for services not medically necessary
Process in the Insurance Companies - =Answer>> 1. Pre-
Payment Audit
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2. Claims Adjudication
3. Communication of a decision
4. EOB (Explanation of Benefits)
5. Payment
6. Denial Claims
Charity Care - =Answer>> represents healthcare services
that are provided but are never expected to result in cash
flows. For external reporting, it is excluded from net revenue
and accounts receivable (since there is no intent to collect) but
is disclosed (at cost, not at charges) in the notes
to the financial statements. Hospitals use the cost-to-charge
ratio (CCR) from the Medicare Cost Report to determine its
cost: services rendered at gross charges x CCR = cost
Capitation payments - =Answer>> not patient service
revenue but premium revenue.
Internal Control - =Answer>> A process implemented by an
entity's board of directors, management, and other personnel
designed to provide reasonable assurance in reaching these
objectives:
1. Effectiveness and efficiency of operations
2. Reliability of financial reporting
3. Compliance with applicable laws and regulations.
Five interrelated components of internal control -
=Answer>> 1. Control Environment
2. Risk Assessment
3. Control Activities
4. Information & Communications
5. Monitoring
Control Environment - =Answer>> * Sets the tone of the
organization
* Influences the control consciousness of the people
* Includes integrity, ethical values, competence, attention,
mgmt. philosophy, and direction provided by the board of
directors
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