HFMA CSPR EXAM QUESTIONS WITH 100%
COMPLETE ANSWERS!!
THIS EXAM CONTAINS:
Hfma Cspr Exam
Questions With 100% Complete Answers!!
Newly Updated
1|Pag
,1. The cNo cSurprise cAct cwas ca cproduct cof:
A) The cHealth cInsurance cPortability cAct
B) The cConsolidation cAppropriations cAct
C) The cTreaty cof cAlgeron
D) The cAffordable cCare cAct
..ANS>>cD) cThe cAttordable cCare cAct
2. Which cof cthe cfollowing cis can cadvantage cof cdirect ccontracting?
A) Providers cdo cnot chave cto cadjudicate cclaims cfor cpayment
B) Employers ccan csave cthe ccost cof cworking cwith can cinsurance ccompany
C) It c allows c the c patients c to c have c a c choice c of c providers c and c physicians
D) Providers c can c work c directly c with c employers c to c reduce c the c cost c of c providing cinsurance
c..ANS>>D) cProviders ccan cwork cdirectly cwith cemployers cto creduce cthe ccost cof cproviding cinsurance
3. Accountable cCare cOrganizations c(ACOs) chave call cof cthe cfollowing ccharacteris- ctics cEXCEPT:
A) Patient ccentric ccare cmodel
B) Financial c incentive c for c quantity c of c care
C) Integrated c care c coordination
D) Electronic cMedical cRecord cSystem
..ANS>>cB) cFinancial cincentive cfor cquantity cof ccare
2|Pag
,4. The cEmergency cTreatment cand cActive cLabor cAct c(EMTALA) cgoverns cwhen ca cpa- ctient cmay cbe
ctransferred cfrom cone chospital cto canother cwhen cin ca(n) ccondition:
A) Life cthreatening
B) Non-emergency
C) Stable
D) Chronic
..ANS>>cA) cLife cthreatening
5. STAR cratings care cused cto cindicate cthe cquality cof:
A) Accountable cCare cOrganizations cperformance
B) Medicare cAdvantage chealth cplan cperformance
C) Services cprovided cby chospitals
D) Services cprovided cby cphysicians
..ANS>> cB) cMedicare cAdvantage chealth cplan cperformance
3|Pag
, 6. To c evaluate c an c organization's c compliance c with c the c CMS c COP c standards c and cother
caccreditation crequirements, cis cthe cpurpose cof:
A) A ccomprehensive caccreditation cprocess
B) Recovery cAudits
C) The cAmerican cOsteopathic cAssociation
D) A cclean cclaim
..ANS>>cA) cA ccomprehensive caccreditation cprocess
7. What cis ctiering?
A) Typically c fixed c dollar c amounts c paid c by c the c insured c directly c to c the c practitioner cper cepisode
cof ccare
B) Healthcare c coverage c products c featuring c narrow c networks, c high c cost c sharing c and cvery clow
cpremiums
C) An c effort c by c insurers c to c increase c premiums c and c to c address c calls c from c em- cployers cand
cthe cpublic cfor cimproved cquality
D) The c ranking c or c classifying c of c one c or c more c of c the c provider c delivery c system ccomponents cto
cinfluence cchoice
c..ANS>>D) cThe cranking cor cclassifying cof cone cor cmore cof cthe cprovider cdelivery csystem ccomponents cto cinfluence
cchoice
4|Pag
COMPLETE ANSWERS!!
THIS EXAM CONTAINS:
Hfma Cspr Exam
Questions With 100% Complete Answers!!
Newly Updated
1|Pag
,1. The cNo cSurprise cAct cwas ca cproduct cof:
A) The cHealth cInsurance cPortability cAct
B) The cConsolidation cAppropriations cAct
C) The cTreaty cof cAlgeron
D) The cAffordable cCare cAct
..ANS>>cD) cThe cAttordable cCare cAct
2. Which cof cthe cfollowing cis can cadvantage cof cdirect ccontracting?
A) Providers cdo cnot chave cto cadjudicate cclaims cfor cpayment
B) Employers ccan csave cthe ccost cof cworking cwith can cinsurance ccompany
C) It c allows c the c patients c to c have c a c choice c of c providers c and c physicians
D) Providers c can c work c directly c with c employers c to c reduce c the c cost c of c providing cinsurance
c..ANS>>D) cProviders ccan cwork cdirectly cwith cemployers cto creduce cthe ccost cof cproviding cinsurance
3. Accountable cCare cOrganizations c(ACOs) chave call cof cthe cfollowing ccharacteris- ctics cEXCEPT:
A) Patient ccentric ccare cmodel
B) Financial c incentive c for c quantity c of c care
C) Integrated c care c coordination
D) Electronic cMedical cRecord cSystem
..ANS>>cB) cFinancial cincentive cfor cquantity cof ccare
2|Pag
,4. The cEmergency cTreatment cand cActive cLabor cAct c(EMTALA) cgoverns cwhen ca cpa- ctient cmay cbe
ctransferred cfrom cone chospital cto canother cwhen cin ca(n) ccondition:
A) Life cthreatening
B) Non-emergency
C) Stable
D) Chronic
..ANS>>cA) cLife cthreatening
5. STAR cratings care cused cto cindicate cthe cquality cof:
A) Accountable cCare cOrganizations cperformance
B) Medicare cAdvantage chealth cplan cperformance
C) Services cprovided cby chospitals
D) Services cprovided cby cphysicians
..ANS>> cB) cMedicare cAdvantage chealth cplan cperformance
3|Pag
, 6. To c evaluate c an c organization's c compliance c with c the c CMS c COP c standards c and cother
caccreditation crequirements, cis cthe cpurpose cof:
A) A ccomprehensive caccreditation cprocess
B) Recovery cAudits
C) The cAmerican cOsteopathic cAssociation
D) A cclean cclaim
..ANS>>cA) cA ccomprehensive caccreditation cprocess
7. What cis ctiering?
A) Typically c fixed c dollar c amounts c paid c by c the c insured c directly c to c the c practitioner cper cepisode
cof ccare
B) Healthcare c coverage c products c featuring c narrow c networks, c high c cost c sharing c and cvery clow
cpremiums
C) An c effort c by c insurers c to c increase c premiums c and c to c address c calls c from c em- cployers cand
cthe cpublic cfor cimproved cquality
D) The c ranking c or c classifying c of c one c or c more c of c the c provider c delivery c system ccomponents cto
cinfluence cchoice
c..ANS>>D) cThe cranking cor cclassifying cof cone cor cmore cof cthe cprovider cdelivery csystem ccomponents cto cinfluence
cchoice
4|Pag
