HFMA CSPR EXAM QUESTIONS WITH 100%
x x x x x
COMPLETE ANSWERS!!
x
THIS EXAM CONTAINS:
x x
Hfma Cspr Exam
x x
Questions With 100% Complete Answers!!
x x x x
Newly Updated
x
1|Pag
x x x x x
,1. The x No Surprise Act was a product of:
x x x x x x
A) The Health Insurance Portability Act
x x x x x x x x
B) The Consolidation Appropriations Act
C) The x Treaty of Algeron x x
D) The Affordable Care Act
x x x
..ANS>> D) The Attordable Care Act
x x x x x
2. Which x x of x x the x x following x x is x x an x x advantage x x of x x direct x x contracting?
A) Providers do not have to adjudicate claims for payment
x x x x x x x x x x x x x x x x
B) Employers can x x save x the cost x x of x working with x x an x insurance x company
C) It allows the patients to have a choice of providers and physicians
D) Providers can work directly with employers to reduce the cost of providing insurance
x
..ANS>>D) Providers can work directly with employers to reduce the cost of providing insurance
x x x x x x x x x x x x x
3. Accountable x Care Organizations (ACOs) have all of the following characteris- tics EXCEPT:
x x x x x x x x x x x
A) Patient centric care model
x x x
B) Financial incentive for quantity of care
C) Integrated care coordination
D) Electronic Medical Record System x x x
..ANS>> B) Financial incentive for quantity of care
x x x x x x x
2|Pag
x x x x x
,4. The x Emergency Treatment and Active Labor Act (EMTALA) governs when a pa- tient
x x x x x x x x x x x
x may be transferred
x x x from x one x hospital x to x another x when x in x a(n) x condition:
A) Life x x threatening
B) Non-emergency
C) Stable
D) Chronic
..ANS>> A) Life threatening
x x x
5. STAR x ratings are used to indicate the quality of:
x x x x x x x
A) Accountable Care Organizations performance
x x x
B) Medicare Advantage health plan performance
x x x x x x x x
C) Services x provided by hospitals x x
D) Services provided by physicians
x x x
..ANS>> B) Medicare Advantage health plan performance
x x x x x x
3|Pag
x x x x x
, 6. To evaluate an organization's compliance with the CMS COP standards and other
x
x accreditation x x requirements, x x is x x the x x purpose x x of:
A) A comprehensive
x x x x accreditation process x x
B) Recovery Audits x
C) The x American Osteopathic Association x x
D) A clean claimx x
..ANS>> A) A comprehensive accreditation process
x x x x x
7. What x is tiering?
x
A) Typically fixed dollar amounts paid by the insured directly to the practitioner per episode x x
x of care
x
B) Healthcare coverage products featuring narrow networks, high cost sharing and very lowx x
x premiums
C) An effort by insurers to increase premiums and to address calls from em- ployers and
x x
x the x x public x x for x x improved x x quality
D) The ranking or classifying of one or more of the provider delivery system components
x
x to influence choice
x x
c..ANS>>D) The ranking or classifying of one or more of the provider delivery system components to influence
x x x x x x x x x x x x x x x x
choice
x
4|Pag
x x x x x
x x x x x
COMPLETE ANSWERS!!
x
THIS EXAM CONTAINS:
x x
Hfma Cspr Exam
x x
Questions With 100% Complete Answers!!
x x x x
Newly Updated
x
1|Pag
x x x x x
,1. The x No Surprise Act was a product of:
x x x x x x
A) The Health Insurance Portability Act
x x x x x x x x
B) The Consolidation Appropriations Act
C) The x Treaty of Algeron x x
D) The Affordable Care Act
x x x
..ANS>> D) The Attordable Care Act
x x x x x
2. Which x x of x x the x x following x x is x x an x x advantage x x of x x direct x x contracting?
A) Providers do not have to adjudicate claims for payment
x x x x x x x x x x x x x x x x
B) Employers can x x save x the cost x x of x working with x x an x insurance x company
C) It allows the patients to have a choice of providers and physicians
D) Providers can work directly with employers to reduce the cost of providing insurance
x
..ANS>>D) Providers can work directly with employers to reduce the cost of providing insurance
x x x x x x x x x x x x x
3. Accountable x Care Organizations (ACOs) have all of the following characteris- tics EXCEPT:
x x x x x x x x x x x
A) Patient centric care model
x x x
B) Financial incentive for quantity of care
C) Integrated care coordination
D) Electronic Medical Record System x x x
..ANS>> B) Financial incentive for quantity of care
x x x x x x x
2|Pag
x x x x x
,4. The x Emergency Treatment and Active Labor Act (EMTALA) governs when a pa- tient
x x x x x x x x x x x
x may be transferred
x x x from x one x hospital x to x another x when x in x a(n) x condition:
A) Life x x threatening
B) Non-emergency
C) Stable
D) Chronic
..ANS>> A) Life threatening
x x x
5. STAR x ratings are used to indicate the quality of:
x x x x x x x
A) Accountable Care Organizations performance
x x x
B) Medicare Advantage health plan performance
x x x x x x x x
C) Services x provided by hospitals x x
D) Services provided by physicians
x x x
..ANS>> B) Medicare Advantage health plan performance
x x x x x x
3|Pag
x x x x x
, 6. To evaluate an organization's compliance with the CMS COP standards and other
x
x accreditation x x requirements, x x is x x the x x purpose x x of:
A) A comprehensive
x x x x accreditation process x x
B) Recovery Audits x
C) The x American Osteopathic Association x x
D) A clean claimx x
..ANS>> A) A comprehensive accreditation process
x x x x x
7. What x is tiering?
x
A) Typically fixed dollar amounts paid by the insured directly to the practitioner per episode x x
x of care
x
B) Healthcare coverage products featuring narrow networks, high cost sharing and very lowx x
x premiums
C) An effort by insurers to increase premiums and to address calls from em- ployers and
x x
x the x x public x x for x x improved x x quality
D) The ranking or classifying of one or more of the provider delivery system components
x
x to influence choice
x x
c..ANS>>D) The ranking or classifying of one or more of the provider delivery system components to influence
x x x x x x x x x x x x x x x x
choice
x
4|Pag
x x x x x
