1|Page
CPXP Exam 2025, Certified Patient Experience
Professional, CPXP Test Bank, CPXP Questions
and Answers, Patient Experience Certification,
CPXP Study Guide, CPXP Practice Test 2025
What does HIPAA stand for? - .....ANSWER ...✔✔
Health Insurance Portability and Accountability Act
(1996)
What are the 3 key provisions of HIPAA? - .....ANSWER
...✔✔ 1. Patients' Right to Access Health Information:
Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure:
Healthcare providers must protect patient data from
unauthorized access or release.
3. Data Security: Providers must implement safeguards
to prevent breaches (physical, administrative, and
technical).
What is a Patient Bill of Rights? - .....ANSWER ...✔✔
A document that outlines the fundamental rights and
responsibilities of patients in the healthcare system.
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Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship
between patients and healthcare providers.
What are 3 examples of core rights in a Patient Bill of
Rights? - .....ANSWER ...✔✔ - Right to be informed
and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in
healthcare that focuses on improving ______ -
.....ANSWER ...✔✔ quality and safety
What are 3 key standards of The Joint Commission? -
.....ANSWER ...✔✔ 1. Patient safety and care quality
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA)
focuses on improving _____ - .....ANSWER ...✔✔
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healthcare quality by evaluating the performance of
healthcare organizations
National Committee for Quality Assurance (NCQA) uses
_____, _____, and _____ to highlight top performers
and drive improvement - .....ANSWER ...✔✔
measurement, transparency, and accountability
What organization is HEDIS part of? - .....ANSWER
...✔✔ National Committee for Quality Assurance
(NCQA)
What is HEDIS? - .....ANSWER ...✔✔ Healthcare
Effectiveness Data and Information Set
Measures used to evaluate how well healthcare
organizations provide preventive care, manage chronic
conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - .....ANSWER
...✔✔ 1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
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6. Measures reported using electronic clinical data
systems
Key areas of focus for Centers of Medicare and
Medicaid Services (CMS) - .....ANSWER ...✔✔ -
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care
Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare,
Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage
available to [fewer/more] individuals - .....ANSWER
...✔✔ more
T/F: The Affordable Care Act (ACA) established healath
insurance exchanges - .....ANSWER ...✔✔ True
CPXP Exam 2025, Certified Patient Experience
Professional, CPXP Test Bank, CPXP Questions
and Answers, Patient Experience Certification,
CPXP Study Guide, CPXP Practice Test 2025
What does HIPAA stand for? - .....ANSWER ...✔✔
Health Insurance Portability and Accountability Act
(1996)
What are the 3 key provisions of HIPAA? - .....ANSWER
...✔✔ 1. Patients' Right to Access Health Information:
Patients can request and receive their health records.
2. Protection Against Unauthorized Disclosure:
Healthcare providers must protect patient data from
unauthorized access or release.
3. Data Security: Providers must implement safeguards
to prevent breaches (physical, administrative, and
technical).
What is a Patient Bill of Rights? - .....ANSWER ...✔✔
A document that outlines the fundamental rights and
responsibilities of patients in the healthcare system.
,2|Page
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship
between patients and healthcare providers.
What are 3 examples of core rights in a Patient Bill of
Rights? - .....ANSWER ...✔✔ - Right to be informed
and make decisions about care.
- Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary accrediting body in
healthcare that focuses on improving ______ -
.....ANSWER ...✔✔ quality and safety
What are 3 key standards of The Joint Commission? -
.....ANSWER ...✔✔ 1. Patient safety and care quality
2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance (NCQA)
focuses on improving _____ - .....ANSWER ...✔✔
,3|Page
healthcare quality by evaluating the performance of
healthcare organizations
National Committee for Quality Assurance (NCQA) uses
_____, _____, and _____ to highlight top performers
and drive improvement - .....ANSWER ...✔✔
measurement, transparency, and accountability
What organization is HEDIS part of? - .....ANSWER
...✔✔ National Committee for Quality Assurance
(NCQA)
What is HEDIS? - .....ANSWER ...✔✔ Healthcare
Effectiveness Data and Information Set
Measures used to evaluate how well healthcare
organizations provide preventive care, manage chronic
conditions, and improve patient outcomes.
What are the 6 HEDIS domains of care? - .....ANSWER
...✔✔ 1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
, 4|Page
6. Measures reported using electronic clinical data
systems
Key areas of focus for Centers of Medicare and
Medicaid Services (CMS) - .....ANSWER ...✔✔ -
Reimbursement policies and payment models.
- Value-based care models (e.g., Accountable Care
Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare,
Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare coverage
available to [fewer/more] individuals - .....ANSWER
...✔✔ more
T/F: The Affordable Care Act (ACA) established healath
insurance exchanges - .....ANSWER ...✔✔ True
