HEALTHCARE ADMINISTRATION
EXAM MASTERY BUNDLE -
STUDY GUIDE||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Topic Test: Latest Trends & Core Competencies (2026 Edition)
Total Questions: 85
Time Allowed: 120 minutes
Passing Score: 75%
Section I: Healthcare Systems & Policy (Questions 1–15)
1. Which of the following best describes a “value-based care” model in 2026?
• A) Reimbursement based solely on the number of patient visits
• B) Payment tied to patient health outcomes and cost efficiency
• C) A fee-for-service model with bundled payments for surgeries
• D) A system where patients pay out-of-pocket for all services
Rationale: Value-based care focuses on quality, outcomes, and cost reduction,
moving away from volume-based fee-for-service.
2. The No Surprises Act (effective 2022, fully integrated by 2026) primarily
protects patients from:
• A) Lack of insurance coverage for mental health
, • B) Unexpected balance billing from out-of-network providers
• C) Denial of emergency services
• D) High prescription drug costs
Rationale: The Act bans surprise bills for emergency and certain non-emergency
services when patients unknowingly receive out-of-network care.
3. In 2026, which federal agency is most responsible for enforcing HIPAA privacy
and security rules?
• A) FDA
• B) HHS Office for Civil Rights (OCR)
• C) CMS
• D) FTC
Rationale: OCR enforces HIPAA; CMS handles Medicare/Medicaid; FDA
regulates drugs/devices.
4. The “Hospital at Home” program, expanded post-COVID, allows:
• A) Full Medicare reimbursement only for inpatient stays
• B) Acute-level care delivered in a patient’s home with remote
monitoring
• C) Family members to act as certified nurses
• D) Elimination of all licensing requirements for home care
Rationale: Hospital at Home provides hospital-level services (IV meds,
monitoring) at home, reducing costs and improving patient satisfaction.
5. A rural hospital is struggling financially. Which 2026 policy is designed to
support it?
• A) Merit-based Incentive Payment System (MIPS) penalties
• B) Medicare Rural Hospital Flexibility Program (critical access
designation)
• C) Reduction in telehealth reimbursements
• D) Mandatory closure of small ERs
, Rationale: The Flex Program supports Critical Access Hospitals with cost-based
reimbursement.
6. What is a major update in the 2026 CMS interoperability rule?
• A) Data blocking is now permitted for small practices
• B) Hospitals must share real-time admission, discharge, and transfer
notifications with PCPs via FHIR APIs
• C) Patients can no longer access their own medical records electronically
• D) EHR vendors are exempt from information blocking penalties
Rationale: 2026 rules require seamless data exchange via FHIR APIs to improve
care coordination.
7. Medicaid expansion under the ACA in 2026 covers adults with incomes up to:
• A) 100% of FPL
• B) 138% of FPL
• C) 200% of FPL
• D) 50% of FPL
Rationale: The ACA expanded Medicaid to 138% FPL, though 10 states still
haven’t adopted it as of 2026.
8. Which entity manages the Medicare Shared Savings Program (ACOs)?
• A) FDA
• B) CMS
• C) ONC
• D) DEA
Rationale: CMS oversees Accountable Care Organizations (ACOs) to promote
coordinated, value-based care.
9. In 2026, the primary purpose of the “TEAM” model (CMS’s mandatory
Bundled Payment Model) is:
• A) Increase fee-for-service payments
EXAM MASTERY BUNDLE -
STUDY GUIDE||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Topic Test: Latest Trends & Core Competencies (2026 Edition)
Total Questions: 85
Time Allowed: 120 minutes
Passing Score: 75%
Section I: Healthcare Systems & Policy (Questions 1–15)
1. Which of the following best describes a “value-based care” model in 2026?
• A) Reimbursement based solely on the number of patient visits
• B) Payment tied to patient health outcomes and cost efficiency
• C) A fee-for-service model with bundled payments for surgeries
• D) A system where patients pay out-of-pocket for all services
Rationale: Value-based care focuses on quality, outcomes, and cost reduction,
moving away from volume-based fee-for-service.
2. The No Surprises Act (effective 2022, fully integrated by 2026) primarily
protects patients from:
• A) Lack of insurance coverage for mental health
, • B) Unexpected balance billing from out-of-network providers
• C) Denial of emergency services
• D) High prescription drug costs
Rationale: The Act bans surprise bills for emergency and certain non-emergency
services when patients unknowingly receive out-of-network care.
3. In 2026, which federal agency is most responsible for enforcing HIPAA privacy
and security rules?
• A) FDA
• B) HHS Office for Civil Rights (OCR)
• C) CMS
• D) FTC
Rationale: OCR enforces HIPAA; CMS handles Medicare/Medicaid; FDA
regulates drugs/devices.
4. The “Hospital at Home” program, expanded post-COVID, allows:
• A) Full Medicare reimbursement only for inpatient stays
• B) Acute-level care delivered in a patient’s home with remote
monitoring
• C) Family members to act as certified nurses
• D) Elimination of all licensing requirements for home care
Rationale: Hospital at Home provides hospital-level services (IV meds,
monitoring) at home, reducing costs and improving patient satisfaction.
5. A rural hospital is struggling financially. Which 2026 policy is designed to
support it?
• A) Merit-based Incentive Payment System (MIPS) penalties
• B) Medicare Rural Hospital Flexibility Program (critical access
designation)
• C) Reduction in telehealth reimbursements
• D) Mandatory closure of small ERs
, Rationale: The Flex Program supports Critical Access Hospitals with cost-based
reimbursement.
6. What is a major update in the 2026 CMS interoperability rule?
• A) Data blocking is now permitted for small practices
• B) Hospitals must share real-time admission, discharge, and transfer
notifications with PCPs via FHIR APIs
• C) Patients can no longer access their own medical records electronically
• D) EHR vendors are exempt from information blocking penalties
Rationale: 2026 rules require seamless data exchange via FHIR APIs to improve
care coordination.
7. Medicaid expansion under the ACA in 2026 covers adults with incomes up to:
• A) 100% of FPL
• B) 138% of FPL
• C) 200% of FPL
• D) 50% of FPL
Rationale: The ACA expanded Medicaid to 138% FPL, though 10 states still
haven’t adopted it as of 2026.
8. Which entity manages the Medicare Shared Savings Program (ACOs)?
• A) FDA
• B) CMS
• C) ONC
• D) DEA
Rationale: CMS oversees Accountable Care Organizations (ACOs) to promote
coordinated, value-based care.
9. In 2026, the primary purpose of the “TEAM” model (CMS’s mandatory
Bundled Payment Model) is:
• A) Increase fee-for-service payments
