Healthcare Administration Final
Certification Exam Prep-High-Yield
Topic Test (2026 Edition)|| Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationale provided.
Domain 1: Healthcare Systems & Policy (15 Questions)
1. Which U.S. legislation expanded Medicaid eligibility to all adults with
income up to 138% of the federal poverty level?
A) HIPAA
B) Medicare Modernization Act
C) Affordable Care Act (ACA)
D) 21st Century Cures Act
Rationale: The ACA (2010) allowed states to expand Medicaid, increasing access
for low-income adults.
2. Under the Medicare Access and CHIP Reauthorization Act (MACRA),
which two tracks define payment models for clinicians?
A) MSSP & ACO
B) MIPS & Advanced APMs
C) HEDIS & CAHPS
D) RBRVS & RVU
,Rationale: MACRA repealed the SGR formula and created the Merit-based
Incentive Payment System (MIPS) and Advanced Alternative Payment Models
(APMs).
3. A hospital receives Medicare Disproportionate Share Hospital (DSH)
payments based on:
A) Number of beds
B) High percentage of low-income patients
C) Geographic location
D) Teaching status only
Rationale: Medicare DSH compensates hospitals serving a disproportionate share
of Medicaid and low-income Medicare patients.
4. Which of the following is a primary goal of a Patient-Centered Medical
Home (PCMH)?
A) Increase specialist visits
B) Care coordination and comprehensive primary care
C) Reduce EHR use
D) Eliminate preventive services
Rationale: PCMH emphasizes team-based, coordinated, accessible, and patient-
centered primary care.
5. The 2026 final rule for the Hospital Outpatient Prospective Payment
System (OPPS) requires hospitals to:
A) Eliminate price transparency
B) Post machine-readable files of standard charges
C) Reduce nurse staffing
D) Merge with for-profit systems
Rationale: CMS continues to enforce price transparency rules, including machine-
readable standard charge files, in 2026.
6. A value-based purchasing (VBP) model typically ties payment to:
A) Volume of admissions
B) Quality and cost-efficiency metrics
C) Number of OR procedures
D) Length of stay only
, Rationale: VBP rewards providers for quality, outcomes, and lower costs, not
volume.
7. Which agency regulates clinical laboratory testing under CLIA?
A) FDA
B) CMS
C) OSHA
D) HRSA
Rationale: CMS administers CLIA (Clinical Laboratory Improvement
Amendments) for laboratory testing standards.
8. The No Surprises Act (effective 2022, updated 2026) primarily protects
patients from:
A) Out-of-network emergency room bills
B) Balance billing for emergency and certain unexpected out-of-network care
C) Prescription drug prices
D) Hospital readmission penalties
Rationale: The Act bans surprise balance billing for emergency services and some
non-emergency out-of-network care.
9. In 2026, CMS finalized mandatory participation in the Increasing Organ
Transplant Access (IOTA) model for:
A) All acute care hospitals
B) Transplant hospitals in certain geographic regions
C) Rural health clinics
D) Skilled nursing facilities
Rationale: IOTA is a mandatory model for kidney transplant hospitals in selected
regions, aiming to increase transplant rates.
10. The primary purpose of a Community Health Needs Assessment (CHNA)
is to:
A) Increase hospital profits
B) Identify health needs and develop implementation strategies
C) Reduce patient satisfaction surveys
D) Bypass IRS requirements
Rationale: CHNA is required for tax-exempt hospitals under ACA to address
community health priorities.
Certification Exam Prep-High-Yield
Topic Test (2026 Edition)|| Questions
And Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are highlighted in bold.
Rationale provided.
Domain 1: Healthcare Systems & Policy (15 Questions)
1. Which U.S. legislation expanded Medicaid eligibility to all adults with
income up to 138% of the federal poverty level?
A) HIPAA
B) Medicare Modernization Act
C) Affordable Care Act (ACA)
D) 21st Century Cures Act
Rationale: The ACA (2010) allowed states to expand Medicaid, increasing access
for low-income adults.
2. Under the Medicare Access and CHIP Reauthorization Act (MACRA),
which two tracks define payment models for clinicians?
A) MSSP & ACO
B) MIPS & Advanced APMs
C) HEDIS & CAHPS
D) RBRVS & RVU
,Rationale: MACRA repealed the SGR formula and created the Merit-based
Incentive Payment System (MIPS) and Advanced Alternative Payment Models
(APMs).
3. A hospital receives Medicare Disproportionate Share Hospital (DSH)
payments based on:
A) Number of beds
B) High percentage of low-income patients
C) Geographic location
D) Teaching status only
Rationale: Medicare DSH compensates hospitals serving a disproportionate share
of Medicaid and low-income Medicare patients.
4. Which of the following is a primary goal of a Patient-Centered Medical
Home (PCMH)?
A) Increase specialist visits
B) Care coordination and comprehensive primary care
C) Reduce EHR use
D) Eliminate preventive services
Rationale: PCMH emphasizes team-based, coordinated, accessible, and patient-
centered primary care.
5. The 2026 final rule for the Hospital Outpatient Prospective Payment
System (OPPS) requires hospitals to:
A) Eliminate price transparency
B) Post machine-readable files of standard charges
C) Reduce nurse staffing
D) Merge with for-profit systems
Rationale: CMS continues to enforce price transparency rules, including machine-
readable standard charge files, in 2026.
6. A value-based purchasing (VBP) model typically ties payment to:
A) Volume of admissions
B) Quality and cost-efficiency metrics
C) Number of OR procedures
D) Length of stay only
, Rationale: VBP rewards providers for quality, outcomes, and lower costs, not
volume.
7. Which agency regulates clinical laboratory testing under CLIA?
A) FDA
B) CMS
C) OSHA
D) HRSA
Rationale: CMS administers CLIA (Clinical Laboratory Improvement
Amendments) for laboratory testing standards.
8. The No Surprises Act (effective 2022, updated 2026) primarily protects
patients from:
A) Out-of-network emergency room bills
B) Balance billing for emergency and certain unexpected out-of-network care
C) Prescription drug prices
D) Hospital readmission penalties
Rationale: The Act bans surprise balance billing for emergency services and some
non-emergency out-of-network care.
9. In 2026, CMS finalized mandatory participation in the Increasing Organ
Transplant Access (IOTA) model for:
A) All acute care hospitals
B) Transplant hospitals in certain geographic regions
C) Rural health clinics
D) Skilled nursing facilities
Rationale: IOTA is a mandatory model for kidney transplant hospitals in selected
regions, aiming to increase transplant rates.
10. The primary purpose of a Community Health Needs Assessment (CHNA)
is to:
A) Increase hospital profits
B) Identify health needs and develop implementation strategies
C) Reduce patient satisfaction surveys
D) Bypass IRS requirements
Rationale: CHNA is required for tax-exempt hospitals under ACA to address
community health priorities.
