CERTIFIED SPECIALIST BUSINESS
INTELLIGENCE HFMA 4 COMPREHENSIVE
ASSESSMENT 2026 SOLVED QUESTIONS
VERIFIED
◉ In most cases the federal government matches state contributions
and, thus, shares in financing these healthcare services Answer:
Medicare
**Medicaid
◉ Which option is NOT a broad class of net assets or net position?
Answer: A. Unrestricted
B. Temporarily Restricted
C. Permanently Restricted
**D. Donor Restricted
◉ Variability in activities that impact both revenues and expenses
Answer: **Yes
No
◉ Incremental net revenues associated with the capital investment
decision, including any cost savings, and the impact of cost-based
reimbursement and/or taxation. Cost-based providers will share in
,any capital investment that reduces cost. For tax-based providers,
any dollar of profit will be reduced by the tax. Answer: A. Cash
Outflow
B. Cash Inflow
C. Economic Life
NOT - D. Opportunity Cost of Funds
◉ Provides health insurance mainly for the indigent Answer: A.
Medicare
**B. Medicaid
◉ Allow entities to spread the risks associated with a deal. Answer:
**Benefit
Risk
◉ Which option is NOT used to determine realizable amounts?
Answer: A. Contractual agreement with others (such as Blue Cross
plans, Medicare, Medicaid, or HMOs)
B. Legislation or regulation such as workers' compensation or no-
fault insurance
C. Provider policy or practice (such as courtesy discounts to medical
staff members and employees or other administrative adjustments)
**D. Subsequent to discharge or completion of service
,◉ Tentative and contain fewer details Answer: A. Short-Term
**B. Long-Term
◉ Which option is NOT a transaction and/or financial arrangement
type that may promote an excess benefit transaction? Answer: A. A
non - fair market value transaction in which an insider receives
payment that cannot be supported by independent appraisal
B. A transaction in which an insider receives compensation from the
tax-exempt organization in an amount deemed in excess of fair value
or otherwise is unreasonable
C. A revenue-sharing transaction in which an insider receives
payment based on the tax-exempt organization's income and
violates the private inurement prohibition
**D. An intermediate tax sanction imposed on two specific classes of
disqualified persons
◉ Tax Refunds Answer: True
**False
◉ Which option is NOT an operating characteristic category for
healthcare organizations? Answer: A. Investor-owned healthcare
entities
B. Not-for-profit business-oriented entities
C. Governmental healthcare entities
, **D. AICPA's healthcare entities
◉ Tax indemnification and gross up payments Answer: **Yes
No
◉ Soliciting, offering, or receiving a kickback Answer: **Yes
No
◉ Misrepresenting the diagnosis to justify payment. This commonly
refers to upcoding or assigning a higher payment than the procedure
or diagnosis warrants. Answer: **Yes
No
◉ External Cash Management Answer: Yes
**No
◉ Which one of the following in NOT a method used to quantify the
value of assets? Answer: A. Discounted cash flow method
B. Replacement cost method
C. Debt restructuring method
NOT - D. Market comparison method
INTELLIGENCE HFMA 4 COMPREHENSIVE
ASSESSMENT 2026 SOLVED QUESTIONS
VERIFIED
◉ In most cases the federal government matches state contributions
and, thus, shares in financing these healthcare services Answer:
Medicare
**Medicaid
◉ Which option is NOT a broad class of net assets or net position?
Answer: A. Unrestricted
B. Temporarily Restricted
C. Permanently Restricted
**D. Donor Restricted
◉ Variability in activities that impact both revenues and expenses
Answer: **Yes
No
◉ Incremental net revenues associated with the capital investment
decision, including any cost savings, and the impact of cost-based
reimbursement and/or taxation. Cost-based providers will share in
,any capital investment that reduces cost. For tax-based providers,
any dollar of profit will be reduced by the tax. Answer: A. Cash
Outflow
B. Cash Inflow
C. Economic Life
NOT - D. Opportunity Cost of Funds
◉ Provides health insurance mainly for the indigent Answer: A.
Medicare
**B. Medicaid
◉ Allow entities to spread the risks associated with a deal. Answer:
**Benefit
Risk
◉ Which option is NOT used to determine realizable amounts?
Answer: A. Contractual agreement with others (such as Blue Cross
plans, Medicare, Medicaid, or HMOs)
B. Legislation or regulation such as workers' compensation or no-
fault insurance
C. Provider policy or practice (such as courtesy discounts to medical
staff members and employees or other administrative adjustments)
**D. Subsequent to discharge or completion of service
,◉ Tentative and contain fewer details Answer: A. Short-Term
**B. Long-Term
◉ Which option is NOT a transaction and/or financial arrangement
type that may promote an excess benefit transaction? Answer: A. A
non - fair market value transaction in which an insider receives
payment that cannot be supported by independent appraisal
B. A transaction in which an insider receives compensation from the
tax-exempt organization in an amount deemed in excess of fair value
or otherwise is unreasonable
C. A revenue-sharing transaction in which an insider receives
payment based on the tax-exempt organization's income and
violates the private inurement prohibition
**D. An intermediate tax sanction imposed on two specific classes of
disqualified persons
◉ Tax Refunds Answer: True
**False
◉ Which option is NOT an operating characteristic category for
healthcare organizations? Answer: A. Investor-owned healthcare
entities
B. Not-for-profit business-oriented entities
C. Governmental healthcare entities
, **D. AICPA's healthcare entities
◉ Tax indemnification and gross up payments Answer: **Yes
No
◉ Soliciting, offering, or receiving a kickback Answer: **Yes
No
◉ Misrepresenting the diagnosis to justify payment. This commonly
refers to upcoding or assigning a higher payment than the procedure
or diagnosis warrants. Answer: **Yes
No
◉ External Cash Management Answer: Yes
**No
◉ Which one of the following in NOT a method used to quantify the
value of assets? Answer: A. Discounted cash flow method
B. Replacement cost method
C. Debt restructuring method
NOT - D. Market comparison method
