FUNDAMENTALS CMS PROCTORED
EXAMINATION TEST 2026 QUESTIONS
WITH SOLUTIONS
⫸ U.S. Food and Drug Administration (FDA) Answer: The regulatory
agency responsible for ensuring the safety and effectiveness of food,
drugs, and medical devices in the United States.
⫸ State and local public health agencies Answer: Government agencies
at the state and local level that promote and protect public health.
⫸ State licensing boards Answer: Government bodies that ensure health
care providers and agencies comply with state regulations.
⫸ The Joint Commission Answer: An organization that establishes
quality standards for accrediting health care facilities.
⫸ Professional Standards Review Organizations Answer: Organizations
that monitor the quality of health care services provided.
⫸ Utilization review committees Answer: Committees that monitor the
appropriate diagnosis and treatment of hospitalized clients.
, ⫸ Medicare Answer: A federally funded program that provides health
care coverage for clients aged 65 and older, as well as those with
permanent disabilities.
⫸ Medicaid Answer: A federally and state-funded program that
provides health care coverage for low-income individuals. Eligibility
requirements are determined by individual states.
⫸ Patient Protection and Affordable Care Act of 2010 Answer: A
federal statute aimed at increasing access to health care, decreasing
costs, and providing opportunities for uninsured individuals to become
insured.
⫸ State Children's Health Insurance Program Answer: A program that
provides health insurance coverage for uninsured children up to age 19.
⫸ Traditional insurance Answer: Private insurance that reimburses for
services on a fee-for-service basis.
⫸ Managed care organizations (MCOs) Answer: Primary care providers
who oversee comprehensive care for enrolled clients, with a focus on
prevention and health promotion.
⫸ Preferred provider organizations (PPOs) Answer: Clients choose
from a list of contracted providers and hospitals. Using non-contracted
providers increases out-of-pocket costs.
EXAMINATION TEST 2026 QUESTIONS
WITH SOLUTIONS
⫸ U.S. Food and Drug Administration (FDA) Answer: The regulatory
agency responsible for ensuring the safety and effectiveness of food,
drugs, and medical devices in the United States.
⫸ State and local public health agencies Answer: Government agencies
at the state and local level that promote and protect public health.
⫸ State licensing boards Answer: Government bodies that ensure health
care providers and agencies comply with state regulations.
⫸ The Joint Commission Answer: An organization that establishes
quality standards for accrediting health care facilities.
⫸ Professional Standards Review Organizations Answer: Organizations
that monitor the quality of health care services provided.
⫸ Utilization review committees Answer: Committees that monitor the
appropriate diagnosis and treatment of hospitalized clients.
, ⫸ Medicare Answer: A federally funded program that provides health
care coverage for clients aged 65 and older, as well as those with
permanent disabilities.
⫸ Medicaid Answer: A federally and state-funded program that
provides health care coverage for low-income individuals. Eligibility
requirements are determined by individual states.
⫸ Patient Protection and Affordable Care Act of 2010 Answer: A
federal statute aimed at increasing access to health care, decreasing
costs, and providing opportunities for uninsured individuals to become
insured.
⫸ State Children's Health Insurance Program Answer: A program that
provides health insurance coverage for uninsured children up to age 19.
⫸ Traditional insurance Answer: Private insurance that reimburses for
services on a fee-for-service basis.
⫸ Managed care organizations (MCOs) Answer: Primary care providers
who oversee comprehensive care for enrolled clients, with a focus on
prevention and health promotion.
⫸ Preferred provider organizations (PPOs) Answer: Clients choose
from a list of contracted providers and hospitals. Using non-contracted
providers increases out-of-pocket costs.
