CSPR FINAL PAPER 2026 EXAM Q&A
STUDY GUIDE COMPLETE SOLUTION
◉The CMS hopital Value-Based Purchasing (VBP) program links a
percentage of a hospital's payment to performance on quality
measures. A component of the hospital's VBP total performance
score is:
A) Patient Experience
B) Access to care
C) Case mix indexes
D) Net margin per case. Answer: A) Patient Experience
◉All of the following are true regarding a non-direct PPO, EXCEPT:
A) Many providers sign such agreements, without understanding
that there is little volume promised in exchange for any preferred
rates
B) Many providers sign such agreements, without understanding
that there is no specific steerage to contracted providers
, C) The arrangements does not discount provider fees with no
incentives for patients to access the provider's services
D) Such PPO's or networks are national networks. Answer: C) The
arrangements does not discount provider fees with no incentives for
patients to access the provider's services
◉Which fixed-rate payment method uses a single price for an
inpatient stay, outpatient procedure, or outpatient diagnosis if
charges exceed a threshold dollar amount?
A) Per diem payments
B) Carve-outs
C) Inpatient Stop-Loss
D) Case rate payments. Answer: D) Case rate payments
◉RBRVS is:
A) The relative weight for calculating MS-DRG payments
B) The relative weight for calculating OPPS payments
C) Mediare physician payment relative weights
STUDY GUIDE COMPLETE SOLUTION
◉The CMS hopital Value-Based Purchasing (VBP) program links a
percentage of a hospital's payment to performance on quality
measures. A component of the hospital's VBP total performance
score is:
A) Patient Experience
B) Access to care
C) Case mix indexes
D) Net margin per case. Answer: A) Patient Experience
◉All of the following are true regarding a non-direct PPO, EXCEPT:
A) Many providers sign such agreements, without understanding
that there is little volume promised in exchange for any preferred
rates
B) Many providers sign such agreements, without understanding
that there is no specific steerage to contracted providers
, C) The arrangements does not discount provider fees with no
incentives for patients to access the provider's services
D) Such PPO's or networks are national networks. Answer: C) The
arrangements does not discount provider fees with no incentives for
patients to access the provider's services
◉Which fixed-rate payment method uses a single price for an
inpatient stay, outpatient procedure, or outpatient diagnosis if
charges exceed a threshold dollar amount?
A) Per diem payments
B) Carve-outs
C) Inpatient Stop-Loss
D) Case rate payments. Answer: D) Case rate payments
◉RBRVS is:
A) The relative weight for calculating MS-DRG payments
B) The relative weight for calculating OPPS payments
C) Mediare physician payment relative weights
