1|Page
HFMA CSPR 2025/2026 FINAL EXAM WITH ALL
COMPLETE QUESTIONS AND DETAILED CORRECT
ANSWERS WELL ERABORATED FOR
GUARANTEED PASS TOP-RATED A+.
HFMA CSPR
Maximize your preparation for the challenging HFMA CSPR Final
Exam with this targeted and up-to-date study guide for the 2025/2026
curriculum. It features high-yield practice material that reinforces
critical concepts in patient access, billing, and regulatory standards.
Download now to build the confidence and specialized knowledge
needed to earn your certification on the first attempt.
Although it now offers accreditation for a spectrum of
healthcare services, URAC originally offered a specialty
accreditation program for _________:
A) Disease management
B) Health plans
C) Core standards addressing organizational functions for
healthcare
D) Utilizaiton management ...... ANSWER ....... D)
Utilizaiton management
,2|Page
Determining whether an inpatient or outpatient medical
service is appropriate for a patient is a component of what
type of utilization management review?
A) Prospective
B) Concurrent
C) Post Discharge
D) Retrospective ...... ANSWER ....... A) Prospective
Accountable Care Organizations are designed with the
following criteria:
A) To save money by avoiding unnecessary services
B) To make providers independent of each other
C) To provide no financial incentives for provider
cooperation
D) To increase the use of emergency room services ......
ANSWER ....... A) To save money by avoiding
unnecessary services
Contract performance modeling is:
,3|Page
A) An initiative used to help increase an organization's
reimbursement payments
B) An initiative used to help increase an organization's
revenue/ profit/ margins
C) An initiative used to help increase the interest and
participation of stakeholders
D) An initiative used to help increase the quality of an
organization's services ...... ANSWER ....... B) An
initiative used to help increase an organization's revenue/
profit/ margins
Making advance payment to providers for all services needed
to care for a member, in a effort to control costs is known as:
A) Financia Management
B) Risk Adjustment
C) Capitation
D) Premium ...... ANSWER ....... C) Capitation
, 4|Page
Under capitation, which option is NOT an increased risk for
the provider:
A) Cost of delivering care
B) Product marketing that could result in adverse selection
(or a disproportionate amount of people who will need care)
C) Cost of retaining quality physicians
D) Accuracy of the actuarial projections used to determine
the anticipated use, severity, and acuity of services to be
provided ...... ANSWER ....... D) Accuracy of the
actuarial projections used to determine the anticipated use,
severity, and acuity of services to be provided
Disproportionate/ concentrated expenditures on a relatively
small percentage of the population with chronic condition is
a factor:
A) That can clearly be identified as a contributing driver of
health cost increases
B) That contributes to the fundamental change in the
relationships between healthcare organizations and the
government
HFMA CSPR 2025/2026 FINAL EXAM WITH ALL
COMPLETE QUESTIONS AND DETAILED CORRECT
ANSWERS WELL ERABORATED FOR
GUARANTEED PASS TOP-RATED A+.
HFMA CSPR
Maximize your preparation for the challenging HFMA CSPR Final
Exam with this targeted and up-to-date study guide for the 2025/2026
curriculum. It features high-yield practice material that reinforces
critical concepts in patient access, billing, and regulatory standards.
Download now to build the confidence and specialized knowledge
needed to earn your certification on the first attempt.
Although it now offers accreditation for a spectrum of
healthcare services, URAC originally offered a specialty
accreditation program for _________:
A) Disease management
B) Health plans
C) Core standards addressing organizational functions for
healthcare
D) Utilizaiton management ...... ANSWER ....... D)
Utilizaiton management
,2|Page
Determining whether an inpatient or outpatient medical
service is appropriate for a patient is a component of what
type of utilization management review?
A) Prospective
B) Concurrent
C) Post Discharge
D) Retrospective ...... ANSWER ....... A) Prospective
Accountable Care Organizations are designed with the
following criteria:
A) To save money by avoiding unnecessary services
B) To make providers independent of each other
C) To provide no financial incentives for provider
cooperation
D) To increase the use of emergency room services ......
ANSWER ....... A) To save money by avoiding
unnecessary services
Contract performance modeling is:
,3|Page
A) An initiative used to help increase an organization's
reimbursement payments
B) An initiative used to help increase an organization's
revenue/ profit/ margins
C) An initiative used to help increase the interest and
participation of stakeholders
D) An initiative used to help increase the quality of an
organization's services ...... ANSWER ....... B) An
initiative used to help increase an organization's revenue/
profit/ margins
Making advance payment to providers for all services needed
to care for a member, in a effort to control costs is known as:
A) Financia Management
B) Risk Adjustment
C) Capitation
D) Premium ...... ANSWER ....... C) Capitation
, 4|Page
Under capitation, which option is NOT an increased risk for
the provider:
A) Cost of delivering care
B) Product marketing that could result in adverse selection
(or a disproportionate amount of people who will need care)
C) Cost of retaining quality physicians
D) Accuracy of the actuarial projections used to determine
the anticipated use, severity, and acuity of services to be
provided ...... ANSWER ....... D) Accuracy of the
actuarial projections used to determine the anticipated use,
severity, and acuity of services to be provided
Disproportionate/ concentrated expenditures on a relatively
small percentage of the population with chronic condition is
a factor:
A) That can clearly be identified as a contributing driver of
health cost increases
B) That contributes to the fundamental change in the
relationships between healthcare organizations and the
government
