HACP EXAM QUESTIONS WITH 100%
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
Hospitals are required to be in compliance with the Federal requirements set forth in the
Medicare Conditions of Participation (CoP) in order to receive Medicare/Medicaid payment. -
ANS True
How are certification of hospital compliance with CoP accomplished? - ANS Observations,
interviews, and document/record reviews.
What does a hospital survey asses? - ANS Asses compliance with Federal health, safety, and
quality standards that will assure that the patient receives safe, quality care and services.
How many deemed-status agencies are there? - ANS 4
What are the 4 deemed-status agencies? - ANS (1) The Center for Improvement in
Healthcare Quality (CIHQ)
(2) The Joint Commission
(3) DNV Inc.
(4) American Osteopathic Association's HFAP Program
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, What section of the Social Security Act permits hospitals "accredited" by an approved national
accreditation organization to be exempt from routine surveys by CMS to determine compliance
with Medicare CoP? - ANS Section 1865(b)(1)
Is accreditation by a deemed-status agency required for Medicare certification? - ANS No, it
is voluntary
Before permitting deemed status, section 1865(b)(2) of SSA requires that CMS consider the
agencies: - ANS (1) Requirements for accreditation
(2) Survey procedures
(3) Ability to provide adequate resources for conducting required surveys
(4) ability to supply information for use in enforcement activities
(5) monitoring procedures for hospitals found out of compliance with the conditions or
requirements and ability to provide CMS with the necessary data for validation
What is the maximum term of approval for deemed-status agencies? - ANS 6 years
Are deemed-status agencies required to re-apply to CMS for continued authority to accredit
hospitals as a deemed provider? - ANS Yes
What are some of the options that hospitals have when it comes to Medicare certification? -
ANS (1) directly certified by Medicare
(2) accredited by a deemed-status provider
(3) forgo Medicare certification entirely
CMS has ceded survey activities to who? - ANS Each state through 'State Enforcement
Agencies' e.g. Department of Health
What are State Enforcement Agencies (SA) responsible for? - ANS (1) Investigating
Complaints
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
Hospitals are required to be in compliance with the Federal requirements set forth in the
Medicare Conditions of Participation (CoP) in order to receive Medicare/Medicaid payment. -
ANS True
How are certification of hospital compliance with CoP accomplished? - ANS Observations,
interviews, and document/record reviews.
What does a hospital survey asses? - ANS Asses compliance with Federal health, safety, and
quality standards that will assure that the patient receives safe, quality care and services.
How many deemed-status agencies are there? - ANS 4
What are the 4 deemed-status agencies? - ANS (1) The Center for Improvement in
Healthcare Quality (CIHQ)
(2) The Joint Commission
(3) DNV Inc.
(4) American Osteopathic Association's HFAP Program
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, What section of the Social Security Act permits hospitals "accredited" by an approved national
accreditation organization to be exempt from routine surveys by CMS to determine compliance
with Medicare CoP? - ANS Section 1865(b)(1)
Is accreditation by a deemed-status agency required for Medicare certification? - ANS No, it
is voluntary
Before permitting deemed status, section 1865(b)(2) of SSA requires that CMS consider the
agencies: - ANS (1) Requirements for accreditation
(2) Survey procedures
(3) Ability to provide adequate resources for conducting required surveys
(4) ability to supply information for use in enforcement activities
(5) monitoring procedures for hospitals found out of compliance with the conditions or
requirements and ability to provide CMS with the necessary data for validation
What is the maximum term of approval for deemed-status agencies? - ANS 6 years
Are deemed-status agencies required to re-apply to CMS for continued authority to accredit
hospitals as a deemed provider? - ANS Yes
What are some of the options that hospitals have when it comes to Medicare certification? -
ANS (1) directly certified by Medicare
(2) accredited by a deemed-status provider
(3) forgo Medicare certification entirely
CMS has ceded survey activities to who? - ANS Each state through 'State Enforcement
Agencies' e.g. Department of Health
What are State Enforcement Agencies (SA) responsible for? - ANS (1) Investigating
Complaints
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
