HACP Exam 2026 Questions and Answers
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. - Correct answer-True
How are certification of hospital compliance with CoP accomplished? - Correct
answer-Observations, interviews, and document/record reviews.
What does a hospital survey asses? - Correct answer-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? - Correct answer-4
What are the 4 deemed-status agencies? - Correct answer-(1) The Center for
Improvement in Healthcare Quality (CIHQ)
(2) The Joint Commission
(3) DNV Inc.
(4) American Osteopathic Association's HFAP Program
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,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? - Correct answer-Section
1865(b)(1)
Is accreditation by a deemed-status agency required for Medicare certification? -
Correct answer-No, it is voluntary
Before permitting deemed status, section 1865(b)(2) of SSA requires that CMS
consider the agencies: - Correct answer-(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? - Correct
answer-6 years
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, Are deemed-status agencies required to re-apply to CMS for continued authority to
accredit hospitals as a deemed provider? - Correct answer-Yes
What are some of the options that hospitals have when it comes to Medicare
certification? - Correct answer-(1) directly certified by Medicare
(2) accredited by a deemed-status provider
(3) forgo Medicare certification entirely
CMS has ceded survey activities to who? - Correct answer-Each state through
'State Enforcement Agencies' e.g. Department of Health
What are State Enforcement Agencies (SA) responsible for? - Correct answer-(1)
Investigating Complaints
(2) Full validation Surveys (CoP compliance)
(3) Issuing Report Findings and monitoring corrective action plans
(4) Recommending to CMS termination of hospital Medicare participation
What is CCN? - Correct answer-CMS Certification Number (hospital assigned
certificate number)
All Hospital Surveys are Unannounced - Correct answer-True
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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. - Correct answer-True
How are certification of hospital compliance with CoP accomplished? - Correct
answer-Observations, interviews, and document/record reviews.
What does a hospital survey asses? - Correct answer-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? - Correct answer-4
What are the 4 deemed-status agencies? - Correct answer-(1) The Center for
Improvement in Healthcare Quality (CIHQ)
(2) The Joint Commission
(3) DNV Inc.
(4) American Osteopathic Association's HFAP Program
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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? - Correct answer-Section
1865(b)(1)
Is accreditation by a deemed-status agency required for Medicare certification? -
Correct answer-No, it is voluntary
Before permitting deemed status, section 1865(b)(2) of SSA requires that CMS
consider the agencies: - Correct answer-(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? - Correct
answer-6 years
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Are deemed-status agencies required to re-apply to CMS for continued authority to
accredit hospitals as a deemed provider? - Correct answer-Yes
What are some of the options that hospitals have when it comes to Medicare
certification? - Correct answer-(1) directly certified by Medicare
(2) accredited by a deemed-status provider
(3) forgo Medicare certification entirely
CMS has ceded survey activities to who? - Correct answer-Each state through
'State Enforcement Agencies' e.g. Department of Health
What are State Enforcement Agencies (SA) responsible for? - Correct answer-(1)
Investigating Complaints
(2) Full validation Surveys (CoP compliance)
(3) Issuing Report Findings and monitoring corrective action plans
(4) Recommending to CMS termination of hospital Medicare participation
What is CCN? - Correct answer-CMS Certification Number (hospital assigned
certificate number)
All Hospital Surveys are Unannounced - Correct answer-True
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
