HACP EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND ANSWERS GUARANTEED
PASS
⩥ Survey team size is based off of: Answer: 1. Average daily census
2. Complexity of services offered
3. Type of survey
4. Special units and/or offsite locations
5. Historical pattern of deficiencies
6. Surveyors-in-training
⩥ Does CMS provide survey template or schedule? Answer: No.
Deemed status agencies do though.
⩥ # of medical records reviewed by CMS during survey Answer: No
fewer than 30 unless it's a smaller hospital in which case, it is 20.
⩥ Condition-Level Finding Answer: 1. Noncompliance with single
standard or several standards within the condition
2. Noncompliance with a single part representing a severe or critical
health or safety breach
⩥ When is final report sent? Answer: Within 10 working days
,⩥ When is hospital response (written plan of correction) to final report
due? Answer: Within 10 calendar days
⩥ Plan of correction must include: Answer: 1. Corrective action for each
deficiency
2. Position of person who will monitor CAP
3. Dates of anticipated completion
4. Administrator signature (for CMS surveys only)
5. Must meet approval of SA (for CMS surveys only)
⩥ Can you have one governing body for multiple separately certified
hospitals? Answer: Yes, as long as it doesn't conflict with state law. Each
hospital will continue to have its own survey (demonstrate compliance
independently of the others).
⩥ Responsibilities for Contracted Services (GB and Hospital) Answer:
GB: 1) Assess services furnished under contract, 2) ID quality &
performance problems and respond, 3) monitor CAPs
Hospital: Maintain list of contracted services, including scope and nature
of services provided
⩥ Emergency Medical Treatment & Labor Act (EMTALA) Answer: For
facilities without emergency services, the medical staff must develop
policies & procedures for appraisal of emergencies, initial treatment
, (stabilization), and referral. Facility maintains responsibility for the
patient until properly transferred. Hospital cannot rely on 9-1-1- to
substitute emergency response.
⩥ Requirements for Informing Patients of their Rights Answer: 1. Must
be done in advance of furnishing or discontinuing patient care whenever
possible
2. Must be provided in a language or manner the patient (or
representative) can understand
⩥ Important Message from Medicare Requirements (IM) Answer: (For
Medicare Patients)
1. Must be signed and dated by patient.
2. Must be presented no more than 2 days prior to discharge.
3. If inpatient stay is short, initial presentation of IM is sufficient.
⩥ Patient Right to Make Informed Decision Answer: 1. Must be
informed of health status
2. Must be involved in care planning/treatment
3. Must be able to request or refuse treatment (that is medically
necessary)
⩥ Advance Directives Requirements Answer: 1. Hospital must provide
written information at time of admission of right to formulate advance
QUESTIONS AND ANSWERS GUARANTEED
PASS
⩥ Survey team size is based off of: Answer: 1. Average daily census
2. Complexity of services offered
3. Type of survey
4. Special units and/or offsite locations
5. Historical pattern of deficiencies
6. Surveyors-in-training
⩥ Does CMS provide survey template or schedule? Answer: No.
Deemed status agencies do though.
⩥ # of medical records reviewed by CMS during survey Answer: No
fewer than 30 unless it's a smaller hospital in which case, it is 20.
⩥ Condition-Level Finding Answer: 1. Noncompliance with single
standard or several standards within the condition
2. Noncompliance with a single part representing a severe or critical
health or safety breach
⩥ When is final report sent? Answer: Within 10 working days
,⩥ When is hospital response (written plan of correction) to final report
due? Answer: Within 10 calendar days
⩥ Plan of correction must include: Answer: 1. Corrective action for each
deficiency
2. Position of person who will monitor CAP
3. Dates of anticipated completion
4. Administrator signature (for CMS surveys only)
5. Must meet approval of SA (for CMS surveys only)
⩥ Can you have one governing body for multiple separately certified
hospitals? Answer: Yes, as long as it doesn't conflict with state law. Each
hospital will continue to have its own survey (demonstrate compliance
independently of the others).
⩥ Responsibilities for Contracted Services (GB and Hospital) Answer:
GB: 1) Assess services furnished under contract, 2) ID quality &
performance problems and respond, 3) monitor CAPs
Hospital: Maintain list of contracted services, including scope and nature
of services provided
⩥ Emergency Medical Treatment & Labor Act (EMTALA) Answer: For
facilities without emergency services, the medical staff must develop
policies & procedures for appraisal of emergencies, initial treatment
, (stabilization), and referral. Facility maintains responsibility for the
patient until properly transferred. Hospital cannot rely on 9-1-1- to
substitute emergency response.
⩥ Requirements for Informing Patients of their Rights Answer: 1. Must
be done in advance of furnishing or discontinuing patient care whenever
possible
2. Must be provided in a language or manner the patient (or
representative) can understand
⩥ Important Message from Medicare Requirements (IM) Answer: (For
Medicare Patients)
1. Must be signed and dated by patient.
2. Must be presented no more than 2 days prior to discharge.
3. If inpatient stay is short, initial presentation of IM is sufficient.
⩥ Patient Right to Make Informed Decision Answer: 1. Must be
informed of health status
2. Must be involved in care planning/treatment
3. Must be able to request or refuse treatment (that is medically
necessary)
⩥ Advance Directives Requirements Answer: 1. Hospital must provide
written information at time of admission of right to formulate advance
