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CSPR-CERTIFIED SPECIALIST PAYMENT REP HFMA
EXAM LATEST UPDATE 2026-2027 WITH COMPLETE
500 QUESTIONS AND CORRECT VERIFIED
SOLUTIONS JUST RELEASED
Question: Reporting initiative including: Required Nation Performance Measurement, Voluntary
National Performance Measurement, and Employer Coalition Performance Measure, are all:
A) Group advocacy goals intended to reduced consumer spending
B) Consumer advocacy and healthcare value efforts
C) Healthcare report cards available to the public
D) Reports that contain public information regarding all healthcare issues - CORRECT
ANSWER✔✔C) Healthcare report cards available to the public
Question: Identify which option is NOT a payment type that comprises a large percentage of
Medicare expenditures.
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A) Inpatient prospective Payment Systems
B) Outpatient Prospective Payment System
C) Medicare payments to physicians
D) MS-DRG payment - CORRECT ANSWER✔✔C) Medicare payments to physicians
Question: Which option is NOT a practice used to control the costs of managed care?
A) Delivering services that are reasonable, and payers agree on medical necessity and reimburse
for services
B) Combining services, bundling associated charges, determining an appropriate charge the that
set of services
C) Making advance payment to providers for all services needed to care for a member
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D) The payer and provider agreeing on a reasonable payment for each service - CORRECT
ANSWER✔✔C) Making advance payment to providers for all services needed to care for a
member
Question: Under Title XIX of the Social Security Act, Medicaid:
A) Mandates medical services for certain individuals and low-income families
B) Advocates medical assistance for certain individuals and low-come families
C) Pays for medical assistance for certain individuals and low-income families
D) Provides medical referrals for certain individuals and low-income families - CORRECT
ANSWER✔✔C) Pays for medical assistance for certain individuals and low-income families
Q:The No Surprise Act was a product of:
A) The Health Insurance Portability Act
B) The Consolidation Appropriations Act
C) The Treaty of Algeron
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D) The Affordable Care Act - CORRECT ANSWER✔✔D) The Affordable Care Act
Question: Which of the following is an advantage of direct contracting?
A) Providers do not have to adjudicate claims for payment
B) Employers can save the cost of working with an insurance company
C) It allows the patients to have a choice of providers and physicians
D) Providers can work directly with employers to reduce the cost of providing insurance -
CORRECT ANSWER✔✔D) Providers can work directly with employers to reduce the cost of
providing insurance
Question: Accountable Care Organizations (ACOs) have all of the following characteristics
EXCEPT:
A) Patient centric care model
B) Financial incentive for quantity of care
C) Integrated care coordination
4
SUCCESS!
CSPR-CERTIFIED SPECIALIST PAYMENT REP HFMA
EXAM LATEST UPDATE 2026-2027 WITH COMPLETE
500 QUESTIONS AND CORRECT VERIFIED
SOLUTIONS JUST RELEASED
Question: Reporting initiative including: Required Nation Performance Measurement, Voluntary
National Performance Measurement, and Employer Coalition Performance Measure, are all:
A) Group advocacy goals intended to reduced consumer spending
B) Consumer advocacy and healthcare value efforts
C) Healthcare report cards available to the public
D) Reports that contain public information regarding all healthcare issues - CORRECT
ANSWER✔✔C) Healthcare report cards available to the public
Question: Identify which option is NOT a payment type that comprises a large percentage of
Medicare expenditures.
1
SUCCESS!
,Page 2 of 215
A) Inpatient prospective Payment Systems
B) Outpatient Prospective Payment System
C) Medicare payments to physicians
D) MS-DRG payment - CORRECT ANSWER✔✔C) Medicare payments to physicians
Question: Which option is NOT a practice used to control the costs of managed care?
A) Delivering services that are reasonable, and payers agree on medical necessity and reimburse
for services
B) Combining services, bundling associated charges, determining an appropriate charge the that
set of services
C) Making advance payment to providers for all services needed to care for a member
2
SUCCESS!
,Page 3 of 215
D) The payer and provider agreeing on a reasonable payment for each service - CORRECT
ANSWER✔✔C) Making advance payment to providers for all services needed to care for a
member
Question: Under Title XIX of the Social Security Act, Medicaid:
A) Mandates medical services for certain individuals and low-income families
B) Advocates medical assistance for certain individuals and low-come families
C) Pays for medical assistance for certain individuals and low-income families
D) Provides medical referrals for certain individuals and low-income families - CORRECT
ANSWER✔✔C) Pays for medical assistance for certain individuals and low-income families
Q:The No Surprise Act was a product of:
A) The Health Insurance Portability Act
B) The Consolidation Appropriations Act
C) The Treaty of Algeron
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SUCCESS!
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D) The Affordable Care Act - CORRECT ANSWER✔✔D) The Affordable Care Act
Question: Which of the following is an advantage of direct contracting?
A) Providers do not have to adjudicate claims for payment
B) Employers can save the cost of working with an insurance company
C) It allows the patients to have a choice of providers and physicians
D) Providers can work directly with employers to reduce the cost of providing insurance -
CORRECT ANSWER✔✔D) Providers can work directly with employers to reduce the cost of
providing insurance
Question: Accountable Care Organizations (ACOs) have all of the following characteristics
EXCEPT:
A) Patient centric care model
B) Financial incentive for quantity of care
C) Integrated care coordination
4
SUCCESS!
