1|Page
HFMA CSPR EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The purpose of the Medicare Value-Based Purchasing (VBP)
program is:
A) To provide better services and a broader range of options for
Medicare beneficiaries in health plans
B) To financially reward or penalize physicians based on their
performance related to cost, quality, and patient experience
measures
C) To provide "targeted, accessible, continuous, and coordinated
care to Medicare beneficiaries..."
D) To provide differential payments to physicians based on the
quality of care provided to Medicare beneficiaries - ANSWER-D)
To provide differential payments to physicians based on the
quality of care provided to Medicare beneficiaries
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The following are quality-related outcomes that can be measured
except:
A) Transplant quality indicators
B) Risk-adjusted mortality rates
C) Level of physician compnesation
D) Readmission rates - ANSWER-C) Level of physician
compnesation
Which fixed-rate payment method uses a single price for an
inpatient stay, outpatient procedure, or outpatient diagnosis?
A) Indexed case rate
B) Global case rate
C) Indexed per diem
D) Front-loaded per diem - ANSWER-B) Global case rate
Medicaid is:
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A) Government health coverage where beneficiaries are required
to select and enroll in a managed care plan
B) Private healthcare coverage which includes higher patient out-
of-pocket expenditures for treatments
C) Private healthcare coverage that includes additional products
such as PPO and POS, with typically higher cost sharing
D) Government health care where beneficiaries enroll in such
plans but participation in these plans is voluntary - ANSWER-D)
Government health care where beneficiaries enroll in such plans
but participation in these plans is voluntary
Which option is NOT true regarding prospective UM techniques?
A) It requires an opinion from a practitioner other than the
specialist making the recommendation to confirm that a proposed
treatment is appropriate
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B) The primary care physician (PCP) coordinates, manages, and
authorizes al services for the patient
C) It is an analysis of practice patterns intended to target
individual case reviews and identify potential problems
D) It requires a resolution that the proposed medical service is
appropriate for the patient - ANSWER-C) It is an analysis of
practice patterns intended to target individual case reviews and
identify potential problems
The No Surprise Act was a product of:
A) The Health Insurance Portability Act
B) The Consolidation Appropriations Act
C) The Treaty of Algeron
D) The Affordable Care Act - ANSWER-D) The Affordable Care
Act
Which of the following is an advantage of direct contracting?
HFMA CSPR EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The purpose of the Medicare Value-Based Purchasing (VBP)
program is:
A) To provide better services and a broader range of options for
Medicare beneficiaries in health plans
B) To financially reward or penalize physicians based on their
performance related to cost, quality, and patient experience
measures
C) To provide "targeted, accessible, continuous, and coordinated
care to Medicare beneficiaries..."
D) To provide differential payments to physicians based on the
quality of care provided to Medicare beneficiaries - ANSWER-D)
To provide differential payments to physicians based on the
quality of care provided to Medicare beneficiaries
,2|Page
The following are quality-related outcomes that can be measured
except:
A) Transplant quality indicators
B) Risk-adjusted mortality rates
C) Level of physician compnesation
D) Readmission rates - ANSWER-C) Level of physician
compnesation
Which fixed-rate payment method uses a single price for an
inpatient stay, outpatient procedure, or outpatient diagnosis?
A) Indexed case rate
B) Global case rate
C) Indexed per diem
D) Front-loaded per diem - ANSWER-B) Global case rate
Medicaid is:
,3|Page
A) Government health coverage where beneficiaries are required
to select and enroll in a managed care plan
B) Private healthcare coverage which includes higher patient out-
of-pocket expenditures for treatments
C) Private healthcare coverage that includes additional products
such as PPO and POS, with typically higher cost sharing
D) Government health care where beneficiaries enroll in such
plans but participation in these plans is voluntary - ANSWER-D)
Government health care where beneficiaries enroll in such plans
but participation in these plans is voluntary
Which option is NOT true regarding prospective UM techniques?
A) It requires an opinion from a practitioner other than the
specialist making the recommendation to confirm that a proposed
treatment is appropriate
, 4|Page
B) The primary care physician (PCP) coordinates, manages, and
authorizes al services for the patient
C) It is an analysis of practice patterns intended to target
individual case reviews and identify potential problems
D) It requires a resolution that the proposed medical service is
appropriate for the patient - ANSWER-C) It is an analysis of
practice patterns intended to target individual case reviews and
identify potential problems
The No Surprise Act was a product of:
A) The Health Insurance Portability Act
B) The Consolidation Appropriations Act
C) The Treaty of Algeron
D) The Affordable Care Act - ANSWER-D) The Affordable Care
Act
Which of the following is an advantage of direct contracting?
