HFMA CSPR Course 3 Comprehensive Final Exam Review Q & A 2026 Complete And Study material 28pages LEARNEXAMS

1. What is the primary goal of an Integ Delivery System (IDS)? - A) To provide community-based care - B) To control costs and improve quality through coordinated care - C) To increase competition among healthcare providers - D) To focus on specialist care rather than primary care Answer: B) To control costs and improve quality through coordinated care Rationale: IDS aims to integrate various levels of care to ensure patients receive the most appropriate treatment in a cost-effective and qualityfocused manner. 2. Which of the following is a key feature of Accountable Care Organizations (ACOs)? - A) Fee-for-service payment models - B) Shared savings and risk-bearing arrangements - C) Decentralized care management - D) Focus on acute care rather than preventive care Answer: B) Shared savings and risk-bearing arrangements Rationale: ACOs are groups of doctors, hospitals, and other healthcare providers who come together voluntarily to give coordinated high-quality care to their Medicare patients. 3. In a Capitation payment model, how are providers reimbursed? - A) Based on the number of services provided - B) A set fee for each enrolled person assigned to them, per period of time - C) Based on the quality outcomes of the care provided - D) A percentage of the savings achieved from managing care Answer: B) A set fee for each enrolled person assigned to them, per period of time Rationale: Capitation payment model involves payment of a flat fee for each patient assigned to a provider for a set period, regardless of the number of services provided. 4. What is the primary purpose of Health Maintenance Organizations (HMOs)? - A) To provide care exclusively through specialists