IHP630 Healthcare Finance & Reimbursement Final Exam Review Q & A 2026 (Complete And Verified Study material) (25pages) LEARNEXAMS

1. What is the primary purpose of the Medicare Hospital Readmissions Reduction Program? - A) To provide universal healthcare coverage - B) To reduce redundant diagnostic testing - C) To decrease unnecessary hospital readmissions - D) To increase the use of outpatient services Answer: C) To decrease unnecessary hospital readmissions Rationale: The Medicare Hospital Readmissions Reduction Program aims to improve healthcare quality by penalizing hospitals with excess readmissions. 2. Which legislation introduced the concept of Accountable Care Organizations (ACOs)? - A) The Health Maintenance Organization Act of 1973 - B) The Patient Protection and Affordable Care Act of 2010 - C) The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - D) The Balanced Budget Act of 1997 Answer: B) The Patient Protection and Affordable Care Act of 2010 Rationale: ACOs were established under the Affordable Care Act to incentivize coordinated and high-quality care for Medicare beneficiaries. 3. What is the primary goal of value-based purchasing in healthcare? - A) To reduce the cost of healthcare services - B) To standardize healthcare services across providers - C) To link payment to the quality of care provided - D) To increase the volume of healthcare services Answer: C) To link payment to the quality of care provided Rationale: Value-based purchasing is designed to promote better health outcomes by making providers accountable for the quality and cost of care. 4. Under the Resource-Based Relative Value Scale (RBRVS), what determines the reimbursement rate for physician services? - A) The complexity of the medical procedure - B) The geographic location of the practice - C) The patient's ability to pay