CSBI HFMA: Certified Specialist
Business Intelligence HFMA Exam | Questions and Verified Answers (2024 / 2025 Update)
Question:
What are the challenging areas of healthcare continuum of care?
Answer:
1-Lack of Coordination 2-Healthcare Users on their own 3-Service Coordination
Question:
What are the types of service on health continuum?
Answer:
1-Well - preventative care, primary care 2-At Risk - acute care 3-At risk mild - specialty care 4-Early Chronic - chronic care 5-Late Chronic - long-term care 1 / 4
6-Terminal - end of life care
Question:
Supply Sensitive Care - a driver of utilization
Answer:
Care decisions are strongly influenced by capacity, rather than medical evidence or severity of illness. Decisions depend on the number of available hospital beds, clinics, CT scanners, doctors.. Also based on competition, supplier promotional efforts and influences in supply variations impacting cost of care delivered.
Question:
Preference Sensitive Care - a driver of utilization
Answer:
Care selection and selection frequency driven in large measure by the physician opinion.
Question:
What are misalignment with healthcare user and hospitals?
Answer:
1-focus on cost 2-drivers of service utilization 3-financing mechanism 2 / 4
Question:
What are the Foundational Ideas for Change?
Answer:
- - Triple Aim
- - Transparency in cost - gave way to Meaningful Use and now Promoting
- - Understand Production Cost - gave way to Activity Based Costing (ABC
Interoperability
type analysis) 4- Community Based Services
Question:
Disruptive Innovation
Answer:
disrupts and replaces existing markets with ways of working or products previously not thought of as possible, now are possible due to new technology or other catalysts.
Question:
Disruptive Innovation
Answer:
Examples are- telehealth, retail health, pharma firms exploring more direct connections with healthcare users,
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Question:
PHI
Answer:
Protected Health Information
Question:
PHI
Answer:
a subset of patient level data, composed of 18 unique identifiers - any of the 18 identifiers by themselves or in combination must be removed to de-identify the individual/patient.
Question:
HIPAA
Answer:
Sections include privacy rule and security
Question:
HIPAA
Answer:
Applies to organizations that are defined as a covered entity and directly to business associates as well
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