CASC Exam Prep Free practice test →

Free CASC Practice Questions

10 free, exam-style Certified Administrator Surgery Center (CASC) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CASC practice test to study every exam domain.

Question 1

Ambulatory surgery centers must make a patient-rights disclosure that is NOT typically required of hospitals. In advance of the date of the procedure, the ASC must disclose:

  1. The operating surgeon's complete malpractice claims history
  2. The facility's most recent accreditation survey results
  3. The infection rates for the specific procedure being performed
  4. Any physician financial or ownership interest in the ASC
Show answer & explanation

Correct answer: D - Any physician financial or ownership interest in the ASC

Question 2

Which statement correctly distinguishes the federal Stark Law from the federal Anti-Kickback Statute (AKS)?

  1. The Stark Law is a strict-liability statute, while the Anti-Kickback Statute requires intent
  2. The Anti-Kickback Statute is a strict-liability statute, while the Stark Law requires intent
  3. Both statutes require proof of intent to induce or reward referrals
  4. Both statutes apply only to inpatient hospital services
Show answer & explanation

Correct answer: A - The Stark Law is a strict-liability statute, while the Anti-Kickback Statute requires intent

Question 3

An internal audit reveals that a nurse has been drawing multiple doses from a single-dose medication vial for use on more than one patient. According to CDC safe injection guidelines, this practice:

  1. Is never acceptable; single-dose vials must be used for only one patient
  2. Is acceptable, provided that a new sterile needle and syringe are used for each patient
  3. Is acceptable as long as the vial is refrigerated between patient uses
  4. Is acceptable only when the facility faces a documented drug shortage
Show answer & explanation

Correct answer: A - Is never acceptable; single-dose vials must be used for only one patient

Question 4

An experienced nurse skips a required second-nurse verification for a high-alert medication because the unit is busy and similar shortcuts have never caused a problem before. No patient is harmed. Under a Just Culture framework, the MOST appropriate management response is to:

  1. Take disciplinary action against the nurse for violating the medication policy
  2. Console the nurse, treating the lapse as simple human error
  3. Coach the nurse and address the conditions that encouraged the shortcut
  4. Take no action, since no patient was actually harmed
Show answer & explanation

Correct answer: C - Coach the nurse and address the conditions that encouraged the shortcut

Question 5

A new administrator asks whether their freestanding ambulatory surgery center must comply with EMTALA (the Emergency Medical Treatment and Labor Act). The MOST accurate response is that EMTALA:

  1. Applies fully to the ASC because it routinely performs invasive surgical procedures on its patients
  2. Applies only when the ASC participates in both the Medicare and Medicaid programs
  3. Applies whenever a patient experiences a medical emergency on the premises
  4. Generally does not apply, because an ASC is not a hospital with a dedicated emergency department
Show answer & explanation

Correct answer: D - Generally does not apply, because an ASC is not a hospital with a dedicated emergency department

Question 6

Over six months, an ASC's days in accounts receivable (AR) rose from 38 to 61. Taken on its own, this trend MOST likely indicates that the center is:

  1. Collecting payments from payers and patients more quickly than before
  2. Experiencing a slowdown in collecting what payers and patients owe
  3. Becoming more profitable on each surgical case it performs
  4. Reducing its overall reliance on third-party payer reimbursement
Show answer & explanation

Correct answer: B - Experiencing a slowdown in collecting what payers and patients owe

Question 7

After primary source verification of a surgeon's license, board certification, and training is complete, the governing body grants the surgeon permission to perform specific laparoscopic procedures at the ASC. This second step is BEST described as:

  1. Credentialing
  2. Reappointment
  3. Privileging
  4. Peer review
Show answer & explanation

Correct answer: C - Privileging

Question 8

An ASC contracts with an outside laboratory for pathology services. With respect to the center's quality assessment and performance improvement (QAPI) program, these outsourced services:

  1. Are monitored solely by the contracted outside laboratory
  2. Must still be included in and monitored by the ASC's QAPI program
  3. Are exempt from QAPI because they are performed off-site
  4. Are reviewed only if a patient or staff member files a formal complaint
Show answer & explanation

Correct answer: B - Must still be included in and monitored by the ASC's QAPI program

Question 9

Under the Medicare ASC payment system, the payment rate for a covered surgical procedure is primarily derived from:

  1. The Medicare Physician Fee Schedule that Medicare uses for professional services
  2. The inpatient diagnosis-related group (DRG) assigned to the case
  3. The hospital Outpatient Prospective Payment System (OPPS) relative weights
  4. A rate that each ASC negotiates individually with CMS
Show answer & explanation

Correct answer: C - The hospital Outpatient Prospective Payment System (OPPS) relative weights

Question 10

Before hiring a new billing specialist, an ASC must verify that the candidate has not been excluded from participation in federal health care programs. Which source should the administrator check?

  1. The OIG List of Excluded Individuals/Entities (LEIE)
  2. The National Practitioner Data Bank (NPDB)
  3. The facility's professional liability insurance carrier
  4. The state nursing board's license verification website
Show answer & explanation

Correct answer: A - The OIG List of Excluded Individuals/Entities (LEIE)

Ready for the real thing?

Practice hundreds more CASC questions with instant scoring, weak-area drills, and full exam simulations.

Start the free practice test See pricing