Free Certified Transplant Financial Coordinator (CTFC) Exam Practice Questions

Sample Practice Questions

Try these 10 sample questions from the Certified Transplant Financial Coordinator (CTFC) Exam practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1Which professional activity directly supports TFCA's mission for transplant financial coordinators?

   1. A.Assigning donated organs to patients by clinical priority
   2. B.Sharing useful information about transplant financeCorrect answer: B
   3. C.Certifying transplant programs for Medicare participation
   4. D.Setting uniform insurance benefits for transplant recipients

   Explanation: TFCA states its mission is "to coordinate the dissemination of useful information related to Transplant Finance." Sharing financial information fulfills that purpose; allocation, program certification, and benefit design are different responsibilities.

   Reference: About TFCA — About TFCA, mission paragraph

2. 2Which UNOS committee drafted the July 24, 1992 policy proposal associated with the professional roots of transplant financial coordinators?

   1. A.Patient Affairs CommitteeCorrect answer: A
   2. B.Thoracic Organ Transplantation Committee
   3. C.Histocompatibility Committee
   4. D.Living Donor Committee

   Explanation: TFCA traces the profession to the "UNOS Patient Affairs Committee (PAC) of 1991/1992" and credits its members with the 1992 proposal. The other committees concern different transplant functions.

   Reference: The TFCA Resource Guide for the Transplant Financial Coordinator — Page 7, A Brief History of the Transplant Financial Coordinator & TFCA, opening paragraph

3. 3Which description accurately characterizes the OPTN's organizational model?

   1. A.A private health insurer providing transplant benefits
   2. B.A federal hospital system performing all organ transplants
   3. C.A public-private partnership linking donation and transplant professionalsCorrect answer: C
   4. D.A professional licensing board regulating transplant surgeons

   Explanation: HRSA describes the OPTN as "a unique public-private partnership". It links the donation and transplantation system rather than acting as an insurer, hospital system, or professional licensing board.

   Reference: About the OPTN — About the OPTN, opening paragraph

4. 4A foreign government offers a transplant hospital a contract to arrange transplants for a group of its non-U.S. resident citizens. How does OPTN Policy 17.1.A treat this contract?

   1. A.Permitted because government funding secures payment
   2. B.Prohibited under the foreign-government referral ruleCorrect answer: B
   3. C.Permitted through approval of an organ import agreement
   4. D.Required before individual treatment terms can be negotiated

   Explanation: Policy 17.1.A states, "Members may not enter into contracts with foreign agencies or governments for the transplant of non-US residents/non-US citizens." Guaranteed payment does not waive the prohibition. An organ-import agreement concerns importing organs, not a group referral contract; individual treatment terms can instead be negotiated case by case.

   Reference: OPTN Policies — Policy 17.1.A, Referrals, page 325

5. 5Which organ was successfully transplanted in the landmark 1954 operation that began the modern era of solid organ transplantation?

   1. A.Liver
   2. B.Heart
   3. C.KidneyCorrect answer: C
   4. D.Lung

   Explanation: UNOS states, "In 1954, the kidney was the first human organ to be transplanted successfully." The landmark concerned the kidney, preceding successful transplantation of the other listed organs.

   Reference: UNOS history — The beginning, opening paragraph

6. 6In health insurance terminology, what is an allowed amount?

   1. A.The premium needed to maintain coverage
   2. B.The provider's total charge before plan review
   3. C.The maximum payment a plan allows for a covered serviceCorrect answer: C
   4. D.The patient's annual deductible for all covered services

   Explanation: CMS defines allowed amount as "the maximum payment the plan will pay for a covered health care service." It differs from the billed charge, premium, and deductible.

   Reference: Glossary of Health Coverage and Medical Terms — Allowed Amount

7. 7Which coding system is used in the United States to classify medical diagnoses rather than inpatient procedures?

   1. A.ICD-10-PCS
   2. B.ICD-10-CMCorrect answer: B
   3. C.CPT Category II
   4. D.HCPCS Level II

   Explanation: CDC states that ICD-10-CM "is used to code and classify medical diagnoses." ICD-10-PCS classifies inpatient procedures, while CPT Category II and HCPCS Level II serve other service-reporting purposes.

   Reference: ICD-10-CM — What to know

8. 8Which organization convenes the process for maintaining and updating the CPT code set?

   1. A.American Medical AssociationCorrect answer: A
   2. B.American Board for Transplant Certification
   3. C.National Center for Health Statistics
   4. D.United Network for Organ Sharing

   Explanation: The AMA describes "this AMA-convened process" for CPT development and management. ABTC certifies transplant professionals, NCHS manages ICD-10-CM, and UNOS supports transplantation operations.

   Reference: CPT code set overview — What is a CPT code?, development and management paragraph

9. 9A patient with established kidney disease applies for a Marketplace plan during an available enrollment period. How may the plan treat that pre-existing condition?

   1. A.It may deny enrollment until the kidney disease resolves
   2. B.It may add a surcharge based solely on the kidney disease
   3. C.It may exclude essential benefits related to the kidney disease
   4. D.It must apply the pre-existing condition protection without a health surchargeCorrect answer: D

   Explanation: CMS states, "No insurance plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started." The Marketplace plan cannot deny, surcharge, or impose a condition-specific essential-benefit exclusion for the pre-existing disease.

   Reference: Coverage for pre-existing conditions — Coverage for pre-existing conditions, coverage protection paragraph

10. 10What does graft mean when a coordinator discusses a kidney transplant?

    1. A.The recipient's remaining native kidney
    2. B.The transplanted organ or tissueCorrect answer: B
    3. C.The donor's remaining kidney
    4. D.The recipient's dialysis access site

    Explanation: HRSA defines graft as "A transplanted organ or tissue." In a kidney transplant discussion, this refers to the transplanted kidney, not a native kidney or dialysis access.

    Reference: Organ Donation and Transplantation Glossary — G, Graft